2003
DOI: 10.1046/j.1538-7836.2003.00028.x
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Reversible inhibitors of TAFIa can both promote and inhibit fibrinolysis

Abstract: Summary. The plasma carboxypeptidase activated thrombinactivable fibrinolysis inhibitor (TAFIa), is thermally unstable at 37 8C, with a half-life of 8 or 15 min depending on the isoform. The arginine analog, 2-guanidinoethylmercaptosuccinate (GEMSA), not only inhibits TAFIa but also slows the spontaneous inactivation of the enzyme, thereby reducing the activity of TAFIa, while extending its apparent half-life. Because, as shown in previous work, the ability of TAFIa to prolong clot lysis can be more dependent … Show more

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Cited by 44 publications
(44 citation statements)
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“…rPCI concentrations of Ն200 nM are required to accelerate fibrinolysis, and a 2.0 -2.5-fold acceleration is achieved at concentrations of Ն1000 nM (clot lysis time, 170 Ϯ 7 and 80 Ϯ 6 min in the absence and presence of 1500 nM rPCI and 1.2 nM tPA, respectively). These results are in agreement with previous studies performed using commercial PCI (39,40). Compared with rPCI, the effect of rTCI differs in three aspects: 1) rTCI has only a minor pro-fibrinolytic effect at low concentrations; 2) ϳ10-fold lower concentrations (Ն15 nM) are sufficient to accelerate fibrinolysis; and 3) the maximal pro-fibinolytic effect is more pronounced (2.8-fold acceleration at 500 nM).…”
Section: H Nmr Analysis Of Rtci In H 2 O and D 2 Osupporting
confidence: 91%
“…rPCI concentrations of Ն200 nM are required to accelerate fibrinolysis, and a 2.0 -2.5-fold acceleration is achieved at concentrations of Ն1000 nM (clot lysis time, 170 Ϯ 7 and 80 Ϯ 6 min in the absence and presence of 1500 nM rPCI and 1.2 nM tPA, respectively). These results are in agreement with previous studies performed using commercial PCI (39,40). Compared with rPCI, the effect of rTCI differs in three aspects: 1) rTCI has only a minor pro-fibrinolytic effect at low concentrations; 2) ϳ10-fold lower concentrations (Ն15 nM) are sufficient to accelerate fibrinolysis; and 3) the maximal pro-fibinolytic effect is more pronounced (2.8-fold acceleration at 500 nM).…”
Section: H Nmr Analysis Of Rtci In H 2 O and D 2 Osupporting
confidence: 91%
“…The stabilizing potency of different carboxypeptidase inhibitors depends on their K i , as it appears that only the free enzyme inactivates. 16 We decided to soak TAFI crystals with the inhibitor GEMSA, which has a K i of 11 M. The TAFI-GEMSA complex diffracted to 3.4 Å. GEMSA was found bound in the catalytic cleft S1Ј pocket where the carboxy-terminal arginine or lysine residue of the substrate would bind. The observed binding mode is consistent with that of GEMSA inhibited carboxypeptidase D 35 (PDB entry 1H8L).…”
Section: Inhibitor Binding Reduces Flap Dynamicsmentioning
confidence: 99%
“…13,14 Thermal stability of TAFIa is increased by binding of small peptide substrates, like hippuryl-arginine, 15 or carboxypeptidase inhibitors such as 2-guanidino-ethyl-mercaptosuccinic acid (GEMSA). 16,17 In addition, extensive mutagenesis studies have identified 5 mutations (S305C, T325I, T329I, H333Y, and H335Q) which, in combination, stabilize TAFIa activity 180-fold. [18][19][20] In this paper we present crystal structures of wild-type TAFI, a TAFI-inhibitor complex, and a TAFI mutant with a 70-fold more stable active enzyme.…”
mentioning
confidence: 99%
“…The fi rst compared the extended-release formulation of AZD0837 (in doses of 150, 300, and 450 mg once daily and 200 mg bid) with warfarin (dose-adjusted to achieve an INR between 2.0 and 3.0) in 955 patients with atrial fi bril- agents is paradoxical enhancement of TAFIa activity at low doses. [186][187][188] Presumably, this refl ects allosteric modulation at the active site of the enzyme. If this phenomenon is common to all TAFIa inhibitors, optimal dosing of these agents will be problematic.…”
Section: Azd0837mentioning
confidence: 99%