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    • 3. 发明申请
    • USE OF THROMBIN MUTANTS TO INHIBIT THE ANTICOAGULATION EFFECT OF THROMBIN INHIBITORS
    • 使用凝血酶抑制剂抑制血红蛋白抑制剂的抗凝作用
    • WO2007106893A2
    • 2007-09-20
    • PCT/US2007064081
    • 2007-03-15
    • UNIV EMORYUNIV WASHINGTONUNIV OREGON HEALTH & SCIENCETANAKA KENICHIDI CERA ENRICOGRUBER ANDRASHANSON STEPHEN RAYMOND
    • TANAKA KENICHIDI CERA ENRICOGRUBER ANDRASHANSON STEPHEN RAYMOND
    • A61K38/4833G01N33/86G01N2333/7452
    • The present invention provides methods for inhibiting the anticoagulation effect of a thrombin inhibitor in a patient in need thereof comprising administration of a therapeutically effective amount of a variant prothrombin or thrombin that is capable of binding the thrombin inhibitor and that has reduced procoagulant activity. Variant prothrombins or thrombins of use in the methods of the present invention include thrombin mutants W215A, W215A/E217A, or variants thereof in which the amino acids at positions 215 and/or 217 are alanine. Methods are also provided in which the thrombin mutants are administered with an additional active agent, particularly hemostatic agents such as activated factor VII or activated prothrombin complex concentrate. In one embodiment of the invention, the methods are useful in the treatment of patients in which a direct thrombin inhibitor has been administered, particularly argatroban. The present invention further provides a method for quantifying the concentration of an anticoagulant in the plasma or whole blood of a patient using a variant prothrombin or thrombin titration assay.
    • 本发明提供了抑制凝血酶抑制剂在有需要的患者中的抗凝效果的方法,其包括施用治疗有效量的能够结合凝血酶抑制剂并降低促凝血活性的变体凝血酶原或凝血酶。 在本发明的方法中使用的变体前血栓素或血栓素包括其中215位和/或217位的氨基酸为丙氨酸的凝血酶突变体W215A,W215A / E217A或其变体。 还提供了其中凝血酶突变体与另外的活性剂,特别是止血剂如活化因子VII或活化的凝血酶原复合物浓缩物一起施用的方法。 在本发明的一个实施方案中,所述方法可用于治疗已经施用直接凝血酶抑制剂的患者,特别是阿加曲班。 本发明还提供了使用变体凝血酶原或凝血酶滴定测定来定量患者血浆或全血中抗凝血剂浓度的方法。