Thromb Haemost 2014; 112(03): 466-477
DOI: 10.1160/TH13-12-1049
Blood Coagulation, Fibrinolysis and Cellular Haemostasis
Schattauer GmbH

Novel peptides that inhibit heparanase activation of the coagulation system

Elena Axelman
1   Thrombosis and Hemostasis Unit, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, The Technion, Haifa, Israel
,
Israel Henig
1   Thrombosis and Hemostasis Unit, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, The Technion, Haifa, Israel
,
Yonatan Crispel
1   Thrombosis and Hemostasis Unit, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, The Technion, Haifa, Israel
,
Judith Attias
2   Stat Laboratory, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, The Technion, Haifa, Israel
,
Jin-Ping Li
3   Department of Medical Biochemistry and Microbiology, Uppsala University, Uppsala, Sweden
,
Benjamin Brenner
1   Thrombosis and Hemostasis Unit, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, The Technion, Haifa, Israel
,
Israel Vlodavsky
4   Cancer and Vascular Biology Research Center, The Bruce Rappaport Faculty of Medicine, The Technion, Haifa, Israel
,
Yona Nadir
1   Thrombosis and Hemostasis Unit, Rambam Health Care Campus, The Bruce Rappaport Faculty of Medicine, The Technion, Haifa, Israel
› Author Affiliations

Financial support: The study was supported by a Kamin grant (The MAGNET Program, in the Office of the Chief Scientist of the Ministry of Industry, Trade & Labor, 2012–2014, no. 48482).
Further Information

Publication History

Received: 20 December 2013

Accepted after major revision: 26 March 2014

Publication Date:
20 November 2017 (online)

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Summary

Heparanase is implicated in cell invasion, tumour metastasis and angiogenesis. It forms a complex and enhances the activity of the blood coagulation initiator – tissue factor (TF). We describe new peptides derived from the solvent accessible surface of TF pathway inhibitor 2 (TFPI-2) that inhibit the heparanase procoagulant activity. Peptides were evaluated in vitro by measuring activated coagulation factor X levels and co-immunoprecipitation. Heparanase protein and/or lipopolysaccharide (LPS) were injected intra-peritoneally and inhibitory peptides were injected subcutaneously in mouse models. Plasma was analysed by ELISA for thrombin-antithrombin complex (TAT), D-dimer as markers of coagulation activation, and interleukin 6 as marker of sepsis severity. Peptides 5, 6, 7, 21 and 22, at the length of 11–14 amino acids, inhibited heparanase procoagulant activity but did not affect TF activity. Injection of newly identified peptides 5, 6 and 7 significantly decreased or abolished TAT plasma levels when heparanase or LPS were pre-injected, and inhibited clot formation in an inferior vena cava thrombosis model. To conclude, the solvent accessible surface of TFPI-2 first Kunitz domain is involved in TF/heparanase complex inhibition. The newly identified peptides potentially attenuate activation of the coagulation system induced by heparanase or LPS without predisposing to significant bleeding tendency.