Heparin
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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In clinical settings, anticoagulants, most commonly heparin, are routinely given to prevent surface-induced thrombosis during cardiopulmonary bypass, hemodialysis, and angioplasty.
“In a clinical setting, in order to prevent surface-induced thrombosis during cardiopulmonary bypass, hemodialysis, and angioplasty, anticoagulants are routinely administered, the most commonly used one being heparin.2,21”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [21]
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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
- Publisher
- Massachusetts Medical Society
- 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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