The long term objective of the proposed study is to obtain an improved understanding of blood coagulation mechanisms and to develop new approaches to anticoagulant and thrombolytic therapy. Functionally important domains in fibrinogen will be identified by determining the structural defects in seven dysfibrinogens. A systematic and general technique, comparative peptide mapping by high-performance liquid chromatography, will be used to locate these structural defects. As each molecular defect is identified,, peptides corresponding to and monoclonal antibodies directed against newly identified functional domains will be used as probes to study the fibrinogen- to-fibrin conversion. In addition, the fibrin(ogen) binding sites of monoclonal antibodies which inhibit coagulation (supplied by consultant B. Kudryk) will be determined. Emphasis will be placed on correlating structure with function. The information derived from these studies will provide a rational basis for (1) design of peptide anticoagulants, (ii) design of targeted thrombolytic agents, and (iii) an improved methodology for determining the structural defects in other dysfibrinogens or mutant proteins.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL036260-02
Application #
3351095
Study Section
Hematology Subcommittee 2 (HEM)
Project Start
1987-08-01
Project End
1992-07-31
Budget Start
1988-08-01
Budget End
1989-07-31
Support Year
2
Fiscal Year
1988
Total Cost
Indirect Cost
Name
Johns Hopkins University
Department
Type
Schools of Medicine
DUNS #
045911138
City
Baltimore
State
MD
Country
United States
Zip Code
21218
Jin, Y; Dietz, H C; Montgomery, R A et al. (1996) Glanzmann thrombasthenia. Cooperation between sequence variants in cis during splice site selection. J Clin Invest 98:1745-54
Bell, W R (1996) The fibrinolytic system in neoplasia. Semin Thromb Hemost 22:459-78
Bell, W R (1995) Laboratory monitoring of thrombolytic therapy. Clin Lab Med 15:165-78
Brandao-Neto, J; Bell, W R (1994) Characteristics of zinc binding to human red blood cell membranes. Am J Hematol 45:1-9
Streiff, M; Bell, W R (1994) Exercise and hemostasis in humans. Semin Hematol 31:155-65
Bell, W R (1994) Thrombolytic therapy. Agents, indications, and laboratory monitoring. Med Clin North Am 78:745-64
Lankiewicz, M W; Bell, W R (1992) A unique circulating inhibitor with specificity for coagulation factor X. Am J Med 93:343-6
Bell, W R; Braine, H G; Ness, P M et al. (1991) Improved survival in thrombotic thrombocytopenic purpura-hemolytic uremic syndrome. Clinical experience in 108 patients. N Engl J Med 325:398-403
Lekstrom, J A; Bell, W R (1991) Aspirin in the prevention of thrombosis. Medicine (Baltimore) 70:161-78
Bantia, S; Bell, W R; Dang, C V (1990) Polymerization defect of fibrinogen Baltimore III due to a gamma Asn308----Ile mutation. Blood 75:1659-63

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