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Factor XII: a drug target for safe interference with thrombosis and inflammation

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DRUG DISCOVERY TODAY
卷 19, 期 9, 页码 1459-1464

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.drudis.2014.06.024

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资金

  1. Hjart Lungfonden [20110500]
  2. Stockholms lans landsting (ALF) [2110471]
  3. Vetenskapsradet [K2013-65X-21462-04-5]
  4. German Research Society [SFB 841, TP B8]
  5. European Research Council [ERC-StG-2012-311575_F-12]

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Data from experimental animal models revealed an essential role for factor XII (FXII) in thrombotic occlusive diseases. In contrast to other blood coagulation factors, deficiency in the protease is not associated with abnormal bleeding from injury sites (hemostasis) in patients or in animals. Cumulatively, these findings suggest that FXII could be targeted as a new method of anticoagulation that is devoid of bleeding risks. An FXIIa-neutralizing antibody, 3F7, has been developed that inhibited thrombosis in an extracorporeal membrane oxygenation (ECMO) system as efficiently as heparin. However, in sharp contrast to heparin, 3F7 treatment was not associated with an increase in therapy-associated hemorrhage. In this review, we summarize current knowledge of FXII physiology and pharmacology.

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