9 research outputs found
Microbial production of bisindole molecules in Escherichia coli
- Publication venue
- 한국 공업화학회
- Publication date
- 01/11/2019
- Field of study
2
Biosensor-Assisted Adaptive Laboratory Evolution for Violacein Production
- Publication venue
- 'MDPI AG'
- Publication date
- 01/06/2021
- Field of study
Violacein is a naturally occurring purple pigment, widely used in cosmetics and has potent antibacterial and antiviral properties. Violacein can be produced from tryptophan, consequently sufficient tryptophan biosynthesis is the key to violacein production. However, the complicated biosynthetic pathways and regulatory mechanisms often make the tryptophan overproduction challenging in Escherichia coli. In this study, we used the adaptive laboratory evolution (ALE) strategy to improve violacein production using galactose as a carbon source. During the ALE, a tryptophan-responsive biosensor was employed to provide selection pressure to enrich tryptophan-producing cells. From the biosensor-assisted ALE, we obtained an evolved population of cells capable of effectively catabolizing galactose to tryptophan and subsequently used the population to obtain the best violacein producer. In addition, whole-genome sequencing of the evolved strain identified point mutations beneficial to the overproduction. Overall, we demonstrated that the biosensor-assisted ALE strategy could be used to rapidly and selectively evolve the producers to yield high violacein production
Improving violacein production via adaptive laboratory evolution with precursor-responsive biosensor
- Publication venue
- 한국생물공학회
- Publication date
- 15/04/2022
- Field of study
1
Microbial production of tryptophan derivatives in Escherichia coli
- Publication venue
- 한국 생물공학회
- Publication date
- 10/10/2019
- Field of study
2
Programmable Synthesis of Biobased Materials Using Cell‐Free Systems
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2023
- Field of study
Motivated by the intricate mechanisms underlying biomolecule syntheses in cells that chemistry is currently unable to mimic, researchers have harnessed biological systems for manufacturing novel materials. Cell-free systems (CFSs) utilizing the bioactivity of transcriptional and translational machineries in vitro are excellent tools that allow supplementation of exogenous materials for production of innovative materials beyond the capability of natural biological systems. Herein, recent studies that have advanced the ability to expand the scope of biobased materials using CFS are summarized and approaches enabling the production of high-value materials, prototyping of genetic parts and modules, and biofunctionalization are discussed. By extending the reach of chemical and enzymatic reactions complementary to cellular materials, CFSs provide new opportunities at the interface of materials science and synthetic biology. © 2022 Wiley-VCH GmbH.11Nsciescopu
