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
Weitere Informationen

Publikationsverlauf

Received 20. Oktober 1994

Accepted 10. März 1995

Publikationsdatum:
06. Juli 2018 (online)

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.

 
  • References

  • 1 Marcus AJ, Saffier LB. Thromboregulation: multicellular modulation of platelet reactivity in hemostasis and thrombosis. FASEB J 1993; 7: 516-522
  • 2 Coller BS. Antiplatelet agents in the prevention and therapy of thrombosis. Annu Rev Med 1992; 43: 171-180
  • 3 Coder BS. Platelets and thrombolytic therapy. New Engl J Med 1990; 32: 33-42
  • 4 Fuster V, Steele PM, Chesebro JH. Role of platelets and thrombosis in coronary atherosclerotic disease and sudden death. J Am Cod Cardiol 5 1985; Suppl (Suppl. 01) 175b-184b
  • 5 Phillips DR, Charo IF, Scarborough RM. GPIIb/IIIa: the responsive integrin. Cell 1991; 65: 358-362
  • 6 Davies MJ, Thomas AC. Plaque Assuring – the cause of acute myocardial infarction, sudden ischaemic death, and crescendo angina. Br Heart J 1985; 53: 363-373
  • 7 Farrell DH, Thiagarajan P. Binding of recombinant fibrinogen mutants to platelets. J Biol Chem 1994; 269: 226-231
  • 8 Scarborough RM, Naughton MA, Teng W, Rose JW, Phillips DR, Nannizzi L, Arfsten A, Cambell AM, Charo IF. Design of potent and specific integrin antagonists. Peptide antagonists with high specificity for glycoprotein IIb-IIIa J Biol Chem 1993; 268: 1066-1073
  • 9 Taylor DB, Gartner TK. A peptide corresponding to GP Ilba 300-312, a presumptive fibrinogen γ-chain binding site on platelet integrin Ilb/IIIa, inhibits the adhesion of platelets to at least four adhesive ligands. J Biol Chem 1992; 267: 11729-11733
  • 10 Savage B, Marzec UM, Chao BH, Harker LA, Maragonore JM, Ruggeri ZM. Binding of the snake venom derived proteins applagin and echistatin to the arginine-glycine-aspartic acid recognition site(s) on platelet glycoprotein IIb/IIIa inhibits receptor function. J Biol Chem 1990; 265: 11766-11772
  • 11 Scarborough RM, Rose JW, Naughton MA, Phillips DR, Nannizzi L, Arfsten A, Cambell AM, Charo IF. Characterisation of the integrin specificities of disintegrins isolated from American pit viper venoms. J Biol Chem 1993; 268: 1058-1065
  • 12 Hanson SR, Pared FI, Ruggeri ZM, Marzec UM, Kunicki TJ, Montgomery RR, Zimmerman TS, Harker LA. Effects of monoclonal antibodies against platelet Ilb/IIIa complex on thrombosis and hemostasis in the baboon. J Clin Invest 1988; 81: 149-158
  • 13 Hanson SR, Kotze HF, Harker LA, Scarborough RM, Charo IF, Phillips DR. Potent antithrombotic effects of novel peptide antagonists of platelet glycoprotein IIb/IIIa. Thromb Haemost (Abstr) 1991; 65: 813
  • 14 Coller BS, Scudder LE, Beer J, Gold HK, Folts JD, Cavagnaro J, Jordan R, Wagner C, Iuliucci J, Knight D, Ghrayeb J, Smith C, Weisman HF, Berger H. Monoclonal antibodies to platelet glycoprotein Ilb/IIIa as antithrombotic agents. Ann NY Acad Sci 1991; 614: 192-213
  • 15 Coder BS, Scudder LE. Inhibition of dog platelet function by in vivo infusion of F(ab)2 fragments of a monoclonal antibody. Blood 1985; 66: 1456-1459
  • 16 Gold HK, Gimple LW, Yasuda T, Leinbach RC, Werner W, Jordan R, Berger H, Collen D, Coder BS. Pharmacodynamic study of F(ab)2 fragments of murine monoclonal antibody 7E3 directed against human platelet glycoprotein Ilb/IIIa in patients with unstable angina pectoris. J Clin Invest 1990; 86: 651-659
  • 17 Topol EJ, Plow EF. Clinical trials of platelet receptor inhibitors. Thromb Haemost 1993; 70: 94-98
  • 18 Niiya K, Hodson E, Bader R, Byers-Ward V, Koziol JA, Plow EF, Ruggeri ZM. Increased surface expression of membrane glycoprotein Ilb-IIIa complex induced by platelet activation. Blood 1987; 70: 475-483
