Both congenital and acquired antithrombin-III (AT-III) deficiencies are amenable to replacement therapy. We describe two antithrombins produced by recombinant DNA techniques from human α1-antitrypsin (α1AT) cDNA in yeast. Alteration of the α1AT active site, replacing methionine 358 with arginine, results in a thrombin inhibition rate similar to that of heparin-activated AT-III. Alteration of two further residues, to give a five-residue sequence identical to AT-III, does not increase this rate further. Neither antithrombin is activated by heparin; both are unglycosylated and have shorter in vivo half-lives (t 1/2 ) than human α1AT. These antithrombins should be suitable for therapeutic replacement of AT-III in cases of conginetal deficiency and in conditions associated with acquired AT-III deficiency, such as disseminated intravascular coagulation.
CITATION STYLE
George, P. M., Pemberton, P., Bathurst, I. C., Carrell, R. W., Gibson, H. L., Rosenberg, S., … Barr, P. J. (1989). Characterization of antithrombins produced by active site mutagenesis of human α1-antitrypsin expressed in yeast. Blood, 73(2), 490–496. https://doi.org/10.1182/blood.v73.2.490.bloodjournal732490
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