2009
DOI: 10.1016/j.bcp.2009.04.012
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Oversulfated chondroitin sulfate interaction with heparin-binding proteins: New insights into adverse reactions from contaminated heparins

Abstract: An oversulfated chondroitin sulfate (OSCS) was identified as a contaminant to pharmaceutical heparin and severe anaphylactoid reactions were ascribed to this contaminant. An examination of the biochemistry underlying both the anticoagulant activity and the toxic effects of oversulfated chondroitin sulfate was undertaken. This study demonstrates that the anticoagulant activity of this oversulfated chondroitin sulfate is primarily dependent on heparin cofactor II mediated inhibition of thrombin. Heparin and over… Show more

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Cited by 70 publications
(69 citation statements)
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“…The interactions of complement proteins with OSCS and CS-A were compared by SPR (Li et al (2009)). The OSCS and CS-A were immobilized on a SPR chip.…”
Section: The Role Of Chondroitin Sulfate and Its Derivatives In Complmentioning
confidence: 99%
“…The interactions of complement proteins with OSCS and CS-A were compared by SPR (Li et al (2009)). The OSCS and CS-A were immobilized on a SPR chip.…”
Section: The Role Of Chondroitin Sulfate and Its Derivatives In Complmentioning
confidence: 99%
“…Until then, contaminants like OSCS could not be identified using conventional screening tests described in various pharmacopoeias. Therefore, new methods such as NMR spectroscopy [28,[51][52][53][54], capillary electrophoresis [55][56][57], strong-anion-exchange high-performance liquid chromatography [58], infrared (IR), near-infrared reflectance (NIR), and Raman spectroscopy [59][60][61], one-dimensional cellulose acetate plate electrophoresis and polyacrylamide gel electrophoresis [62,63], potentiometric polyanion sensors [64], and anticoagulant time assays [65][66][67] were developed and partly included in the international pharmacopoeias for identification and quantification purposes of potential contaminants in heparin.…”
Section: Application To Unfractionated Heparinmentioning
confidence: 99%
“…Patients treated with OSCS-contaminated Hep experienced angioedema, hypertension, swelling of the larynx, and in some cases, death [1,2].…”
Section: Introductionmentioning
confidence: 99%
“…1). Hep has been used clinically as an anticoagulant and antithrombotic agent for many years [1][2][3].…”
Section: Introductionmentioning
confidence: 99%