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Related Concept Videos

Enzyme Inhibition01:30

Enzyme Inhibition

Inhibitors are molecules that reduce enzyme activity by binding to the enzyme. In a normally functioning cell, enzymes are regulated by a variety of inhibitors. Drugs and other toxins can also inhibit enzymes. Some inhibitors bind to the enzyme’s active site, while others inhibit enzymatic activity by binding to other sites on the protein structure.
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The electron transport chain or oxidative phosphorylation is an exothermic process in which free energy released during electron transfer reactions is coupled to ATP synthesis. This process is a significant source of energy in aerobic cells, and therefore inhibitors of the electron transport chain can be detrimental to the cell's metabolic processes.
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Viral replication and dissemination rely on efficient mechanisms for host cell entry, genome replication, assembly, and release. Influenza viruses, such as types A and B, are negative-sense single-stranded RNA viruses with a segmented genome, that depend on two critical surface glycoproteins to carry out these processes: hemagglutinin (HA) and neuraminidase (NA). HA initiates infection by binding to sialic acid residues on the surface of host epithelial cells, facilitating receptor-mediated...
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Heparin blunts endotoxin-induced coagulation activation.

T Pernerstorfer1, U Hollenstein, J Hansen

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Area of Science:

  • Coagulation science
  • Pharmacology
  • Sepsis research

Background:

  • Lipopolysaccharide (LPS) triggers sepsis-induced disseminated intravascular coagulation (DIC) via the tissue factor (TF)/factor VIIa pathway.
  • Clinical use of anticoagulants in LPS-induced coagulation remains under-explored.
  • This study investigates UFH and LMWH effects on LPS-induced coagulation.

Purpose of the Study:

  • To compare the effects of unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) against placebo.
  • To evaluate anticoagulation potency in an experimental LPS-induced coagulation model.
  • To assess inhibition of thrombin generation and coagulation factor activation.

Main Methods:

  • Randomized, double-blind, placebo-controlled trial in 30 healthy male volunteers.
  • Administration of LPS (2 ng/kg IV) followed by UFH, LMWH, or placebo infusion.
  • Measurement of prothrombin fragment F(1+2), thrombus precursor protein (TpP), TF-positive monocytes, activated factor VII, and TF pathway inhibitor levels.

Main Results:

  • Placebo group showed marked increases in F(1+2) and TpP; TF-positive monocytes doubled.
  • UFH and LMWH significantly reduced F(1+2) and TpP levels.
  • Both heparins reduced TF expression on monocytes, increased TF pathway inhibitor, and decreased factor VIIa levels.

Conclusions:

  • UFH and LMWH demonstrate anticoagulatory potency in early experimental LPS-induced coagulation.
  • Successful inhibition of thrombin generation was observed.
  • Heparins blunt activation of coagulation factors upstream and downstream of thrombin.