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Dabigatran Attenuates the Binding of Thrombin to Platelets-A Novel Mechanism of Action
Linköping University, Department of Biomedical and Clinical Sciences, Division of Clinical Chemistry and Pharmacology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Diagnostics, Department of Clinical Chemistry.ORCID iD: 0000-0003-0174-8152
Linköping University, Department of Biomedical and Clinical Sciences, Division of Clinical Chemistry and Pharmacology. Linköping University, Faculty of Medicine and Health Sciences.
NanoTemper Technol, Germany.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0009-0006-6260-3052
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2025 (English)In: Thrombosis and Haemostasis, ISSN 0340-6245, E-ISSN 2567-689X, Vol. 125, no 08, p. 747-756Article in journal (Refereed) Published
Abstract [en]

Background Thrombin is a multifunctional regulatory enzyme of the haemostasis and has both pro- and anticoagulant roles. It has, therefore, been a main target for drug discovery over many decades. Thrombin is a serine protease and possesses two positively charged regions called exosites, through which it is known to bind to many substrates. Dabigatran is a thrombin inhibitor and is widely used as an oral anticoagulant for the antithrombotic treatment of atrial fibrillation and venous thromboembolism. The mechanism by which dabigatran inhibits thrombin is the blockage of the active site, however, its effect on thrombin binding to its substrates has not been studied thoroughly and is thus poorly understood. Material and Methods The effect of dabigatran on thrombin binding to platelets was evaluated by flow cytometry using fluorescently labelled thrombin and washed platelets. Further, to confirm the results we utilized modern techniques for biomolecular binding studies, microscale thermophoresis (MST) and surface plasmon resonance (SPR), which validated the results. Results Dabigatran inhibited thrombin binding to platelets as analysed by flow cytometry. The inhibition was dose dependent with IC50 of 118 nM which was slightly lower than for inhibition of platelet activation and is close to the clinically relevant plasma concentration of dabigatran. MST and SPR also confirmed inhibitory effect of dabigatran on thrombin binding to platelets. Conclusion Apart from blocking the active site, dabigatran also inhibits thrombin binding to platelets. Since thrombin has numerous functions beyond the cardiovascular system, this finding may have important implications.

Place, publisher, year, edition, pages
GEORG THIEME VERLAG KG , 2025. Vol. 125, no 08, p. 747-756
Keywords [en]
thrombin; dabigatran; microscale thermophoresis; platelets
National Category
Biochemistry Molecular Biology
Identifiers
URN: urn:nbn:se:liu:diva-210690DOI: 10.1055/a-2483-0107ISI: 001381027600001PubMedID: 39586831Scopus ID: 2-s2.0-85212971867OAI: oai:DiVA.org:liu-210690DiVA, id: diva2:1925777
Note

Funding Agencies|Swedish Research Council [2020-01002, 2019-02409]; Swedish Heart-Lung foundation [2019037022, 20220205]

Available from: 2025-01-09 Created: 2025-01-09 Last updated: 2026-02-19
In thesis
1. Functionalized Nanoparticles for Targeted Biomedical Imaging and Sensing
Open this publication in new window or tab >>Functionalized Nanoparticles for Targeted Biomedical Imaging and Sensing
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

A nanoparticle is defined as a particle which is less than 100 nm at least in one dimension. Nanotechnology enables the integration of entities with complementary or tailored properties into a single functional unit. In this thesis, we demonstrate how nanoprobes can be rationally designed to target and image biomedical structures and sense intracellular pH.

Cerium is biocompatible element and cerium oxide (CeOx) nanoparticles are widely used in biomedical applications; however, they do not inherently generate a magnetic resonance (MR) signal. Gadolinium provides excellent contrast in magnetic resonance imaging (MRI) and is extensively used in clinical practice. Both cerium and gadolinium-based materials can also provide contrast in computed tomography (CT).