Lens regeneration using endogenous stem cells with gain of visual function
- Author
- A Gwon
- A Gwon
- AE Gwon
- Austin Qiu
- AV Molofsky
- Baoxin Chen
- BR Nihalani
- C You
- Christopher Chung
- Christopher Heichel
- Cindy Wen
- DA Plager
- Daniel Chen
- Danni Lin
- David Granet
- DC Beebe
- Dorota Skowronska-Krawczyk
- ED Bothun
- F Tronche
- Frances Wu
- Fu Shang
- GA Stevens
- Gen Li
- GM Gabriel
- Guiqun Cao
- Haotian Lin
- Hong Ouyang
- Huimin Cai
- IK Park
- J Lessard
- Jiangna Chen
- Jiayi Hou
- Jie Zhu
- Jin Zhu
- JK Mich
- K Barbosa-Sabanero
- Kang Zhang
- L Hainline
- Liangfang Zhang
- Lixia Luo
- M Zhou
- Maryam Jafari
- Michal Krawczyk
- MS Banks
- N Lois
- N Mamalis
- N Visser
- P Gogate
- PA Tsonis
- PC Jacobi
- Q Zheng
- Richard L. Maas
- Robert A. J. Signer
- Rui Hou
- S Rowan
- Sean J. Morrison
- Shan Huang
- Shaochen Chen
- Sheng Zhong
- Sherrina Patel
- Shuyi Chen
- William Shi
- Xialin Liu
- Xuri Li
- Yanxin Xu
- Ying Zhang
- Yizhi Liu
- Yujuan Wang
- Zheng Zhong
- Zhenzhen Liu
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/03/2016
- Field of study
The repair and regeneration of tissues using endogenous stem cells represents an ultimate goal in regenerative medicine. To our knowledge, human lens regeneration has not yet been demonstrated. Currently, the only treatment for cataracts, the leading cause of blindness worldwide, is to extract the cataractous lens and implant an artificial intraocular lens. However, this procedure poses notable risks of complications. Here we isolate lens epithelial stem/progenitor cells (LECs) in mammals and show that Pax6 and Bmi1 are required for LEC renewal. We design a surgical method of cataract removal that preserves endogenous LECs and achieves functional lens regeneration in rabbits and macaques, as well as in human infants with cataracts. Our method differs conceptually from current practice, as it preserves endogenous LECs and their natural environment maximally, and regenerates lenses with visual function. Our approach demonstrates a novel treatment strategy for cataracts and provides a new paradigm for tissue regeneration using endogenous stem cells
Graphene for batteries, supercapacitors and beyond
- Author
- A Facchetti
- A Gupta
- A Nathan
- AC Ferrari
- AE Jakus
- AH Neto
- BG Choi
- C Hu
- C Liu
- CK Chua
- D Li
- D Yu
- D Yu
- DY Kim
- EB Secor
- EG da Silveira Firmiano
- EL Wolf
- F Liu
- G Wang
- G Xin
- G Yu
- H Bai
- H Bi
- H Cheng
- H Gwon
- H Kim
- H Lee
- H Sun
- HP Cong
- J Bai
- J Cai
- J Lin
- J Luo
- J Wang
- J Xia
- JA Rogers
- JH Choi
- JJ Licari
- JM D'Arcy
- JQ Huang
- JR Miller
- JR Sheats
- JW Burress
- JW Lee
- JY Hwang
- K Chang
- K Ghaffarzadeh
- K Hatakeyama
- K Jost
- K Sheng
- L Hu
- L Jiao
- L Kou
