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Blood, 15 December 2005, Vol. 106, No. 13, pp. 4191-4198.
Prepublished online as a Blood First Edition Paper on September 6, 2005; DOI 10.1182/blood-2005-05-2002.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Endothelial targeting of a recombinant construct fusing a PECAM-1 single-chain variable antibody fragment (scFv) with prourokinase facilitates prophylactic thrombolysis in the pulmonary vasculature

Bi-Sen Ding, Claudia Gottstein, Andrea Grunow, Alice Kuo, Kumkum Ganguly, Steven M. Albelda, Douglas B. Cines, and Vladimir R. Muzykantov

From the Department of Pharmacology, University of Pennsylvania, Philadelphia, PA; the Department of Internal Medicine I, Experimental Oncology and Vascular Biology, University of Cologne, Germany; the Department of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA; the Department of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA; and the Institute for Environmental Medicine, University of Pennsylvania, Philadelphia, PA.

Means to prevent thrombus extension and local recurrence remain suboptimal, in part because of the limited effectiveness of existing thrombolytics. In theory, plasminogen activators could be used for this purpose if they could be anchored to the vascular lumen by targeting stably expressed, noninternalized determinants such as platelet-endothelial-cell adhesion molecule 1 (PECAM-1). We designed a recombinant molecule fusing low-molecular-weight single-chain prourokinase plasminogen activator (lmw-scuPA) with a single-chain variable fragment (scFv) of a PECAM-1 antibody to generate the prodrug scFv/lmw-scuPA. Cleavage by plasmin generated fibrinolytically active 2-chain lmw-uPA. This fusion protein (1) bound specifically to PECAM-1-expressing cells; (2) was rapidly cleared from blood after intravenous injection; (3) accumulated in the lungs of wild-type C57BL6/J, but not PECAM-1 null mice; and (4) lysed pulmonary emboli formed subsequently more effectively than lmw-scuPA, thereby providing support for the concept of thromboprophylaxis using recombinant scFv-fibrinolytic fusion proteins that target endothelium.


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