Modified serine protease inhibitors for use in the treatment of bleeding disorders
A serine protease and inhibitor technology, applied in protease inhibitors, blood diseases, extracellular fluid diseases, etc.
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[0029] The present invention relates to the modification of serine protease inhibitors to increase the specificity of serine protease inhibitors for APC relative to other coagulation proteases. Modified serpin variants specific for APC may be useful, for example, as procoagulants.
[0030] Because the modified serpins are specific for APCs, the modified serpins described herein are expected to have little or no off target effects and are specific for the pathway activated upon injury. This enables the therapeutic and prophylactic use of the modified serine protease inhibitors, as well as in emergency situations (ie trauma). Administration of the modified serpins is predictable because they are suicide inhibitors, meaning that one molecule of the serpin cannot inhibit more than one protease molecule. In addition, the plasma half-life of modified serpins is likely to exceed that of current bypassing agents, relative to serpins alone, due to the efficient natural clearance mecha...
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