Indonesian Journal of Chemistry (Apr 2024)

A Deep Overview of Anticoagulant Drugs: Recent Synthesis and Their Activity Assay

  • Engrid Juni Astuti,
  • Slamet Ibrahim,
  • Muhammad Ali Zulfikar,
  • Sophi Damayanti

DOI
https://doi.org/10.22146/ijc.87252
Journal volume & issue
Vol. 24, no. 2
pp. 606 – 626

Abstract

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During the unprecedented COVID-19 pandemic, anticoagulant drugs have emerged as a crucial component of treatment alongside antivirus medications. Patients with severe COVID-19 frequently have critical conditions marked by blood clot development, necessitating the administration of anticoagulants. This review aims to provide a comprehensive overview of various anticoagulant drugs, their synthesis methods, and assays employed to predict their anticoagulant activity. Notable anticoagulant categories frequently utilized include oral anticoagulants heparin, non-vitamin K antagonists, and vitamin K antagonists. In recent years, the development of new anticoagulants has seen a shift towards a multifaceted approach that combines in silico prediction with in vitro and in vivo assays. In silico prediction techniques play a pivotal role in the initial screening process. This integrated approach has yielded promising results, paving the way for the synthesis of novel anticoagulant candidates, as substantiated by a battery of in vitro, in vivo, and ex-vivo tests.

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