151. A synthetic fibrin cross-linking polymer for modulating clot properties and inducing hemostasis.
- Author
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Chan LW, Wang X, Wei H, Pozzo LD, White NJ, and Pun SH
- Subjects
- Animals, Disease Models, Animal, Femoral Artery drug effects, Femoral Artery injuries, Femoral Artery pathology, Fibrinolysis drug effects, Humans, Kinetics, Polymerization drug effects, Polymers chemical synthesis, Rats, Sprague-Dawley, Tissue Distribution drug effects, Blood Coagulation drug effects, Cross-Linking Reagents pharmacology, Fibrin pharmacology, Hemostasis drug effects, Polymers pharmacology
- Abstract
Clotting factor replacement is the standard management of acute bleeding in congenital and acquired bleeding disorders. We present a synthetic approach to hemostasis using an engineered hemostatic polymer (PolySTAT) that circulates innocuously in the blood, identifies sites of vascular injury, and promotes clot formation to stop bleeding. PolySTAT induces hemostasis by cross-linking the fibrin matrix within clots, mimicking the function of the transglutaminase factor XIII. Furthermore, synthetic PolySTAT binds specifically to fibrin monomers and is uniformly integrated into fibrin fibers during fibrin polymerization, resulting in a fortified, hybrid polymer network with enhanced resistance to enzymatic degradation. In vivo hemostatic activity was confirmed in a rat model of trauma and fluid resuscitation in which intravenous administration of PolySTAT improved survival by reducing blood loss and resuscitation fluid requirements. PolySTAT-induced fibrin cross-linking is a novel approach to hemostasis using synthetic polymers for noninvasive modulation of clot architecture with potentially wide-ranging therapeutic applications., (Copyright © 2015, American Association for the Advancement of Science.)
- Published
- 2015
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