Atryn and Rhucin
Mblimon,
You bring up an interesting idea---I like the way you think. To repeat:
Interesting to see that GTCB's Atryn (rh anti-thrombin) and Pharming's Rhucin (rh c1-inhibitor) have both potentially an important role to play in reducing the negative effects of strokes, ischemia and sepsis. According to several studies both Thrombin and C1 apparently can do a lot of damage during these events and any other traumatic events, where the body defense system (over)reacts. Atryn and Rhucin can mitigate the cascade of overreactions triggered by the body and the damage done by the substances (proteines, peptides, toxicines?) released by the body during those moments.
But, to throw some cold water on your ideas, these systems don't work like switches that should just be turned off when they are having adverse effects. Both complement and thrombin are parts of complicated cascades involving proteins, enzymes, catalysts among other thingies I've forgotten. While it may be possible, say, to improve disseminated intravascular coagulation in sepsis by administering anti-thrombin, it is inconceivable to me that there won't be a myriad of effects both good and bad in other body systems. For instance, ATryn in the setting of burns or sepsis may help the coagulapathy, but at the same time, that same person may be having a small coronary event (where Atryn would presumably have a beneficial effect) or have a latent tumor or aneurysm (where Atryn may be expected to cause pathologic bleeding). I would expect interfering with complement or thrombin systems to have far flung effects anywhere inflammation occurs---which is to say everywhere the immune system and blood reach. In other words, the studies on these drugs need not focus excessively on toe nails and hair for adverse effects.
I am not negative on the prospects for Atryn in sepsis in burns. But, particularly in sepsis, as I've said before, these are complicated patients who have a lot of confounding illnesses and it isn't going to be easy to demonstrate pure favorable effects, IMO. Pharming is going to see the same thing. Using Rhucin for hereditary angioedema is very different than using it to shut down complement effects that occur in the cascade of healing a heart attack or stroke.
Urche