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PM George, P Pemberton, IC Bathurst, RW Carrell, HL Gibson, S Rosenberg, RA Hallewell and PJ Barr
Department of Pathology, Christchurch Hospital, New Zealand.
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 alpha 1-antitrypsin (alpha 1AT) cDNA
in yeast. Alteration of the alpha 1AT 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 (t1/2) than human alpha
1AT. These antithrombins should be suitable for therapeutic replacement of
AT-III in cases of congenital deficiency and in conditions associated with
acquired AT-III deficiency, such as disseminated intravascular coagulation.
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