- L Weinstein
- LH Hu
- LT Le
- M Acerce
- M Chhowalla
- M Ghidiu
- M Hassan
- M Jahan
- M Naguib
- M Nathan
- M Roberts
- M Ye
- M Zhou
- M Zhou
- MC Lin
- MF El-Kady
- MF El-Kady
- MR Karim
- N Kurra
- N Li
- O Mashtalir
- Q Chen
- Q Zhang
- R Mukherjee
- R Raccichini
- RK Joshi
- RR Nair
- S Gilje
- S He
- S Korkut
- S Stankovich
- S Tibbits
- SH Park
- SL Chou
- SZ Butler
- T Chen
- TF Yeh
- VC Tung
- W Gao
- W Gao
- W Wei
- W Zhou
- WW Liu
- X Li
- X Li
- X Wang
- X Yang
- X Zhang
- Y Ahn
- Y Liang
- Y Meng
- Y Shao
- Y Shao
- Y Xu
- Y Xu
- Y Xu
- Y Xu
- Y Yang
- Y Zhang
- Y Zhao
- Y Zhu
- Z Chen
- Z Dong
- Z Li
- Z Yan
- Z Yan
- ZS Wu
- ZS Wu
- ZS Wu
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Thrombin-receptor antagonist vorapaxar in acute coronary syndromes
- Author
- Aaberge L
- Aase O
- Abrahams L
- Adams M
- Addo T
- Adriaenssens T
- Agarwal H
- Aggarwal K
- Aguirre Salcedo J
- Ahn TH
- Ahsan A
- Ahsan C
- Airaksinen KE
- Akerblom A
- Albarran A
- Albertsson P
- Albirini A
- Allall O
- Altila T
- Alvarez P
- Alves AR Jr
- Ambrosio G
- Ambrosio G
- Ambrosio G
- Amlani M
- Anderson J
- Antoniucci D
- Appel KF
- Apro D
- Ardissino D
- Ardito W
- Ariani K
- Armaganijan L
- Armstrong PW
- Armstrong PW
- Armstrong PW
- Armstrong PW
- Aroney C
- Arstall M
- Asai T
- Ashraf R
- Assennato P
- Atar S
- Atassi K
- Auguadro C
- Aviles R
- Aylward PE
- Aylward PE
- Aylward PE
- Aylward PE
- Azrin M
- Bailey KR
- Baldus S
- Banchs H
- Barriales V
- Bata I
- Batchelor W
- Baumbach A
- Bayet G
- Bayon J
- Beernaert A
- Behrens S
- Beijerbacht HP
- Belchi J
- Belhassane A
- Bellenger N
- Beloscar J
- Bendermacher PE
- Bengtson J
- Berli M
- Berlowitz M
- Bertolami A
- Betriu A
- Bett N
- Bettinotti M
- Bhagwat R
- Bhaktaram V
- Biancoli S
- Binkowitz B
- Blankenship J
- Blick D
- Block T
- Blomerus P
- Bode C
- Bode C
- Bode C
- Boland J
- Botero R
- Boudriot E
- Boueri Z
- Bounds C
- Bowles M
- Boyaci A
- Bozkurt E
- Brachfeld C
- Brachmann J
- Breedveld RW
- Brener S
- Brennan M
- Brilakis E
- Brill D
- Brodie B
- Brossoit R
- Brown C 3rd
- Bruce D
- Brunelli C
- Brunvand H
- Buerke M
- Burchenal JJ
- Burgess L
- Burkhardt W
- Butnaru A
- Butter C
- Calle G
- Campos C
- Campos P
- Canaday D
- Cano N
- Caputo R
- Carell E
- Carlevaro O
- Carmina MG
- Casolo G
- Cassat C
- Ceccoli H
- Celen H
- Centeno EP
- Cequier A
- Cequier A
- Cequier A
- Ceravolo R
- Chae SC
- Chambers J
- Chandna H
- Chandrashekhar Y
- Chang D
- Chang KC
- Chang M
- Charng MJ
- Cheem TH
- Chen E
- Chen E
- Chen E
- Chen J
- Chen J
- Chen MF
- Chen ZC
- Cheng SC
- Chepuri V
- Cherfan P
- Chetcuti S
- Chhabra A
- Chong WP
- Christensen K
- Chu A
- Cinelli F
- Cohen A
- Coisne D
- Coleman P
- Constance C
- Coram R
- Corbett C
- Cornel JH
- Cornel JH
- Cornel JH
- Corrada E
- Corti R
- Coste P
- Cottin Y
- Coussement P
- Crea F
