Heparinization, improvement

Hallenbeck, J. M., Jacobs, T. R, Faden, A. I., 1983 Combined PGI2 indomethacin and heparin improves neurological recovery after spinal trauma in cats. J. Neurosurg. 58, 749-754. 

Substances other than enzymes can be immobilized. Examples include the fixing of heparin on polytetrafluoroethylene with the aid of PEI (424), the controUed release of pesticides which are bound to PEI (425), and the inhibition of herbicide suspensions by addition of PEI (426). The uptake of anionic dyes by fabric or paper is improved if the paper is first catonized with PEI (427). In addition, PEI is able to absorb odorizing substances such as fatty acids and aldehydes. Because of its high molecular weight, PEI can be used in cosmetics and body care products, as weU as in industrial elimination of odors, such as the improvement of ambient air quaHty in sewage treatment plants (428). 

Examination of early -n.m.r. spectra of heparin and of chemically modified heparins121 prompted a reinvestigation of N,0-desulfated, carboxyl-reduced heparin, leading to the isolation of substantial amounts of L-iditol pentaacetate.121,122 In addition, improved conditions for the acid hydrolysis of heparin and carboxyl-reduced heparin gave increased recoveries of L-iduronic acid and 1,6-anhydro-L-idose, respectively.123 These findings confirmed the L-enantiomeric designation of the iduronic acid, and established that it is the main uronic acid in heparin. 

Further improvement of the low detection limit was achieved using stripping voltammetry based on facilitated heparin adsorption and desorption [66], Stripping voltammetry yielded a detection limit of 0.13 U mL 1 in sheep blood plasma, which is lower than therapeutic heparin concentrations (>0.2 U mL-1). A linear response function in the range of 0.2-6 U mL 1 was observed. The authors also found that blood polypeptides and lipids with a mass above 25 000 significantly interfered with heparin detection, perhaps by hindrance of a charge transfer reaction at the interface. 

N. Ramamurthy, N. Baliga, J. Wahr, U. Schaffer, V.C. Yang, and M.E. Meyerhoff, Improved poly cation-sensitive membrane electrode for monitoring heparin levels in whole blood via protamine titration. Clin. Chem., 606-613 (1998). 

Based on the mixed-phase method, ACE is introduced for studying the interaction of heparin with the serine protease inhibitors, antithrombin III (ATIII) and secretory leukocyte proteinase inhibitor (SLPI) (85). An etched capillary, to which heparin has been covalently immobilized, was used in this study. This modified capillary both afforded an improvement in the separation of heparin-binding proteins and required a lower quantity of loaded protein. 

To properly accession and purify nucleic acids for analysis, the receiving laboratory must know the sample type. Both heparin and urine have been reported to inhibit PCR, to the detriment of blood samples containing the former and nearly all samples of the latter. In recent years, extraction technology and amplification chemistry have improved so that each sample type is susceptible to analysis. Proper identification of sample type provides the receiving laboratory with an opportunity to apply appropriate techniques to its extraction and analysis. 

Rotation of heparin electrode improves sensitivity by an order of magnitude. [From Q. Ye and M. Meyerhoff,... 

The studies of the stability of heparin-amine complexes demonstrated that the stability of this class of polymeric materials might be improved by choosing the right amine. Quaternary ammonium salts were shown to bind heparin stronger than primary, secondary, and tertiary amines, while amines containing alicyclic or aromatic fragments are more efficient than the aliphatic ones. Of the quaternary ammonium... 

At present, the binary water-soluble preparation of heparin and proteolytic enzymes is being applied for the treatment of thromboses. For instance, injection into the bloodstream of heparin-plasmin complex or a heparin-plasmin-streptokinase preparation leads to the total dissolution of the thrombus, while if introduced separately, heparin and streptokinase do not display the lytic action at all, and plasmin, alone or together with streptokinase, dissolves the thrombus only partially 132>. The treatment of acute thrombophlebitis with trypsin resulted in a full dissolution of the thrombus and in an increase of antithrombin III in the blood 133). Administration of trypsin together with heparin has an effect similar in efficiency to the action of the heparin-plasmin complex 134>. The use of a mix of heparin and urokinase for improving tbrom-boresistance of polymeric materials was also described 13S). These substances were immobilized by preliminary coating of the surface of a polymer with a graphite layer and subsequent adsorption of heparin and the enzyme. 

A 23-year-old diabetic woman had severe subcutaneous insulin resistance for 11 years (169). Continuous subcutaneous insulin infusion with regular or insulin lispro did not prevent periods of fluctuating responses to insulin. The addition of heparin to insulin lispro in the pump improved serum insulin concentrations and metabolic control. The addition of heparin to regular insulin gave no improvement. 

Heparin may improve the transport of insulin lispro but not of regular insulin. 

---