In this work, we aim to develop the next-generation dual-mode contrast agents for combined MRI and CT imaging by incorporating gadolinium into the cerium oxide lattice. In paper I we focus on the nanoparticle core and provide thorough characterization of a cerium oxide nanoparticle doped with gadolinium. We synthesized cerium oxide nanoparticles containing 5-20% gadolinium within the crystal lattice and evaluated their ability to enhance MRI contrast via relaxivity measurements. The resulting nanoparticles exhibit higher relaxivity than commercially used contrast agents.

The aim of paper II is to develop a nanoprobe capable of tracking the pH fluctuations that naturally occur in lysosomes. We synthesize SiOx shell nanoparticles loaded with pH sensitive fluorophores. The emission wavelength of the first fluorophore falls within the excitation range of the second fluorophore, enabling Förster resonance energy transfer. The second fluorophore has a ring structure that will open at low pH, this makes the compound fluorescent. By measuring the ratio between the two emission maxima we can determine the pH. The cellular uptake of the pH sensitive nanoprobes is significantly increased using a cyclic disulfide.

In paper I, we show that there is great potential for cerium oxide nanoparticles with integrated gadolinium to act as contrast agent in both CT and MRI. Our aim in paper III is to further develop nanomaterials with enhanced targeting capabilities for contrast agent applications. Here we use the CeOx core with 5% Gd to create epidermal growth factor receptor targeting nanoprobes. Poly acrylic acid (PAA) is used as a capping agent to provide colloidal stability and biocompatibility. The PAA is prefunctionalized with a fluorophore and a clickable moiety. The nanoparticles were then conjugated to the monoclonal antibody cetuximab via click chemistry. The nanoprobes were evaluated with respect to core and coating characteristics as well as targeting efficacy and cellular uptake.

The aim of paper IV is to explore a novel technique that could enable future upscaling of the nanoparticle synthesis. We use the same nanoparticle formulation as in paper I and further coat them using plasma enhanced chemical vapor deposition (PE-CVD). This creates multi-core nanoparticles with an organic coat. The obtained particles are thoroughly characterized and further functionalized using hydrazide and click chemistry. The polymeric thin film obtained using PE-CVD is characterized with respect to position in reaction chamber, electrode size and shape using Au surfaces. We show that using a small bottom electrode and positioning the samples close to the reaction chamber opening enables the incorporation of ketones in the organic matrix.

Thrombin is a multifunctional enzyme involved in the coagulation of blood. One role of thrombin is to bind and activate blood platelets to induce blood coagulation. As thrombin has a central role in blood coagulation it is a common target for anti-coagulant treatment. Paper V investigates the effect of direct thrombin inhibitor dabigatran on thrombin platelet binding. Thrombin contains two exosites that mediate interactions with multiple targets, including platelets. Herein, we show that although dabigatran attenuates thrombin binding to platelets, the binding affinities of exosites I and II are unaffected. Demonstrating the complexity of thrombin binding and that the exosites likely require synergistic binding for the thrombin-platelet interaction.

Characterization in this thesis is performed using dynamic light scattering (DLS), infrared spectroscopy (IR), transmission electron microscopy (TEM), scanning transmission electron microscopy (STEM), scanning electron microscopy (SEM), atomic force microscopy (AFM), X-ray photoelectron spectroscopy (XPS), X-ray diffraction (XRD), fluorescence spectroscopy and microscopy and surface plasmon resonance (SPR).

In summary, this thesis explores a series of nanoparticle syntheses and nanoprobe formulations to develop tools for targeted biomedical imaging.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2026. p. 84
Series
Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 2511
Keywords
Nanoparticles, Cerium oxide, Gadolinium, Click chemistry, MRI, CT, Intracellular pH sensing, Targeting nanoparticles, PE-CVD, Thrombin
National Category
Materials Chemistry
Identifiers
urn:nbn:se:liu:diva-221372 (URN)10.3384/9789181184921 (DOI)9789181184914 (ISBN)9789181184921 (ISBN)
Public defence
2026-03-20, Planck, F Building, Campus Valla, Linköping, 09:00
Opponent
Supervisors
Available from: 2026-02-19 Created: 2026-02-19 Last updated: 2026-02-19Bibliographically approved

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