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aprotinin (Kunitz pancreatic trypsin inhibitor, kallikrein-trypsin inactivator)

Pharmacology: see Trasylol. (voluntary marketing suspension, 2007)

Specific

Trasylol (aprotinin)

General

hematologic agent Kunitz type serine protease inhibitor trypsin inhibitor

Properties

INHIBITS: trypsin MOTIF: Kunitz-type serine protease inhibitor [KPI] domain MOTIF: cysteine residue {X+0} MODIFICATION: cysteine residue {X+X5} cysteine residue {X+X1} MODIFICATION: cysteine residue {X+X3} cysteine residue {X+X2} MODIFICATION: cysteine residue {X+X4} cysteine residue {X+X3} MODIFICATION: cysteine residue {X+X1} cysteine residue {X+X4} MODIFICATION: cysteine residue {X+X2} cysteine residue {X+X5} MODIFICATION: cysteine residue {X+0} FOR-BINDING-OF: serine protease

References

  1. Kaiser Permanente Northern California Regional Drug Formulary, 1998
  2. FDA Medwatch http://www.fda.gov/medwatch/safety/2006/safety06.htm#Trasylol http://www.fda.gov/medwatch/safety/2007/safety07.htm#Aprotinin
  3. Mangano DT et el, The risk associated with aprotinin in cardiac surgery N Engl J Med 354:353, 2006 PMID: 16436767