Standard and low molecular weight heparin have no effect on tissue plasminogen activator induced plasma clot lysis or fibrinogenolysis

Thromb Haemost. 1991 May 6;65(5):541-4.

Abstract

Although heparin is often given as an adjunct to tissue plasminogen activator (t-PA), the effect of heparin on t-PA induced fibrin(ogen)olysis is controversial. To address this controversy, we examined the effects of standard and low molecular weight heparin (enoxaparine) on both t-PA induced clot lysis and t-PA mediated fibrinogenolysis in a human plasma system. Accordingly, 125I-labeled fibrin clots were incubated in t-PA containing citrated plasma in the presence or absence of these glycosaminoglycans, and the extent of thrombolysis was determined by measuring residual radioactivity of the clots, while B beta 1-42 levels were used as a specific index of fibrinogenolysis. Over a wide range of t-PA concentrations (0.1 to 1.6 micrograms/ml), neither heparin nor enoxaparine influences either t-PA induced clot lysis or t-PA mediated B beta 1-42 generation. These findings suggest that either agent could be used as an adjunct to t-PA without compromising either the thrombolytic potential of t-PA or its clot-selectivity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Drug Interactions
  • Fibrinogen / metabolism*
  • Heparin / pharmacology*
  • Heparin, Low-Molecular-Weight / pharmacology*
  • Humans
  • Iodine Radioisotopes
  • Radioimmunoassay
  • Thrombosis / drug therapy*
  • Tissue Plasminogen Activator / pharmacology*

Substances

  • Heparin, Low-Molecular-Weight
  • Iodine Radioisotopes
  • Fibrinogen
  • Heparin
  • Tissue Plasminogen Activator