  • 19 Wencel-Drake JD. Plasma membrane GPIIb/IIIa. Evidence for a cycling receptor pool Am J Pathol 1990; 136: 61-70
  • 20 Morgenstein E, Ruf A, Patscheke H. Transport of anti-glycoprotein Ilb/IIIa antibodies into the alpha-granules of unstimulated human blood platelets. Thromb Haemost 1992; 67: 121-125
  • 21 Wencel-Drake JD, Frelinger III AL, Dieter MG, Lam SC T. Arg-Gly-Asp- dependent occupancy of GPIIb/IIIa by applaggin: evidence for internalization and cycling of a platelet integrin. Blood 1993; 81: 62-69
  • 22 Deckmyn H, Stanssens P, Hoet B, Declerck PJ, Lauwereys M, Gansemans Y, Tornai I, Vermylen J. An echistatin-like Arg-Gly-Asp (RGD)-containing sequence in the heavy chain CDR3of a murine monoclonal antibody that inhibits human platelet glycoprotein IIb/IIIa function. Br J Haematol 1994; 87: 562-571
  • 23 De Reys S, Blom C, Lepoudre B, Declerck PJ, De Ley M, Vermylen J, Deckmyn H. Human platelet aggregation by murine monoclonal antibodies is subtype dependent. Blood 1993; 81: 1972-1801
  • 24 Hanson SR, Kotzé HF, Savage B, Harker LA. Platelet interactions with Dacron vascular grafts: a model of acute thrombosis in baboons. Arteriosclerosis 1985; 5: 595-603
  • 25 Hanson SR, Harker LA. Baboon models of acute arterial thrombosis. Thromb Haemost 1987; 58: 801-805
  • 26 Savage B, McFadden PR, Hanson SR, Harker LA. The relation of platelet density to platelet age: survival of low- and high density11’In-labeled platelets in baboons. Blood 1986; 68: 386-393
  • 27 Kotzé HF, Lamprecht S, Badenhorst PN, Van Wyk V, Roodt JP, Alexander K. In vivo inhibition of acute platelet-dependent thrombosis in a baboon model by BAY U3405, a thromboxane A2-receptor antagonist. Thromb Haemost 1993; 70: 672-675
  • 28 Kotzé HF, Lötter MG, Badenhorst PN, du P, Heyns A. Kinetics of111Inplatelets in the baboon. I Isolation and labelling of a viable and representative platelet population Thromb Haemost 1985; 53: 404-407
  • 29 Van Wyk V, du P, Heyns A. Low molecular weight heparin as an anticoagulant for in vitro platelet function studies. Thromb Res 1990; 57: 601-609
  • 30 Kotzé HF, Lötter MG, Badcnhorst PN, du P, Heyns A. Kinetics of In-III- platelets in the baboon: II. In vivo distribulion and sites of sequestration Thromb Haemost 1085; 53: 408-410
  • 31 Hanson SR. Platelets specific antibodies as in vivo therapeutic reagents: a baboon model. In: Kunieki TJ, George JN. (eds) Platelet Immunobiology: Molecular and Clinical Aspects. Philadelphia: JB Lippeneott; 1990: 471-483
  • 32 Hanson SR, Harker CA. Interruption of acute platelet-dependent thrombosis by the synthetic antithrombin D-phenylalanyl-L-prolyl-L-arginylehloro-methylketone. Proc Natl Acad Sei USA 1088; 85: 3184-3188
  • 33 Kelly AH, Hanson SR, Henderson LW, Marker LA. Prevention of heparin- resistant thrombotic occlusion of hollow-fiber hemodialyzers by synthetic antithrombin. J Lab Clin Med 1080; 114: 411-418
  • 34 Schaffer LW, Davidson JT, Vlasuk GP, Siegl PK. Antithrombotic efficacy of recombinant tick anticoagulant peptide, a potent inhibitor of coagulation factor Xa in a primate model of arterial thrombosis. Circulation 1001; 84: 1741-1748
  • 35 Courtois G, Ryekewaert JJ, Woods VI, Ginsberg MH, Plow EF, Margucrie GA. Expression of intracellular fibrinogen on the surface of stimulated platelets. Lur J Biochem 1086; 150: 61-67
  • 36 Legrand C, Dubernard V, Nurden AT. Studies on the mechanism of expression of secreted fibrinogen on the surface of activated human platelets. Blood 1080; 73: 1226-1234
  • 37 Kiss RG, Stassen JM, Deekmyn II, Roskams T, Gold II K, Plow EF, Collen D. Contribution of platelets and the vessel wall to the antithrombotic effects of a single bolus injection of Lab fragments of the antiplatelet GP IIb/IIIa antibody 7E3 in a canine arterial eversion graft preparation. Arterioscler Thromb 1004; 14: 375-380