Porous dynamic covalent polymers as promising reversal agents for heparin anticoagulants

Autor: Yang Zong, Yan-Yan Xu, Yan Wu, Yamin Liu, Qian Li, Furong Lin, Shang-Bo Yu, Hui Wang, Wei Zhou, Xing-Wen Sun, Dan-Wei Zhang, Zhan-Ting Li
Rok vydání: 2022
Předmět:
Zdroj: Journal of Materials Chemistry B. 10:3268-3276
ISSN: 2050-7518
2050-750X
Popis: Heparins are natural and partially degraded polyelectrolytes that consist of sulfated polysaccharide backbones. However, as clinically used anticoagulants, heparins are associated with clinical bleeding risks and thus require rapid neutralization. Protamine sulfate is the only clinically approved antidote for unfractionated heparin (UFH), which not only may cause severe adverse reactions in patients, but also is only partially effective against low molecular weight heparins (LMWHs). We here present the facile synthesis of four porous multicationic dynamic covalent polymers (DCPs) from the condensation of tritopic aldehyde and acylhydrazine precursors. We show that, as new water-soluble polymeric antidotes, the new DCPs can effectively include both UFH and LMWHs and thus reverse their anticoagulating activity, which is confirmed by the activated partial thromboplastin time and thromboelastographic assays as well as mouse tail transection assay (bleeding model). The neutralization activities of two of the DCPs were found to be overall superior to that of protamine and have wider concentration windows and good biocompatibility. This pore-inclusion neutralization strategy paves the way for the development of water-soluble polymers as universal heparin binding agents.
Databáze: OpenAIRE