Translation and Clinical Development of Antithrombotic Aptamers.

Journal Article (Journal Article;Review)

Thrombosis is a necessary physiological process to protect the body from uncontrolled bleeding. Pathological thrombus formation can lead to devastating clinical events including heart attack, stroke, deep vein thrombosis, pulmonary embolism, and disseminated intravascular coagulation. Numerous drugs have been developed to inhibit thrombosis. These have been targeted to coagulation factors along with proteins and receptors that activate platelets. While these drugs are effective at preventing blood clotting, their major side effect is inadvertent hemorrhage that can result in significant morbidity and mortality. There exists a need for anticoagulants that are not only effective at preventing thrombosis but can also be readily reversed. Aptamers offer a potential solution, representing a new class of drug agents that can be isolated to any protein and where antidote oligonucleotides can be designed based on the sequence of the aptamer. We present a summary of the anticoagulant and antithrombotic aptamers that have been identified and their stage of development and comment on the future of aptamer-based drug development to treat thrombosis.

Full Text

Duke Authors

Cited Authors

  • Nimjee, SM; Povsic, TJ; Sullenger, BA; Becker, RC

Published Date

  • June 2016

Published In

Volume / Issue

  • 26 / 3

Start / End Page

  • 147 - 155

PubMed ID

  • 26882082

Pubmed Central ID

  • PMC4900189

Electronic International Standard Serial Number (EISSN)

  • 2159-3345

Digital Object Identifier (DOI)

  • 10.1089/nat.2015.0581


  • eng

Conference Location

  • United States