RSS-Feed abonnieren
DOI: 10.1160/TH03-08-0527
Orally administered heparins prevent arterial thrombosis in a rat model
Financial support: Supported by the Heart and Stroke Foundation of Saskatchewan and an Interprovincial Western College of Veterinary Medicine Summer Student Research Award.Publikationsverlauf
Received
18. August 2003
Accepted after resubmission
27. Januar 2004
Publikationsdatum:
01. Dezember 2017 (online)
Summary
Our previous studies demonstrated that orally administered heparins prevent thrombosis in a rat jugular vein thrombosis model, where bovine unfractionated heparin (UFH) and the low molecular weight heparin tinzaparin reduced thrombotic incidence by 50% at 7.5 and 0.1 mg/kg, respectively. Our objectives were to determine if similar antithrombotic effects of oral heparin could be observed in an arterial thrombosis model. In this model, filter paper soaked in 30% ferric chloride was applied to the exposed rat carotid artery. A flowmeter recorded blood flow over a 60 min period determining time when the thrombus began forming (TTB) and time till occlusion (TTO). Immediately following, the thrombus was removed, dried and weighed 24 h later. Bovine UFH (7.5 mg/kg), tinzaparin (0.1 mg/kg) or saline was administered by stomach tube at 2, 5 and 25 h prior to thrombus initiation. TTB was significantly increased when UFH was given at 5 and 25 h but not 2 h prior, and when tinzaparin was given at 5 but not 2 or 25 h prior compared to rats given oral saline. TTO was significantly increased for both UFH and tinzaparin when given 5 and 25 h but not 2 h prior (one-way ANOVA). There was no difference in TTO and TTB between UFH and tinzaparin treated groups. A trend in reduction in thrombus weight was observed for UFH at 5 and 25 h prior and tinzaparin at 5 h prior to thrombus initiation (one-way ANOVA). Although no significant changes were observed in activated partial thromboplastin times, Heptest or anti-Xa activity from plasma of heparin treated rats, endothelial heparin concentrations were significantly greater than controls for UFH at 5 h and for tinzaparin at 2, 5, and 24 h. Thus, heparins administered by the oral route are effective antithrombotic agents in arterial as well as venous models.
-
References
- 1 Berkowitz SD, Kosutic G, Marder VJ. et al. Heparin administered orally via a novel carrier system (SNAC) is comparable to SC heparin when used to prevent venous thromboembolic events following elective total hip arthroplasty. Thromb Haemost 1999; Suppl: 492-3.
- 2 Jaques LB, Hiebert LM, Wice SM. Evidence from endothelium of gastric absorption of heparin and of dextran sulfates 8000. J Lab Clin Med 1991; 117 (02) 122-30.
- 3 Hiebert LM, Wice SM, Ping T. et al. Tissue distribution and antithrombotic activity of unlabeled or 14C-labeled porcine intestinal mucosal heparin following administration to rats by the oral route. Can J Physiol Pharmacol 2000; 78: 307-20.
- 4 Hiebert LM, Wice SM, Jaques LB. Antithrombotic activity of oral unfractionated heparin. J Cardiovasc Pharmacol 1996; 28: 26-9.
- 5 Hiebert LM, Ping T, Wice SM. Antithrombotic activity of orally administered low molecular weight heparin (logiparin) in a rat model. Haemostasis 2000; 30: 196-203.
- 6 Hiebert LM, Wice SM, Ping T. et al. Antithrombotic efficacy in a rat model of the low molecular weight heparin, reviparin sodium, administered by the oral route. Thromb Haemost 2001; 85: 114-8.
- 7 Hiebert LM. Evidence that Orally Administered Heparins are Absorbed. In: Thrombosis from Bench to Bedside (in press)
- 8 Mitchell RN, Cotran RS. Hemodynamic Disorders. Thrombosis and Shock. In: Robbins Basic Pathology; Saunders WB Co: 2002: 113-38.
- 9 Lockyer S, Kambayashi J. Demonstration of flow and platelet dependency in a ferric chloride-induced model of thrombosis. J Cardiovasc Pharmacol 1999; 33: 718-25.
- 10 Kurz KD, Main BW, Sandusky GE. Rat model of arterial thrombosis induced by ferric chloride. Thromb Res 1990; 60: 269-80.
- 11 Leadley RJ, Morgan SR, Bentley R. et al. Pharmacodynamic activity and antithrombotic efficacy of RPR120844, a novel inhibitor of coagulation Factor Xa. J Cardiovasc Pharmacol 2003; 34: 791-9.
- 12 Hiebert LM, Jaques LB. The observation of heparin on endothelium after injection. Thromb Res 1976; 08: 195-204.
- 13 Jaques LB, Wice SM, Hiebert LM. Determination of absolute amounts of heparin and of dextran sulfate in plasma in microgram quantities. J Lab Clin Med 1990; 115 (04) 422-32.
- 14 Rivera TM, Leone BA, Paton DR. et al. Oral delivery of heparin in combination with sodium N-[8-(2-hydroxybenzoyl)amino]caprylate: pharmacological considerations. Pharm Res 1997; 14: 1830-4.
- 15 Lee Y, Kim SH, Byun Y. Oral delivery of new heparin derivatives in rats. Pharm Res 2000; 17: 1259-64.
- 16 Jiao Y, Ubrich N, Marchand-Arvier M. et al. In vitro and in vivo evaluation of oral heparinloaded polymeric nanoparticles in rabbits. Circulation 2002; 105: 230-5.
- 17 Engelberg H. Orally ingested heparin is absorbed in humans. Clin Appl Thromb Hemost 1995; 01 (04) 283-5.
- 18 Elg M, Gustafsson D, Deinum J. The importance of enzyme inhibition kinetics for the effect of thrombin inhibitors in a rat model of arterial thrombosis. Thromb Haemost 1997; 78: 1286-92.
- 19 Hiebert LM. Oral heparins. Clin Lab 2002; 48: 111-6.
- 20 Lewis SD, Ng AS, Lyle EA. et al. Inhibition of thrombin by peptides containing lysyl-a-keto carbonyl derivatives. Thromb Haemost 1995; 74: 1107-12.