Abstract

Previous in vitro work characterized the protease Q8009 from the venom of the Australian brown snake Pseudonaja textilis textilis with hemostatic properties and Factor Xa-like activity. In vivo studies indicate that Q8009 applied to surgical injury sites is superior to thrombin in blood loss reduction and time-to-hemostasis. The spleen, liver and kidney protocols involved excision of a predetermined portion of the organ and the application of 50 to 75 μL of collagen matrix and test solutions. Blood was collected for 12 one-minute intervals and blood loss measured by hematin determination. In the spleen excision model, Q8009 at 100, 250 and 1000 μg/ml significantly reduced (p<0.001) total volume of blood lost, relative to thrombin and reduced time-to-hemostasis between 25–50%, as compared to 7% by thrombin. In the liver excision model, Q8009 at 250 and 1000 μg/ml significantly reduced (p<0.001) total volume of blood lost, relative to thrombin and reduced time-to-hemostasis from 10.5 minutes by thrombin to 5.6 minutes with Q8009. In the kidney excision model, Q8009 at 250 μg/ml significantly reduced (p<0.05) total volume of blood lost, relative to thrombin and reduced time-to-hemostasis by 25% when compared to thrombin. Therefore, application of Q8009 to injured organs significantly reduced total blood loss and shortened the time-to-hemostasis, when compared to thrombin. This work was supported by QRxPharma.

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