Comparative study of Factor Xa fluorogenic substrates and their influence on the quantification of LMWHs

Anal Bioanal Chem. 2011 Jan;399(2):691-700. doi: 10.1007/s00216-010-4314-3. Epub 2010 Oct 24.

Abstract

Low molecular weight heparins (LMWHs) are recognised as the preferred anticoagulants in the prevention and treatment of venous thromboembolism. Anti-Factor Xa (anti-FXa) levels are used to monitor the anticoagulant effect of LMWHs and such assays are routinely employed in hospital diagnostic laboratories. In this study, a fluorogenic anti-FXa assay was developed using a commercially available fluorogenic substrate with an attached 6-amino-1-naphthalene-sulfonamide (ANSN) fluorophore and was used for the determination of two LMWHs, enoxaparin and tinzaparin and the heparinoid, danaparoid. The assay was based on the complexation of heparinised plasma with 100 nM exogenous FXa and 25 μM of the fluorogenic substrate Mes-D-LGR-ANSN (C(2)H(5))(2) (SN-7). The assay was tested with pooled plasma samples spiked with anticoagulant concentrations in the range 0-1.6 U mL(-1). The statistically sensitive assay range was 0-0.4 U mL(-1) for enoxaparin and tinzaparin and 0-0.2 U mL(-1) for danaparoid, with assay variation typically below 10.5%. This assay was then compared with a previously published fluorogenic anti-FXa assay developed with the peptide substrate, methylsulfonyl-D: -cyclohexylalanyl-glycyl-arginine-7-amino-4-methylcoumarin acetate (Pefafluor FXa). Both assays were compared in terms of fluorescence intensity, lag times and sensitivity to anticoagulants.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anticoagulants / analysis
  • Anticoagulants / blood*
  • Anticoagulants / pharmacology
  • Chondroitin Sulfates / analysis
  • Chondroitin Sulfates / blood
  • Chondroitin Sulfates / pharmacology
  • Dermatan Sulfate / analysis
  • Dermatan Sulfate / blood
  • Dermatan Sulfate / pharmacology
  • Enoxaparin / analysis
  • Enoxaparin / blood
  • Enoxaparin / pharmacology
  • Factor Xa / metabolism
  • Factor Xa Inhibitors*
  • Fluorescent Dyes / chemistry
  • Heparin, Low-Molecular-Weight / analysis
  • Heparin, Low-Molecular-Weight / blood*
  • Heparin, Low-Molecular-Weight / pharmacology
  • Heparinoids / analysis
  • Heparinoids / blood
  • Heparinoids / pharmacology
  • Heparitin Sulfate / analysis
  • Heparitin Sulfate / blood
  • Heparitin Sulfate / pharmacology
  • Humans
  • Sensitivity and Specificity
  • Spectrometry, Fluorescence / methods*
  • Sulfonamides / chemistry
  • Tinzaparin

Substances

  • Anticoagulants
  • Enoxaparin
  • Factor Xa Inhibitors
  • Fluorescent Dyes
  • Heparin, Low-Molecular-Weight
  • Heparinoids
  • Sulfonamides
  • 6-amino-1-naphthalenesulfonamide
  • Dermatan Sulfate
  • Tinzaparin
  • Chondroitin Sulfates
  • Heparitin Sulfate
  • danaparoid
  • Factor Xa