The antithrombotic effects of bovine activated protein C (APC) and protein S were investigated in a rabbit model of microarterial thrombosis. Because of the species specificity of the APC-protein S interaction, bovine APC expresses potent anticoagulant activity in rabbit plasma only when bovine protein S is also present. This provided a way to assess the contribution of bovine protein S to the antithrombotic effect of bovine APC. Rabbits were infused with boluses of activated protein C (0.1, 0.2, 0.4, or 0.8 mg/kg), protein S (0.5 mg/kg), or activated protein C (0.1 or 0.01 mg/kg) plus protein S (0.5 mg/kg). APC alone produced a dose-dependent antithrombotic effect, but only the group receiving the highest dose differed significantly from controls. While a low dose of activated protein C (0.1 mg/kg) alone had no antithrombotic effect, together with protein S (0.5 mg/kg) it produced a potent response. The presented results demonstrate the in vivo significance of protein S as a cofactor to activated protein C. The data show that a potent antithrombotic effect, without hemorrhagic side effects or significant systemic anticoagulation, may be achieved by low doses of activated protein C when combined with protein S.
B Arnljots, B Dahlbäck
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Human activated protein C variants in a rat model of arterial thrombosis
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Antithrombotic and anticoagulant effects of wild type and Gla-domain mutated human activated protein C in rats
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Factor V and Thrombotic Disease: Description of a Janus-Faced Protein
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Active site-inactivated factor VIIa prevents thrombosis without increased surgical bleeding: Topical and intravenous administration in a rat model of deep arterial injury
T Söderström, U Hedner, B Arnljots |
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Effect of locally-applied active site-blocked activated factor VII (ASIS) on experimental arterial thrombosis
B Arnljots, T Söderström, M Ezban, U Hedner |
Blood Coagulation & Fibrinolysis | 2000 |
Antithrombotic and Platelet Activating Effects of Heparin in Prevention of Microarterial Thrombosis
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Prevention of experimental arterial thrombosis by topical administration of active site–inactivated factor VIIa
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Journal of Vascular Surgery | 1997 |
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Y Katsuura, T Mochizuki, M Tamura, S Hoshide, M Kiyoki, T Nakagaki, S Miyamoto |
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Actuated protein C resistance: From phenotype to genotype and clinical practice
A Hillarp, B Dahlbäck, B Zöller |
Blood Reviews | 1995 |
Antithrombotic Effects of Activated Protein C and Protein S in a Rabbit Model of Microarterial Thrombosis
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Arteriosclerosis, thrombosis, and vascular biology | 1995 |