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Replies to #41954 on Biotech Values
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rfj1862

02/12/07 1:03 PM

#41955 RE: gofishmarko #41954

VIII is not an obligate component of the coagulation cascade, eg, it can be bypassed (thus FEIBA: Factor Eight Inhibitor Bypassing Activity).

On the other hand thrombin (IIa) is absolutely necessary for coagulation, as is Xa.

Think of it like a tree with coagulation initiators at the top and the coagulation event at the base of the trunk. Inhibiting VIII is like cutting off one of the branches; inhibiting IIa is like cutting down the entire tree.
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DewDiligence

02/12/07 1:17 PM

#41957 RE: gofishmarko #41954

>If you wanted to promote anticoagulation, you might think of partially inhibiting FVIII.<

This is exactly what BioInvent and ThromboGenics are trying to do with TB-402, but it’s a novel—and high-risk—approach. It’s tantamount to inducing a mild, artificial state of hemophilia-A while hoping to avert the major-bleeding events typical of more severe manifestations of the disorder.