Preclinical Development of a vWF Aptamer to Limit Thrombosis and Engender Arterial Recanalization of Occluded Vessels

Autor: Jenna Wilson, Debra G Wheeler, Laura J. Sommerville, David Dornbos, Kendyl Carlisle, Nicholas Venetos, Richard C. Becker, Shahid M Nimjee, Juliana M. Layzer, George A. Pitoc, Nicholas Musgrave, Allyson Huttinger, Spencer Talentino, Shoeb I. Khan, Holly Moody, Bruce A. Sullenger, Jay L. Zweier, Camille Bratton, Rachel E. Rempel, Matthew Joseph, Maureane Hoffman, Cheyenne Jones
Rok vydání: 2019
Předmět:
Blood Platelets
Male
medicine.medical_specialty
Platelet Aggregation
Antidotes
Drug Evaluation
Preclinical

Oligonucleotides
Arterial Occlusive Diseases
Mice
03 medical and health sciences
Dogs
Platelet Adhesiveness
0302 clinical medicine
Fibrinolytic Agents
Von Willebrand factor
Internal medicine
von Willebrand Factor
Drug Discovery
Antithrombotic
Genetics
Animals
Humans
Medicine
Platelet
Myocardial infarction
Molecular Biology
Stroke
030304 developmental biology
Whole blood
Pharmacology
0303 health sciences
Dose-Response Relationship
Drug

biology
business.industry
Vascular disease
Thrombosis
Aptamers
Nucleotide

medicine.disease
Healthy Volunteers
Mice
Inbred C57BL

030220 oncology & carcinogenesis
Cardiology
biology.protein
Molecular Medicine
Original Article
Female
Carotid Artery Injuries
business
Zdroj: Mol Ther
ISSN: 1525-0016
DOI: 10.1016/j.ymthe.2019.03.016
Popis: Endothelial surface and circulating glycoprotein von Willebrand factor (vWF) regulates platelet adhesion and is associated with thrombotic diseases, including ischemic stroke, myocardial infarction, and peripheral vascular disease. Thrombosis, as manifested in these diseases, is the leading cause of disability and death in the western world. Current parenteral antithrombotic and thrombolytic agents used to treat these conditions are limited by a short therapeutic window, irreversibility, and major risk of hemorrhage. To overcome these limitations, we developed a novel anti-vWF aptamer, called DTRI-031, that selectively binds and inhibits vWF-mediated platelet adhesion and arterial thrombosis while enabling rapid reversal of this antiplatelet activity by an antidote oligonucleotide (AO). Aptamer DTRI-031 exerts dose-dependent inhibition of platelet aggregation and thrombosis in whole blood and mice, respectively. Moreover, DTRI-031 can achieve potent vascular recanalization of platelet-rich thrombotic occlusions in murine and canine carotid arteries. Finally, DTRI-031 activity is rapidly (
Databáze: OpenAIRE