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雑誌文献

臨床検査52巻13号

2008年12月発行

文献概要

今月の主題 凝固制御 抗凝固薬の新展開

外因系凝固阻害薬

著者: 鈴木宏治1

所属機関: 1三重大学大学院医学系研究科分子病態学

ページ範囲:P.1587 - P.1591

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 外因系凝固阻害物質である組織因子経路インヒビター(TFPI)の組換え蛋白質tifacoginは,組織因子と複合体を形成する第Ⅶa因子および第Ⅹa因子を阻害する.播種性血管内凝固症候群(DIC)の治療薬として期待されたtifacoginについて,重症の敗血症患者を対象とした臨床試験が行われた.しかし,第Ⅲ相試験でその有効性がみられなかったため,本適応での開発は中止された.

参考文献

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4) Broze GJ Jr:Tissue factor pathway inhibitor and the revised theory of coagulation. Annu Rev Med 46:103-112, 1995
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6) 加藤久雄,亀井加恵子:立体構造からみたTFPI(Tissue Factor Pathway Inhibitor)の作用機構.日本血栓止血学会誌 10:299-304,1999
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13) Horie S, Hiraishi S, Hamuro T, et al:Oxidized low-density lipoprotein associates strongly with carboxy-terminal domain of tissue factor pathway inhibitor and reduces the catalytic activity of the protein. Thromb Haemost 87:80-85, 2002
14) Hoppensteadt D, Callas D, Iqbal O, et al:Fibrinolytic and hemodynamic compromise by adjunct therapeutic agents used in thrombolysis. Comparative studies with recombinant tissue factor pathway inhibitor. Fibrinolysis 8:75, 1994
15) Abendschein DR, Meng YY, Torr-Brown S, et al:Maintenance of coronary patency after fibrinolysis with tissue factor pathway inhibitor. Circulation 92:944-949, 1995
16) Kaiser B, Fareed J:Recombinant full-length tissue factor pathway inhibitor (TFPI) prevents thrombus formation and rethrombosis after lysis in a rabbit model of jugular vein thrombosis. Thromb Haemost 76:615-620, 1996
17) Lefkovits J, Malycky JL, Rao JS, et al:Selective inhibition of factor Ⅹa is more efficient than factor Ⅶa-tissue factor complex blockade at facilitating coronary thrombolysis in the canine model. J Am Coll Cardiol 28:1858-1865, 1996
18) Enkhbaatar P, Okajima K, Uchiba M, et al:Recombinant tissue factor pathway inhibitor prevents lipopolysaccharide-induced systemic hypotension in rats by inhibiting excessive production of nitric oxide. Thromb Haemost 86:1573-1577, 2001
19) Yin X, Yutani C, Ikeda Y, et al:Tissue factor pathway inhibitor gene delivery using HVJ-AVE liposomes markedly reduces restenosis in atherosclerotic arteries. Cardiovasc Res 56:454-463, 2002
20) Abraham E, Reinhart K, Svoboda P, et al:Assessment of the safety of recombinant tissue factor pathway inhibitor in patients with severe sepsis:a multicenter, randomized, placebo-controlled, single-blind, dose escalation study. Crit Care Med 29:2081-2089, 2001
21) Abraham E, Reinhart K, Opal S, et al:Efficacy and safety of tifacogin(recombinant tissue factor pathway inhibitor)in severe sepsis:a randomized controlled trial. JAMA 290:238-247, 2003

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1367

印刷版ISSN:0485-1420

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