- Cruz Fernandez J
- Csapo K
- Curos A
- D'Alessandro B
- D'Houdain F
- D'Urso M
- da Ponte Nacif SA
- da Silva DG
- da Silva SA
- Dalby A
- Dalby A
- Danchin N
- Darius H
- Das G
- Dauphin R
- Davis G
- Davy JM
- de Campos Gonzaga C
- De Caterina R
- De Cesare N
- De Ferrari G
- De Gottlieb A
- De Maeseneire S
- De Servi S
- DeCaro M
- DeGrace M
- DeGregorio M
- Dehning M
- Delarche N
- deQuadros A
- Dery JP
- Desaga M
- Dev S
- Dewey R
- Dezsi CA
- Diaz Fernandez J
- Diaz R
- Diaz R
- Dib N
- Dibon O
- Dick R
- Diderholm E
- Diez F
- Dobies D
- Dobrzycki S
- Dodt K
- Dorr M
- Dorse T
- Douglas S
- Ducrocq G
- Dudek D
- Duffy S
- Dujardin K
- Dupuis R
- Déry JP
- Eapen ZP
- East M
- Easton JD
- Eber B
- Eberli F
- Ebrahim I
- Ebrahimi R
- Echenique L
- Edes I
- Eggers K
- Eggert S
- Egstrup K
- Eisenberg D
- Elbaz M
- Elliott J
- Ercan E
- Erickson B
- Eritsland J
- Erkan A
- Erkan A
- Erkan A
- Espinoza A
- Evola R
- Farras HA
- Farshid A
- Fattore L
- Fedele F
- Feiring A
- Feldman L
- Feldman R
- Felten W
- Fernandez Ortiz A
- Fernandez Portales J
- Fernandez RL
- Ferrar M
- Ferrari E
- Ferreira J
- Ferreira R
- Fichtlscherer HP
- Fintel D
- Fiscella A
- Fortuin D
- Fouche R
- Fran N
- Franco SN
- Franken M
- Frantz S
- Freeman V
- French J
- Fresco C
- Frye RL
- Fujii K
- Fujimoto K
- Fulmer J
- Furber A
- Galache Osuna JG
- Galatius S
- Galinier M
- Gallagher B
- Ganame J
- Garcia H
- Garcia-Rinaldi R
- Garrett J
- Gavina C
- Gazmuri R
- Gellman J
- Gencheff N
- Genth-Zotz S
- Gibson G
- Gil R
- Gill S
- Goicolea J
- Goktekin O
- Golin V
- Gonzalez Juanatey JR
- Gorog D
- Gottlieb S
- Graham B
- Grajek S
- Grande P
- Grande P
- Gregorio G
- Groch L
- Gross M
- Gudipati CR
- Guerra M
- Guimaraes AE
- Guimaraes HP
- Gumm D
- Guy D
- Gwon HC
- Hagstrom E
- Halkosaari M
- Halperin F
- Haltern G
- Hamed A
- Hamer A
- Hamer BJ
- Hammerman H
- Hamzeh I
- Hanefel C
- Hanet C
- Hanovich G
- Hara K
- Harbor WF
- Harding S
- Harjai K
- Harmelin-Kadouri R
- Harrington RA
- Harrington RA
- Harrington RA
- Harrison N
- Hart H
- Hasbani E
- Hashimoto T
- He W
- Hekkala AM
- Held C
- Held C
- Held C
- Held C
- Held J
- Hellemans S
- Heller L
- Helmy T
- Henderson D
- Hendricks R
- Hengstenberg C
- Henry P
- Heras M
- Herczeg B
- Hernandes ME
- Hernandez H
- Hernandez JM
- Herrman JP
- Herzog E
- Heuer H
- Hii C
- Hill A
- Hill S
- Hirayama H
- Hirokami M
- Hirsch C
- Hirsch JL
- Hochman J
- Hockstad E
- Hodson R
- Holmer S
- Hominal M
- Horak A
- Horna M
- Horowitz J
- Hou JY
- Hsieh IC
- Huang Z
- Huang Z
- Huang Z
- Huber K
- Huber K
- Huber K
- Hudson MP
- Hudson MP
- Hudson MP
- Hulselmans M
- Hunter J
- Huo Y
- Huo Y
- Husted S
- Hvilsted L
- Iakobishvili Z
- Ikari Y
- Ikuta S
- Imburgia M
- Iniguez A
- Isaza D
- Isaza D
- Islam MA
- Izzo M
- Jafar Z
- James S
- Jaramillo C
- Jaramillo M
- Jay D
