Synthesis and Biological Evaluation of Direct Thrombin Inhibitors Bearing 4-(Piperidin-1-yl)pyridine at the P1 Position with Potent Anticoagulant Activity

2013 ◽  
Vol 56 (21) ◽  
pp. 8696-8711 ◽  
Author(s):  
Modesto de Candia ◽  
Filomena Fiorella ◽  
Gianfranco Lopopolo ◽  
Andrea Carotti ◽  
Maria Rosaria Romano ◽  
...  
2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Cho Yeow Koh ◽  
Norrapat Shih ◽  
Christina Y. C. Yip ◽  
Aaron Wei Liang Li ◽  
Weiming Chen ◽  
...  

AbstractDespite their limitations, unfractionated heparin (UFH) and bivalirudin remain standard-of-care parenteral anticoagulants for percutaneous coronary intervention (PCI). We discovered novel direct thrombin inhibitors (DTIs) from tick salivary transcriptomes and optimised their pharmacologic activity. The most potent, ultravariegin, inhibits thrombin with a Ki of 4.0 pM, 445-fold better than bivalirudin. Unexpectedly, despite their greater antithrombotic effect, variegin/ultravariegin demonstrated less bleeding, achieving a 3-to-7-fold wider therapeutic index in rodent thrombosis and bleeding models. When used in combination with aspirin and ticagrelor in a porcine model, variegin/ultravariegin reduced stent thrombosis compared with antiplatelet therapy alone but achieved a 5-to-7-fold lower bleeding time than UFH/bivalirudin. Moreover, two antibodies screened from a naïve human antibody library effectively reversed the anticoagulant activity of ultravariegin, demonstrating proof-of-principle for antidote reversal. Variegin and ultravariegin are promising translational candidates for next-generation DTIs that may reduce peri-PCI bleeding in the presence of antiplatelet therapy.


Marine Drugs ◽  
2018 ◽  
Vol 16 (11) ◽  
pp. 413 ◽  
Author(s):  
Aleš Žula ◽  
Izabela Będziak ◽  
Danijel Kikelj ◽  
Janez Ilaš

Spumigins are marine natural products derived from cyanobacteria Nodularia spumigena, which mimics the structure of the d-Phe-Pro-Arg sequence and is crucial for binding to the active site of serine proteases thrombin and factor Xa. Biological evaluation of spumigins showed that spumigins with a (2S,4S)-4-methylproline central core represent potential lead compounds for the development of a new structural type of direct thrombin inhibitors. Herein, we represent synthesis and thrombin inhibitory activity of a focused library of spumigins analogues with indoline ring or l-proline as a central core. Novel compounds show additional insight into the structure and biological effects of spumigins. The most active analogue was found to be a derivative containing l-proline central core with low micromolar thrombin inhibitory activity.


2001 ◽  
Vol 44 (21) ◽  
pp. 3424-3439 ◽  
Author(s):  
Anna Linusson ◽  
Johan Gottfries ◽  
Thomas Olsson ◽  
Eivor Örnskov ◽  
Staffan Folestad ◽  
...  

2007 ◽  
Vol 5 (16) ◽  
pp. 2599 ◽  
Author(s):  
David Blomberg ◽  
Tomas Fex ◽  
Yafeng Xue ◽  
Kay Brickmann ◽  
Jan Kihlberg

2015 ◽  
Vol 348 (8) ◽  
pp. 595-605 ◽  
Author(s):  
Shaochi Wang ◽  
Peng Dai ◽  
Yungen Xu ◽  
Qiufang Chen ◽  
Qihua Zhu ◽  
...  

1999 ◽  
Vol 7 (7) ◽  
pp. 1295-1307 ◽  
Author(s):  
Anette Wienand ◽  
Claus Ehrhardt ◽  
Rainer Metternich ◽  
Carlo Tapparelli

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