Cited by 830Blood Coagulation and Thrombosis MechanismsHeparin-Induced Thrombocytopenia and ThrombosisVenous Thromboembolism Diagnosis and Management

Heparin

Oates, John A., Wood, Alastair J.J., Hirsh, Jack·1991·New England Journal of Medicine

Abstract

HEPARIN was discovered in 1916 by McLean,1 who as a medical student was looking for a coagulant in the liver. In 1939, Brinkhous and associates2 demonstrated that the anticoagulant activity of heparin requires a plasma cofactor (that they called heparin cofactor). In 1968, Abildgaard3 renamed the substance antithrombin III, and the mechanism of interaction between antithrombin III and heparin was elucidated in the 1970s.4 5 6 7 The active center serine of thrombin and other coagulation enzymes is inhibited by an arginine reactive center of the antithrombin III molecule. Heparin binds to lysine sites on antithrombin III and produces a conformational change at . . .

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Crossref · 10.1056/nejm199105303242206

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References 123 · Cited by 830

Authors
Oates, J. A., Wood, A. J. J., & Hirsh, J.
Affiliations
McMaster University (CA)
Corresponding author
Hirsh, Jack
Venue
New England Journal of Medicine
Published
1991-05-30
Volume
324
Issue
22
Pages
1565-1574
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W4205312708
Cited by
830
References
123
Citations by year
2026: 8 · 2025: 10 · 2024: 15 · 2023: 13 · 2022: 8 · 2021: 17 · 2020: 8 · 2019: 9 · 2018: 9 · 2017: 12 · 2016: 19 · 2015: 11 · 2014: 8 · 2013: 13 · 2012: 15
FWCI
10.72
Type
journal article
Language
en
Open access
closed
Locations
  • New England Journal of Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Hematology › Blood Coagulation and Thrombosis Mechanisms
  • Health Sciences › Medicine › Surgery › Heparin-Induced Thrombocytopenia and Thrombosis
  • Health Sciences › Medicine › Internal Medicine › Venous Thromboembolism Diagnosis and Management
Keywords
heparin, antithrombin III, anticoagulant activity, heparin cofactor, thrombin inhibition, serine protease inhibition, lysine binding site, conformational change
MeSH terms
Coronary Disease, Female, Heparin, Humans, Pregnancy, Thromboembolism

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