Sociedad Americana de Hirudoterapia

Interference of recombinant eglin C, a proteinase inhibitor extracted from leeches, with neutrophil-mediated platelet activation

Pharmacology article published in Laboratory Investigation (1990)

Última actualización: 18 de junio de 2026Revisado por: ASH Editorial Board
Artículo de investigación — revisión de evidenciaReferencia del artículo
Evidence: In vitro / laboratoryFarmacología salivalRenesto P, Ferrer-Lopez P, Chignard M · Laboratory investigation, 1990

Abstract

Eglin C is an inhibitor of two serine proteinase-derived polymorphonuclear leucocytes (PMN) i.e., elastase and cathepsin G. Since the latter has recently been shown to be involved in the activation of platelets by stimulated PMN, the effects of recombinant eglin C in the PMN-platelet cooperation model were studied. First, the inhibitory capacity of eglin C against purified cathepsin G was measured spectrophotometrically by following hydrolysis of a specific synthetic substrate, N-succinyl-ala-ala-pro-phe-para-nitroanilide. The inhibition of the enzymatic activity of 180 nM (5 micrograms/ml) cathepsin G was directly proportional to eglin C concentration and reached 100% with 2 micrograms/ml (240 nM). Platelet activation generated by a submaximal concentration of cathepsin G (200 nM) was also totally suppressed by 2 micrograms/ml of eglin C. Inhibition was specific (a 100 times higher concentration of eglin C did not alter platelet activation induced by thrombin), and surmountable (an increase of cathepsin G concentration reduced the eglin C effect). Thus, the mechanism of inhibition by eglin C of cathepsin G-induced platelet activation could be explained by a stoichiometric relation between eglin C and cathepsin G as previously described. Investigations were then performed with the PMN-platelet cooperation model, using two distinct stimuli, N-formylmethionylleucylphenylalanine (FMLP) or recombinant human C5a, at submaximal concentrations, 2.10(-7) M and 10(-7) M, respectively. A concentration-dependent inhibition of platelet activation aggregation and serotonin release-lambda was observed. Eglin C used at 10 micrograms/ml and 25 micrograms/ml totally blocked the platelet responses induced by recombinant human C5a and FMLP, respectively. Leucotriene B4, but also thromboxane B2 production measured by radioimmunoassays, were observed under FMLP activation. In the presence of eglin C, thromboxane B2 formation was totally suppressed, whereas leucotriene B4 synthesis was still effective. In fact, the mechanism of inhibition of eglin C is located neither on PMN (leucotriene B4 formation by FMLP-activated PMN was not affected), nor on platelets (response to thrombin was unchanged). The target is most probably cathepsin G since eglin C suppressed thromboxane B2 formation by platelets challenged by this serine proteinase. These results constitute an argument in favor of the implication of cathepsin G in the PMN-mediated platelet activation. Moreover, they reinforce the hypothesis that this mechanism could be operating under in vivo pathologic conditions, since eglin C is capable of preventing or ameliorating some experimental pulmonary diseases.

Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.

Publication typeJournal Article
Indexed MeSH termsAnimalsCathepsin GCathepsinsLeechesLeukotriene B4NeutrophilsPlatelet ActivationProtease InhibitorsProteinsRecombinant ProteinsSerine EndopeptidasesSerine Proteinase Inhibitors

Resumen

Recombinant eglin C from Hirudo medicinalis stoichiometrically inhibits cathepsin G, suppressing neutrophil-mediated platelet activation (aggregation, serotonin release, thromboxane B2 generation) in PMN-platelet cooperation models.

Por qué esto importa para la hirudoterapia

Este estudio examinó eglin C recombinante, un inhibidor de la elastasa de neutrófilos y la catepsina G, en un modelo de cooperación leucocito polimorfonuclear (PMN)-plaqueta para evaluar si interfiere con la activación plaquetaria mediada por PMN. Eglin C inhibió completamente la actividad enzimática de la catepsina G purificada y la activación plaquetaria inducida por catepsina G a concentraciones bajas, no afectó la activación inducida por trombina y bloqueó de forma dependiente de la dosis la agregación plaquetaria mediada por PMN y la liberación de serotonina, al tiempo que suprimió la formación de tromboxano B2; la síntesis de leucotrieno B4 por PMN activados con FMLP no se vio afectada. El resumen en sí no indica que eglin C sea derivado de la sanguijuela ni menciona sanguijuelas, por lo que no puede establecerse un vínculo directo con la hirudoterapia o el secretoma de la sanguijuela únicamente a partir del resumen. Advertencia: se trata de hallazgos in vitro que utilizan sistemas enzimáticos purificados y un modelo de cooperación; la referencia del resumen a la enfermedad pulmonar in vivo se plantea como hipotética ('podría estar operando'), no demostrada aquí.

Citación

Interference of recombinant eglin C, a proteinase inhibitor extracted from leeches, with neutrophil-mediated platelet activation.

Renesto P, Ferrer-Lopez P, Chignard M · Laboratory investigation, 1990

Contexto clínico relacionado

Añadido a la biblioteca ASH: May 26, 2026 · Última actualización del sitio: 18 de junio de 2026

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