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    • 6. 发明授权
    • Processes for the preparation of low-affinity, low molecular weight
heparins useful as antithrombotics
    • 用于制备低亲和力低分子量肝素的方法,可用作抗血栓药物
    • US5767269A
    • 1998-06-16
    • US722408
    • 1996-10-01
    • Jack HirshPatrick N. ShakleeJames E. KnoblochJeffrey I. WeitzEdward Young
    • Jack HirshPatrick N. ShakleeJames E. KnoblochJeffrey I. WeitzEdward Young
    • C08B37/00C07H1/00A61K31/725C07H5/04
    • C08B37/0078
    • The present invention generally relates to a processes for preparing low affinity, low molecular weight heparins (LA-LWM-heparins) which are endowed with pharmacological and therapeutic properties that are surprisingly advantageous. In one embodiment, the process comprises: (1) nitrous acid depolymerization of unfractionated heparin to yield low molecular weight heparin (LMWH); (2) oxidation of the resulting LMWH to open the ring structures the nonsulfated uronic acid moieties using, for example, sodium periodate; and (3) reduction of the oxidized LMWH to reduce the aldehydes (to alcohols) formed during the depolymerization and oxidation steps using, for example, sodium borohydride. The resulting LA-LMW-heparins are capable of inactivating thrombin bound to fibrin within a thrombus or clot, whereby the ability of clot-bound thrombin to catalytically promote further clot accretion is substantially diminished or eliminated. As such, the resulting LA-LMW-heparins are useful for preventing thrombosis in the circuit of cardiac bypass apparatus and in patients undergoing renal dialysis, and for treating patients suffering from or at risk of suffering from thrombus-related cardiovascular conditions, such as unstable angina, acute myocardial infarction (heart attack), cerebrovascular accidents (stroke), pulmonary embolism, deep vein thrombosis, arterial thrombosis, etc.
    • 本发明一般涉及一种制备低亲和力低分子量肝素(LA-LWM-肝素)的方法,其具有惊人的有利的药理学和治疗学特性。 在一个实施方案中,该方法包括:(1)未分级肝素的亚硝酸解聚以产生低分子量肝素(LMWH); (2)使用例如高碘酸钠将所得LMWH氧化以打开非结构化的糖醛酸部分的环结构; 和(3)减少氧化的LMWH以还原在解聚和氧化步骤期间使用例如硼氢化钠形成的醛(对醇)。 所得到的LA-LMW-肝素能够使血栓或凝块内与纤维蛋白结合的凝血酶失活,从而基本上减少或消除凝块结合凝血酶催化促进进一步凝块增生的能力。 因此,所得到的LA-LMW-肝素可用于预防心脏旁路装置和肾透析患者的血栓形成,并且用于治疗患有血栓相关心血管疾病或患有血栓相关心血管疾病的风险的患者,例如不稳定 心绞痛,急性心肌梗死(心脏病发作),脑血管意外(中风),肺栓塞,深静脉血栓形成,动脉血栓形成等。