Improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitors

The purpose of antithrombotic therapy is the prevention of thrombus formation and/or its extension with a minimum risk of bleeding. The inhibition of a variety of proteolytic processes, particularly those of the coagulation cascade, has been reported as a property of plant protease inhibitors. The r...

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Main Authors: Bruno R Salu, Silvana Cristina Pando, Marlon V De Brito, André Fernando Medina, Frank Odei-Addo, Carminita Frost, Ryno Naude, Misako U Sampaio, Jonas Emsley, Francisco Humberto A. Maffei, Maria Luiza V Oliva
Format: Article
Language:English
Published: Taylor & Francis Group 2019-04-01
Series:Platelets
Subjects:
Online Access:http://dx.doi.org/10.1080/09537104.2018.1428738
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author Bruno R Salu
Silvana Cristina Pando
Marlon V De Brito
André Fernando Medina
Frank Odei-Addo
Carminita Frost
Ryno Naude
Misako U Sampaio
Jonas Emsley
Francisco Humberto A. Maffei
Maria Luiza V Oliva
author_facet Bruno R Salu
Silvana Cristina Pando
Marlon V De Brito
André Fernando Medina
Frank Odei-Addo
Carminita Frost
Ryno Naude
Misako U Sampaio
Jonas Emsley
Francisco Humberto A. Maffei
Maria Luiza V Oliva
author_sort Bruno R Salu
collection DOAJ
description The purpose of antithrombotic therapy is the prevention of thrombus formation and/or its extension with a minimum risk of bleeding. The inhibition of a variety of proteolytic processes, particularly those of the coagulation cascade, has been reported as a property of plant protease inhibitors. The role of trypsin inhibitors (TIs) from Delonix regia (Dr) and Acacia schweinfurthii (As), members of the Kunitz family of protease inhibitors, was investigated on blood coagulation, platelet aggregation, and thrombus formation. Different from Acacia schweinfurthii trypsin inhibitor (AsTI), Delonix regia trypsin inhibitor (DrTI) is a potent inhibitor of FXIa with a Kiapp of 1.3 × 10–9 M. In vitro, both inhibitors at 100 µg corresponding to the concentrations of 21 μM and 15.4 μM of DrTI and AsTI, respectively, increased approximately 2.0 times the activated partial thromboplastin time (aPTT) in human plasma compared to the control, likely due to the inhibition of human plasma kallikrein (huPK) or activated factor XI (FXIa), in the case of DrTI. Investigating in vivo models of arterial thrombus formation and bleeding time, DrTI and AsTI, 1.3 µM and 0.96 µM, respectively, prolonged approximately 50% the time for total carotid artery occlusion in mice compared to the control. In contrast to heparin, the bleeding time in mice treated with the two inhibitors did not differ from that of the control group. DrTI and AsTI inhibited 49.3% and 63.8%, respectively, ex vivo murine platelet aggregation induced by adenosine diphosphate (ADP), indicating that these protein inhibitors prevent arterial thrombus formation possibly by interfering with the plasma kallikrein (PK) proteolytic action on the intrinsic coagulation pathway and its ability to enhance the platelet aggregation activity on the intravascular compartment leading to the improvement of a thrombus.
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spelling doaj.art-703b2a2100744a4f9df64ad47a8936c02023-09-15T10:31:59ZengTaylor & Francis GroupPlatelets0953-71041369-16352019-04-0130330531310.1080/09537104.2018.14287381428738Improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitorsBruno R Salu0Silvana Cristina Pando1Marlon V De Brito2André Fernando Medina3Frank Odei-Addo4Carminita Frost5Ryno Naude6Misako U Sampaio7Jonas Emsley8Francisco Humberto A. Maffei9Maria Luiza V Oliva10Federal University of São PauloFederal University of São PauloFederal University of São PauloFederal University of São PauloNelson Mandela UniversityNelson Mandela UniversityNelson Mandela UniversityFederal University of São PauloUniversity of NottinghamSão Paulo State UniversityFederal University of São PauloThe purpose of antithrombotic therapy is the prevention of thrombus formation and/or its extension with a minimum risk of bleeding. The inhibition of a variety of proteolytic processes, particularly those of the coagulation cascade, has been reported as a property of plant protease inhibitors. The role of trypsin inhibitors (TIs) from Delonix regia (Dr) and Acacia schweinfurthii (As), members of the Kunitz family of protease inhibitors, was investigated on blood coagulation, platelet aggregation, and thrombus formation. Different from Acacia schweinfurthii trypsin inhibitor (AsTI), Delonix regia trypsin inhibitor (DrTI) is a potent inhibitor of FXIa with a Kiapp of 1.3 × 10–9 M. In vitro, both inhibitors at 100 µg corresponding to the concentrations of 21 μM and 15.4 μM of DrTI and AsTI, respectively, increased approximately 2.0 times the activated partial thromboplastin time (aPTT) in human plasma compared to the control, likely due to the inhibition of human plasma kallikrein (huPK) or activated factor XI (FXIa), in the case of DrTI. Investigating in vivo models of arterial thrombus formation and bleeding time, DrTI and AsTI, 1.3 µM and 0.96 µM, respectively, prolonged approximately 50% the time for total carotid artery occlusion in mice compared to the control. In contrast to heparin, the bleeding time in mice treated with the two inhibitors did not differ from that of the control group. DrTI and AsTI inhibited 49.3% and 63.8%, respectively, ex vivo murine platelet aggregation induced by adenosine diphosphate (ADP), indicating that these protein inhibitors prevent arterial thrombus formation possibly by interfering with the plasma kallikrein (PK) proteolytic action on the intrinsic coagulation pathway and its ability to enhance the platelet aggregation activity on the intravascular compartment leading to the improvement of a thrombus.http://dx.doi.org/10.1080/09537104.2018.1428738blood coagulationfactor xiakallikreinkunitz inhibitorsplateletsthrombosis
spellingShingle Bruno R Salu
Silvana Cristina Pando
Marlon V De Brito
André Fernando Medina
Frank Odei-Addo
Carminita Frost
Ryno Naude
Misako U Sampaio
Jonas Emsley
Francisco Humberto A. Maffei
Maria Luiza V Oliva
Improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitors
Platelets
blood coagulation
factor xia
kallikrein
kunitz inhibitors
platelets
thrombosis
title Improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitors
title_full Improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitors
title_fullStr Improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitors
title_full_unstemmed Improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitors
title_short Improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitors
title_sort improving the understanding of plasma kallikrein contribution to arterial thrombus formation using two plant protease inhibitors
topic blood coagulation
factor xia
kallikrein
kunitz inhibitors
platelets
thrombosis
url http://dx.doi.org/10.1080/09537104.2018.1428738
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