Why the study?
Clinical trial results of oral blood coagulation inhibitors and their receptors in acute coronary syndrome differ for each drug, and the underlying mechanisms have not been fully investigated.
The direct FXa inhibitor TAK-442 exhibits anti-inflammatory potential in vitro by inhibiting FXa-induced MCP-1 production in endothelial cells via the PAR1 pathway.
May support PAR1-mediated anti-inflammatory effects of TAK-442; hypothesis-generating and requires in vivo validation before clinical consideration.
Oral blood coagulation inhibitors and their receptors, such as factor Xa (FXa), thrombin, and the thrombin receptor protease-activated receptor 1 (PAR1), are entered into clinical trials for acute coronary syndrome therapy; however, the results obtained so far are different for each drug. The underlying mechanisms of the results have not been fully investigated. We studied the in vitro anti-inflammatory effects of the selective FXa inhibitor TAK-442 on human endothelial cells, with comparing those of the selective thrombin inhibitor melagatran and the PAR1 antagonist vorapaxar. In human umbilical vein endothelial cells, FXa-increased production of monocyte chemoattractant protein 1 (MCP-1), a key inflammatory mediator, was inhibited by TAK-442 but not melagatran, and was also remarkably suppressed by vorapaxar. As thrombin did, FXa increased calcium mobilization in PAR1-overexpressed Chinese hamster ovary cells, which was selectively inhibited by TAK-442 and vorapaxar. We therefore confirmed the inhibitory effect of TAK-442 in endothelial MCP-1 production and the PAR1 intervention in the response. Our results suggest that TAK-442 may have anti-inflammatory potential in addition to its anti-thrombotic effects.
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Shinozawa et al. (2018) studied this question.
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