The
platelet glycoprotein IIb/IIIa receptor (GPIIb/IIIa,
fibrinogen receptor) represents the final common pathway for platelet aggregation. Inhibition of GPIIb/IIIa with
antibodies or
peptides containing the RGD sequence has been reported to prevent arterial
thrombosis. We examined
DMP 728 [(cyclic[D-2-amino-butyryl-N2-methyl-L-arginyl-glycyl-L-aspartyl-3-(a min o- methyl-
benzoic acid],
methanesulfonic acid salt], a cyclic
peptidomimetic, GPIIb/IIIa receptor antagonist, for prevention of
thrombosis and rethrombosis in a canine model of
carotid artery thrombosis. Dogs were anesthetized, and both carotid arteries were instrumented with an
electrode, a flow probe, and a
stenosis.
A 300-microA current was applied to the intimal surface in the right carotid artery (RCA, control) through the
electrode; time to occlusive
thrombus formation and
thrombus mass was noted. The RCA served as the control vessel; the left carotid artery (LCA) served as the test vessel after
DMP 728 administration (0.1 or 1. mg/kg, intravenously, i.v.). As compared with controls, occlusive
thrombus formation was reduced by both doses of
DMP 728 (control 100% n = 12; 0.1 mg/kg i.v. 17%, p < 0.05, n = 6; 1.0 mg/kg i.v. 0%, p < 0.05, n = 6), time to occlusion was increased (p < 0.05), and
thrombus weight was reduced (p < 0.05). Ex vivo platelet aggregation was inhibited in all groups. In a second group of animals, a carotid artery
thrombus was formed and lysed with anisoylated
plasminogen activator complex (
APSAC; 0.05 U/kg intraarterially, i.a.) with or without
DMP 728.(ABSTRACT TRUNCATED AT 250 WORDS)