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Thromb Haemost 1995; 74(02): 751-757
DOI: 10.1055/s-0038-1649808
Original Article
Platelets
Schattauer GmbH Stuttgart

Prolonged Inhibition of Acute Arterial Thrombosis by High Dosing of a Monoclonal Anti-platelet Glycoprotein IIb/IIIa Antibody in a Baboon Model

H F Kotzé
The Department of Haematology, University of the Orange Free State, Bloemfontein, South Africa
,
P N Badenhorst
The Department of Haematology, University of the Orange Free State, Bloemfontein, South Africa
,
S Lamprecht
The Department of Haematology, University of the Orange Free State, Bloemfontein, South Africa
,
M Meiring
The Department of Haematology, University of the Orange Free State, Bloemfontein, South Africa
,
V Van Wyk
The Department of Haematology, University of the Orange Free State, Bloemfontein, South Africa
,
K Nuyts
1   Center for Molecular and Vascular Biology, K.U. Leuven, Leuven, Belgium
,
J M Stassen
1   Center for Molecular and Vascular Biology, K.U. Leuven, Leuven, Belgium
,
J Vermylen
1   Center for Molecular and Vascular Biology, K.U. Leuven, Leuven, Belgium
,
H Deckmyn
1   Center for Molecular and Vascular Biology, K.U. Leuven, Leuven, Belgium
› Institutsangaben
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Publikationsverlauf

Received 20. Oktober 1994

Accepted 10. März 1995

Publikationsdatum:
06. Juli 2018 (online)

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Summary

The in vivo activity of MA-16N7C2, the first monoclonal antibody that contains an echistatin-like RGD-sequence and inhibits platelet glycoprotein (GP)IIb/IIIa function, was determined in baboons. A dosefinding study assessing haemostatic variables such as bleeding time and ex vivo platelet aggregation showed that doses of as low as 0.2-0.3 mg/kg resulted in a pronounced effect. The effects were dose-dependent and lasted for several days, implying that MA-16N7C2 is a potent and long-acting GPIIb/IIIa inhibitor. Following the initial studies, the antithrombotic effect of 0.1 and 0.3 mg/kg of the antibody, given as a bolus, was determined in a baboon model of platelet-dependent, arterial-type thrombus formation. In these studies, a thrombogenic device consisting of Dacron vascular graft material was inserted as extension segments into a permanent arteriovenous shunt. The results confirmed the potent and long-lasting antithrombotic effect of MA-16N7C2. Surprisingly, the antithrombotic effect was stronger 48 h after a dose of 0.3 mg/kg administration than on the day of treatment with 0.1 mg/kg, despite the fact that comparable numbers of GPIIb/IIIa receptors were occupied on resting platelets. We postulate that with the high dose of MA-16N7C2 and after an extended period, occupied GPIIb/IIIa may be internalised by the platelets. Upon platelet activation, these receptors become reexposed but arc unable to participate in thrombus formation. This is in contrast to unoccupied internal GPIIb/IIIa receptors early after a low dose of MA-16N7C2.

 

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