- Jeger R
- Jennings LH
- Jensen G
- Jeong MH
- Jepson N
- Jereczek M
- Jetty P
- Jiang L
- Jiang Y
- Johansson A
- Johnson A
- Jonelid B
- Jones S
- Josephson R
- Joumaa M
- Jukema JW
- Jukema JW
- Kadel C
- Kadr H
- Kahar A
- Kai W
- Kakuta T
- Kalaria V
- Kaluski E
- Kamiya H
- Kang GS
- Kao HL
- Karve M
- Karwowski D
- Kasisk HP
- Kasprzak J
- Kassas S
- Kato A
- Kato K
- Katz JN
- Kawajiri K
- Kawecka-Jaszcz K
- Kayaert P
- Keating F
- Keeling P
- Kennon S
- Kettner J
- Khadra S
- Khalife K
- Kikuta K
- Kilaru R
- Kilian A
- Kilian AM
- Kim H
- Kim HS
- Kim YD
- Kindermann I
- Klarlund K
- Kleczka J
- Kleiman N
- Kleinertz K
- Klinke P
- Klugherz B
- Kmonicek J
- Koga T
- Kolls BJ
- Kopaczewski J
- Kornacewicz-Jach Z
- Kornder J
- Koshy S
- Kotila MJ
- Kraft P
- Kreuzer J
- Krings P
- Krulls-Munch J
- Kruse K
- Kumar P
- La Gerche A
- Labroo A
- Lai C
- Lai WT
- Laine M
- Lambert C
- Land S
- Langevin E
- Lapp H
- Larson D
- Larson LE
- Lauer B
- Laukkanen JA
- Laxson D
- Layton L
- Le May M
- Lee S
- Leimbach W
- Leiria T
- Leisch F
- Leite R
- Lembo L
- Lemus J
- Leon L
- Leonardi S
- Leonardi S
- Leonardi S
- Leonardi S
- Leone A
- Leschke M
- Lesseliers H
- Levai L
- Levite H
- Levy T
- Lewczuk J
- Lewis B
- Lewis BS
- Lewis BS
- Lewis D
- Lewis S
- Li D
- Li H
- Li W
- Li Z
- Lieberman E
- Lieberman S
- Liem A
- Lim P
- Limido A
- Lincoff A
- Lincoff AM
- Lincoff AM
- Linhart A
- Lipka L
- Lixin J
- Loboz-Grudzien K
- Loges C
- Lokhnygina Y
- Lokhnygina Y
- Lombardi C
- Lopes RD
- Lopez Palop R
- Low R
- Lueders S
- Luke R
- Lundman P
- Lupkovics G
- Lutchmedial S
- Lutterbey G
- Lutz J
- Luz del Valle L
- Luzza F
- Lycksell M
- MacDonald P
- MacDonell A 3rd
- Mach F
- Macha J
- Macin S
- Madan M
- Mahaffey KW
- Mahaffey KW
- Mahaffey KW
- Mahaffey KW
- Mahaffey KW
- Mahaffey KW
- Malagutti P
- Malik A
- Malik I
- Mansour S
- Marmor A
- Marsh R
- Martin J
- Martin T
- Martinez Romero P
- Martins D
- Mascia F
- Maskon O
- Mason D
- Mathews R
- Matsumura T
- Mattos MA
- Maupas E
- Mayor M
- Mazurek W
- McGarvey J Jr
- Mehrhof F
- Mehta RH
- Mehta V
- Melchior T
- Melgares Moreno R
- Melloni C
- Mendoza F
- Merkely B
- Merlini P
- Merritt R
- Mertens D
- Messner P
- Michalaros Y
- Mickley H
- Mikael K
- Millar-Craig M
- Minisi A
- Mirro M
- Miyahara M
- Moccetti T
- Molano Casimiro FJ
- Moliterno DJ
- Moliterno DJ
- Moliterno DJ
- Monroe VS
- Montalescot G
- Montalescot G
- Montalescot G
- Mora R
- Moraes JB Jr
- Moretti L
- Moreu J
- Morgagni G
- Mosseri M
- Motovska Z
- Mudra H
- Muhlestein J
- Mukherjee A
- Murphy S
- Musial W
- Mustonen JN
- Muthusamy R
- Nagai Y
- Nahhas A
- Nakamura S
- Nakao K
- Natarajan M
- Naveri HK
- Nelson G
- Nelson R
- Neunteufl T
- Nguyen T
- Nguyen-Khac JO
- Nickenig G
- Nicolau JC
- Nicolau JC
- Niedobova E
- Nienabe C
- Nierop PR
- Nilsen D
- Nishi Y
