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http://www.pbm.va.gov/ The glycoprotein IIb/IIIa receptor inhibitors, abciximab, eptifibatide, and tirofiban, all have similar mechanisms of action to inhibit the platelet aggregation process. Abciximab is a chimeric monoclonal antibody that interferes with platelet aggregation by steric hindrance. Abciximab molecules are large and possess a high degree of platelet affinity. These molecules wrap around each platelet to prevent binding of not only glycoprotein IIb/IIIa receptors important for platelet aggregation, but also other receptors responsible for platelet adhesion to the subendothelium (ie vitronectin). By preventing both platelet adhesion and aggregation, abciximab may result in more bleeding complications than more specific GP IIb/IIIa inhibitors. Tirofiban and eptifibatide are small, synthetic molecular structures that have high affinity only for the glycoprotein IIb/IIIa binding site. These compounds compete with fibrinogen for the glycoprotein IIb/IIIa receptor in a concentration-dependent manner and bind in its place, preventing platelet aggregation (figure 2). The goal of all three drugs is to achieve 80% inhibition of platelet aggregation to maximize benefits and minimize adverse effects such as bleeding.
http://www.revespcardiol.org/ Eptifibatide blocks the increase in C-reactive protein values that is routinely observed after coronary angioplasty. Since this drug selectively and specifically blocks the GP IIb/IIIa receptor, and has no other known effect, it must be concluded that the mechanism by which CRP increases after angioplasty is of a thrombotic type
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