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阿加曲班研究进展 被引量:24

Research progress of argatroban
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摘要 阿加曲班是合成的小分子药物,为一价直接凝血酶抑制剂,阿加曲班直接与凝血酶的催化活性位点结合,不但灭活液相凝血酶,还能够灭活与纤维蛋白血栓结合的凝血酶,目前已批准用于肝素诱导的血小板减少及血栓症、经皮冠状动脉介入治疗、脑卒中溶栓等血栓性疾病。体内外研究表明,它还抑制凝血酶的其他作用,如可以抑制肿瘤转移、炎症过程及血管成形术后的再狭窄等。 Argatroban is a synthetic small molecule and a univalent direct thrombin inhibitor. It hinds to the catalytic site of the thrombin. It's able to inhibit both free and colt-bound thrombin. Argatroban was approved to used in heparin-induced thrombocytopenia and thrombosis syndrome, pereutaneous coronary intervention, acute cerebral stroke and so on. In vitro, argatroban could inhibit other roles of thrombin, such as tumor cell metastasis, inflammation and restenosis after angioplasty.
出处 《国际内科学杂志》 CAS 2007年第8期483-485,共3页 International Journal of Internal Medicine
关键词 阿加曲班 肝素诱导的血小板减少及血栓症 缺血性脑卒中 经皮冠状动脉介入 Argatroban Heparin-induced thrombocytopenia and thrombosis syndrome Ischemic stroke Percutaneous coronary intervention
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参考文献18

  • 1Fareed J, Jeske WP, Small-molecule direct antithrombins: argatroban. Best Pract Res Clin Haematol, 2004, 17 ( 1 ) : 127-138.
  • 2Kam PC, Kaur N, Thong CL. Direct thrombin inhibitors: pharmacology and clinical relevance. Direct thrombin inhibitors: pharmacology and clinical relevance. Anaesthesia, 2005,60 ( 6 ) : 565-574.
  • 3Menajovsky LB. Heparin-induced thrombocytopenia: clinical anifestations and management strategies. Am J Med, 2005, 118(Suppl 8A) :21S-30S.
  • 4Serebruany MV, Malinin AI, Serebruany VL Argatroban, a direct thrombin inhibitor for heparin-indueed thrombocytopaenia: present and future perspectives, Expert Opin Pharmacother, 2006,7( 1 ) :81-89,
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  • 6Arnold RJ, Kim R, Tang B. The cost-effectiveness of argatroban treatment in heparin-induced thrombocytopenia: the effect of early versus delayed treatment. Cardiol Rev, 2006, 14( 1 ) :7-13.
  • 7Lewis BE, Matthai WH Jr, Cohen M, et al. Argatroban anticoagulation during pereutanceous coronary intervention in patients with heparin-induced thrombocytopenia. Catheter Cardiovase I nterv, 2002,57 ( 2 ) : 177-184.
  • 8Jang IK, Lewis BE, Matthai WH Jr, et al. Argatroban anticoagulation in conjunction with glycoprotein Ⅱ b/Ⅲ a inhibition in patients undergoing percutaneous coronary intervention: an open-label, nonrandomized pilot study. J Thromb Thrombolysis, 2004,18( 1 ) :31-37.
  • 9Itoh T, Nonogi H, Miyazaki S, et al. Local delivery of argatroban for the prevention of restenosis after coronary balloon angioplasty: a prospective randomized pilot study. Circ J, 2004,68(7) :615-622.
  • 10Kawamata T, Okada Y, Kawashima A, et al. Carotid tissue levels of argatroban after direct local delivery during carotid endarterectomy to prevent perioperative cerebral embolism. Neurosurgery, 2005,56(5) :913-918.

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