- Nogai K
- Nogareda G
- Nordrehaug JE
- Nordrehaug JE
- Nygaard T
- O'Briant J
- O'Meeghan T
- Ochoa J
- Ofner P
- Ogawa H
- Ogawa H
- Ohlmann P
- Ohno M
- Oldroyd K
- Olson C
- Omar B
- Omland TM
- Ong TK
- Onsea K
- Oshima S
- Ostransky J
- Oude Ophuis AJ
- Pachinger O
- Panchal V
- Pancholy S
- Panno M
- Park SJ
- Park SJ
- Parrott C
- Pasnoori V
- Pasquetto G
- Pasupati S
- Paz MA
- Pedemonte O
- Pedersen O
- Pei J
- Pei J
- Penny W
- Percoco GF
- Perez L
- Perin M
- Perna GP
- Peters RH
- Petrauskas S
- Pfisterer M
- Pfisterer M
- Piccini JP
- Pieper M
- Pieske B
- Pieterse MG
- Pillay T
- Pincetti C
- Piovaccari G
- Pique M
- Piroth Z
- Pleva L
- Pluta W
- Polasek R
- Pollak A
- Ponikowski P
- Prasan A
- Prieto JC
- Prieto JC
- Prieto JC
- Pripp CM
- Probst V
- Providencia L
- Providencia L
- Przewlocki T
- Puccioni E
- Puleo P
- Puma J
- Puri S
- Qidwai M
- Qu P
- Rabinowitz A
- Raisinghani A
- Ramanathan K
- Ramik C
- Ramos MS
- Rankin J
- Rasetti G
- Rashid HU
- Rasmanis G
- Rayos G
- Reiner J
- Reyes P
- Rickli H
- Rizcala A
- Roberts-Thomson P
- Robson H
- Rodriques Soares P
- Roe MT
- Rohrbeck S
- Roithinger F
- Roosen J
- Rorick TL
- Rorick TL
- Rose B
- Rosenberg M
- Rosenschein U
- Roth R
- Roux J
- Rozenman Y
- Rupka D
- Ruzyllo W
- Ruzyllo W
- Ruzyllo W
- Saaib J
- Saaiman A
- Sahin M
- Sakota S
- Sakurai S
- Sala J
- Salazar M
- Saltiel F
- Salvioni A
- San Martin M
- Sanchez G
- Santini M
- Sanz E
- Saririan M
- Sarma J
- Saucedo J
- Scherillo M
- Schiele F
- Schmalfuss C
- Schmitt C
- Schoeller R
- Schulman S
- Schulze HO
- Schunkert H
- Schuster P
- Schwimmbeck P
- Scott D
- Senaratne M
- Senior R
- Seong IW
- Sepulveda P
- Sereg M
- Serra A
- Severi S
- Sganzerla P
- Shah BR
- Shakespeare C
- Shapiro T
- Shimomura H
- Shokooh S
- Shotan A
- Shoukfeh M
- Shyu KG
- Siachos A
- Siachos A
- Silva FA
- Silver K
- Silvestri O
- Sinagra G
- Singer A
- Singh V
- Sinhal A
- Sinnaeve P
- Sinnaeve PR
- Sinnaeve PR
- Sinnaeve PR
- Sinnaeve PR
- Sinnaeve PR
- Siostrzonek P
- Sisto F
- Sjoel A
- Skagen K
- Slepian M
- Smith M
- Smucker M
- Sohn HY
- Sorochuck C
- Soto FX
- Soward A
- Spinar J
- Spriggs D
- Sprigings D
- Srivastava R
- Staniloae C
- Starling M
- Stashenko G
- Steffensen FH
- Steg PG
- Stein M
- Stella R
- Stellbrink C
- Stipal R
- Storey RF
- Storey RF
- Storey RF
- Strain J
- Strasser R
- Striekwold H
- Strony J
- Strony J
- Strony J
- Strony J
- Stumar J
- Suarez J
- Suarez MA
- Sueyoshi A
- Sun Y
- Sundram PS
- Swahn E
- Sydlowski D
- Sykulski R
- Syvanne MS
- Szczech LA
- Tait G
- Takahashi A
- Takami A
- Takizawa K
- Tamburino C
- Tan HC
- Tanguay JF
- Tanigawa T
- Tariq M
- Taussig A
- Temple T
- Ternouth I
- Terres W
- Terrosu P
- Testa R
- Thalamus J
- Thomas G
- Thompson P
- Timurkaynak T
- Tisch J
- Tobaru T
- Toce L
- Todd J 3rd
- Tolleson T
- Treasure C 2nd
