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   » » Wiki: Hirudin
Tag Wiki 'Hirudin'.
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Hirudin is a naturally occurring in the of (such as Hirudo medicinalis) that has a blood property. This is essential for the leeches' habit of , since it keeps a host's blood flowing after the worm's initial .

Hirudin (MEROPS I14.001) belongs to a superfamily (MEROPS IM) of protease inhibitors that also includes (MEROPS I14.002) and (MEROPS I15).


Structure
During his years in Birmingham and Edinburgh, John Berry Haycraft had been actively engaged in research and published papers on the coagulation of blood, and in 1884, he discovered that the leech secreted a powerful anticoagulant, which he named hirudin, although it was not isolated until the 1950s, nor its structure fully determined until 1976. Full length hirudin is made up of 65 amino acids. These amino acids are organized into a compact N-terminal domain containing three and a C-terminal domain that is completely disordered when the protein is in solution. Amino acid residues 1-3 form a parallel beta-strand with residues 214-217 of , the of residue 1 making a with the -195 O gamma atom of the site. The C-terminal domain makes numerous interactions with an -binding exosite of thrombin, while the last five residues are in a loop that forms many hydrophobic contacts. Natural hirudin contains a mixture of various of the protein. However, techniques can be used to produce preparations of hirudin.


Biological activity
A key event in the final stages of blood coagulation is the conversion of into by the enzyme . Thrombin is produced from , by the action of an enzyme, prothrombinase (Factor Xa along with Factor Va as a cofactor), in the final states of coagulation. Fibrin is then cross linked by factor XIII (Fibrin Stabilizing Factor) to form a . The principal of in normal blood circulation is . Similar to antithrombin, the anticoagulant activity of hirudin is based on its ability to inhibit the procoagulant activity of .

Hirudin is the most potent natural inhibitor of thrombin. Unlike antithrombin, hirudin binds to and inhibits only the activated thrombin, with a specific activity on fibrinogen. Therefore, hirudin prevents or dissolves the formation of clots and (i.e., it has a ), and has therapeutic value in , in the treatment of and of superficial , either as an injectable or a topical application cream. In some aspects, hirudin has advantages over more commonly used anticoagulants and thrombolytics, such as , as it does not interfere with the biological activity of other , and can also act on thrombin.


Medical use
It is difficult to extract large amounts of hirudin from natural sources, so a method for producing and purifying this protein (specifically P01050 in the infobox) using has been developed. This has led to the development and marketing of a number of hirudin-based anticoagulant pharmaceutical products, including:
  • recombinant hirudin derived from (Thrombexx, Extrauma)
  • (Refludan) – differs by one amino acid substitution and removal of sulfate group on Tyr63
  • (Revasc/Iprivask) – differs by removal of sulfate group on Tyr63
  • – peptide fragment

Several other direct thrombin inhibitors are derived chemically from hirudin.


See also
  • Discovery and development of direct thrombin inhibitors


External links

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