» Articles » PMID: 39334845

The Preventive and Therapeutic Effects of Acute and Severe Inflammatory Disorders with Heparin and Heparinoid

Overview
Journal Biomolecules
Publisher MDPI
Date 2024 Sep 28
PMID 39334845
Authors
Affiliations
Soon will be listed here.
Abstract

Systematic inflammatory response syndrome (SIRS) and the accompanying sepsis pose a huge threat to human health worldwide. Heparin is a part of the standard supportive care for the disease. However, the molecular mechanism is not fully understood yet, and the potential signaling pathways that play key roles have not yet been elucidated. In this paper, the main findings regarding the molecular mechanisms associated with the beneficial effects of heparin, including inhibiting HMGB-1-driven inflammation reactions, histone-induced toxicity, thrombo-inflammatory response control and the new emerging mechanisms are concluded. To set up the link between the preclinical research and the clinical effects, the outcomes of the clinical trials are summarized. Then, the structure and function relationship of heparin is discussed. By providing an updated analysis of the above results, the paper highlights the feasibility of heparin as a possible alternative for sepsis prophylaxis and therapy.

References
1.
Connors J, Levy J . Thromboinflammation and the hypercoagulability of COVID-19. J Thromb Haemost. 2020; 18(7):1559-1561. PMC: 9770920. DOI: 10.1111/jth.14849. View

2.
Szatmary P, Huang W, Criddle D, Tepikin A, Sutton R . Biology, role and therapeutic potential of circulating histones in acute inflammatory disorders. J Cell Mol Med. 2018; 22(10):4617-4629. PMC: 6156248. DOI: 10.1111/jcmm.13797. View

3.
Litov L, Petkov P, Rangelov M, Ilieva N, Lilkova E, Todorova N . Molecular Mechanism of the Anti-Inflammatory Action of Heparin. Int J Mol Sci. 2021; 22(19). PMC: 8509397. DOI: 10.3390/ijms221910730. View

4.
Zang L, Zhu H, Wang K, Liu Y, Yu F, Zhao W . Not Just Anticoagulation-New and Old Applications of Heparin. Molecules. 2022; 27(20). PMC: 9609994. DOI: 10.3390/molecules27206968. View

5.
Iba T, Helms J, Totoki T, Levy J . Heparins May Not Be the Optimal Anticoagulants for Sepsis and Sepsis-Associated Disseminated Intravascular Coagulation. Semin Thromb Hemost. 2024; 50(7):1012-1018. DOI: 10.1055/s-0044-1786754. View