- Tricoci P
- Tricoci P
- Tricoci P
- Tricoci P
- Tricoci P
- Tricoci P
- Trimarco B
- Troquay RP
- Trouton T
- Truffa A
- Trusz-Gluza M
- Tsa CD
- Tsunoda R
- Tuccillo B
- Turek M
- Turgeman Y
- Tymchak W
- Uchiyama T
- Ueng KC
- Ufret R
- Uguccioni L
- Underwood FD
- Ungi I
- Unks DM
- Uren N
- Urina M
- Valgimigli M
- Valgimigli M
- Valgimigli M
- Valgimigli M
- van 't Hof AW
- Van de Werf F
- Van de Werf F
- Van de Werf F
- van der Meer P
- van der Zwaan C
- Van Dorpe A
- van Eck JW
- van Rossum P
- VanDyne B
- Vanneste L
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- Vassanelli C
- Vazquez-Tanus J
- Velez S
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- Yeh HI
- Yigit Z
- Yildirir A
- Yilmaz M
- Yin WH
- Yoon JH
- Yovaniniz P
- Yu CM
- Yusof A
- Zadra R
- Zalewski J
- Zaman A
- Zambakides C
- Zapata G
- Zemanek D
- Zemour G
- Zenker G
- Zetterlund P
- Zeymer U
- Zhang F
- Zhao R
- Zheng Y
- Zhou C
- Ziada K
- Zouzoulas S
- Publication venue
- 'Massachusetts Medical Society'
- Publication date
- 01/01/2012
- Field of study
BACKGROUND
Vorapaxar is a new oral protease-activated–receptor 1 (PAR-1) antagonist that inhibits
thrombin-induced platelet activation.
METHODS
In this multinational, double-blind, randomized trial, we compared vorapaxar with
placebo in 12,944 patients who had acute coronary syndromes without ST-segment
elevation. The primary end point was a composite of death from cardiovascular causes,
myocardial infarction, stroke, recurrent ischemia with rehospitalization, or urgent
coronary revascularization.
RESULTS
Follow-up in the trial was terminated early after a safety review. After a median follow-up
of 502 days (interquartile range, 349 to 667), the primary end point occurred in 1031
of 6473 patients receiving vorapaxar versus 1102 of 6471 patients receiving placebo
(Kaplan–Meier 2-year rate, 18.5% vs. 19.9%; hazard ratio, 0.92; 95% confidence interval
[CI], 0.85 to 1.01; P = 0.07). A composite of death from cardiovascular causes,
myocardial infarction, or stroke occurred in 822 patients in the vorapaxar group
versus 910 in the placebo group (14.7% and 16.4%, respectively; hazard ratio, 0.89;
95% CI, 0.81 to 0.98; P = 0.02). Rates of moderate and severe bleeding were 7.2% in the
vorapaxar group and 5.2% in the placebo group (hazard ratio, 1.35; 95% CI, 1.16 to 1.58;
P<0.001). Intracranial hemorrhage rates were 1.1% and 0.2%, respectively (hazard
ratio, 3.39; 95% CI, 1.78 to 6.45; P<0.001). Rates of nonhemorrhagic adverse events
were similar in the two groups.
CONCLUSIONS
In patients with acute coronary syndromes, the addition of vorapaxar to standard
therapy did not significantly reduce the primary composite end point but significantly
increased the risk of major bleeding, including intracranial hemorrhage
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