J Korean Neurol Assoc.  1995 Sep;13(3):464-472.

Effect of Snake Venom: Arginine-esterase on the Fibrinolytic Activity

• Park JM
• Lim JW
• Park HK
• Sung KB
• Ahn MY
• Shin HK

Abstract

BACKGROUND AND PURPOSE: Arginine esterase(Ancrod), a thrombin-like enzyme, purified from the venoms of Agkistrodon halys, has known to cleave fibrinopeptide A from the fibrinogen and lead to circulation of soluble noncross-linked "ancrodfibrin', which stimulates endogenous T-PA release.Many authors have suggested clinical applicability of this enzyme,but clinical studies on its fibrinolytic action has been insufficient.Thus we studied the influence of this enzyme on fibrinolytic activity in cerebral infarction. METHOD: We observed the change of euglobulin fibrinolytic activity, t-PA antigen, t-PA activity, fibrinopeptide A, fibrinogen, FDP and D-dimer, during 12 hours after a bolus intravenous administration of 0.25 unit of the arginine esterase to the 9 patients with cerebral infarction. RESULT:There was no change of the euglobulin fibrinolytic activity, fibrinopeptide A and t-PA Ag but there was significant increase in both t-PA activity and FDP, D-dimer and significant decrease in fibrinogen.
CONCLUSION
Our result suggest that arginine esterase converts fibrinogen to a fibrin polymer which has a increased susceptibility to lysis by plasmirl This enzyme seems to amplify T-PA activity through the consequent increase in FT)P, because there is no increase in the euglobulin fibrinolytic activity, fibr'mopeptide A and t-PA Ag suggesting direct T-PA release. Arginine esterase, having action of effective defibrinogenation and safe fibrinolysis,could be used for the thrombus related disease.

MeSH Terms

Administration, Intravenous
Agkistrodon
Arginine
Cerebral Infarction
Fibrin
Fibrinogen
Fibrinopeptide A
Humans
Polymers
Snake Venoms*
Snakes*
Thrombosis
Venoms
Arginine
Fibrin
Fibrinogen
Fibrinopeptide A
Polymers
Snake Venoms
Venoms