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Recombinant human microplasmin: production and potential therapeutic properties
N Nagai1, E Demarsin, B Van Hoef
1Center for Molecular and Vascular Biology, University of Leuven, Leuven, Belgium.
Journal of Thrombosis and Haemostasis : JTH
|July 23, 2003
Summary
Recombinant microplasmin (micro Pli) effectively reduced infarct size in mouse models of ischemic stroke, even when administered up to 10 hours post-occlusion. This novel agent also demonstrated significant clot lysis in rabbits without increasing bleeding risk, unlike rt-PA.
Area of Science:
- Biochemistry
- Pharmacology
- Thrombosis Research
Background:
- Ischemic stroke and arterial thrombosis are critical conditions requiring effective therapeutic interventions.
- Current treatments like recombinant tissue plasminogen activator (rt-PA) have limitations, including a narrow therapeutic window and increased bleeding risk.
- Microplasminogen (micro Plg), a truncated form of plasminogen, offers potential as a thrombolytic agent.
Purpose of the Study:
- To evaluate the efficacy and safety of recombinant human microplasmin (micro Pli) in preclinical models of ischemic stroke and arterial thrombosis.
- To compare the therapeutic effects of micro Pli with rt-PA.
Main Methods:
- Recombinant human microplasminogen (micro Plg) was expressed in Pichia pastoris, purified, and converted to microplasmin (micro Pli).
- Efficacy was assessed in middle cerebral artery ligation models in mice, measuring infarct size after treatment with micro Pli or rt-PA.
- Thrombolytic activity and bleeding risk were evaluated in an extracorporeal loop thrombosis model in rabbits using micro Pli and rt-PA.
Main Results:
- Micro Pli significantly reduced infarct size in mice at 24 hours post-occlusion, with efficacy observed up to 10 hours after MCA ligation.
- In rabbits, micro Pli induced 51% clot lysis, comparable to intact plasmin, and did not prolong bleeding times.
- Equipotent doses of rt-PA showed less efficacy in stroke models and were associated with increased bleeding in rabbits.
Conclusions:
- Recombinant micro Pli demonstrates potent thrombolytic activity in both ischemic stroke and arterial thrombosis models.
- Micro Pli offers a potentially safer and more effective alternative to rt-PA, with a broader therapeutic window.
- These findings support the further development of micro Pli for clinical application in treating thrombotic events.