Fig. 1 · Structure

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Aminocaproic acid

Cat. No. A10065 CAS 60-32-2
Aminocaproic acid is used to treat excessive postoperative bleeding, especially after procedures in which a great amount of bleeding is expected,

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Biological Activity

Bioactivity / Mechanism

Aminocaproic acid perturbs lysine-dependent plasminogen localization, but its effect on plasmin generation depends on the activator and model. In a cellular study, it suppressed neuron-associated plasmin formation while soluble plasmin generation persisted with uPA-bearing THP-1 cells despite loss of cell-associated activity. Glu- and Lys-plasminogen responded differently, supporting a role for plasminogen conformation and binding context. [1]

Literature-reported observations and conditions; not Adooq-tested protocols or general treatment recommendations.

In Vitro Studies

In platelet-free reference plasma challenged with tPA, 6-aminocaproic acid reduced clot lysis, with a reported thromboelastographic IC50 of 1.6×10^−4 mol/l. This is a clot-protection assay endpoint rather than direct plasmin inhibition potency. Clot-formation onset was not delayed at the tested doses; the absence of platelets limits extrapolation to whole blood. [2]

Aminocaproic acid (0–25 mM) inhibited plasmin formation by primary mouse cortical neurons supplied with human Glu-plasminogen. Under the parallel THP-1 conditions, cell-associated plasmin activity fell while overall plasmin formation persisted or increased. These results caution against assuming uniform suppression of plasmin generation in all cellular systems. [1]

Activator-dependent effects on cell-associated plasminogen activation

Cell-based study · Human THP-1 monocytic cells and primary mouse cortical neurons; purified human Glu- and Lys-plasminogen. [1]

Aminocaproic acid suppressed neuronal plasmin formation and cell-associated plasmin activity. In uPA-bearing THP-1 cultures it reduced cell-associated activity while soluble plasmin formation persisted or increased. The Glu/Lys-plasminogen comparison and antibody/CpB controls support a dependence on plasminogen state and cellular activator context.

Measured endpoints — not treatment concentrations
EndpointReported resultReference
Plasmin formation and cell-associated plasmin relative to no ε-ACA or antibodyQualitative response Neuronal plasmin formation was inhibited; THP-1 plasmin formation persisted/increased while cell-associated activity fell.[1]
Response of Glu- versus Lys-plasminogen activation to ε-ACA and CpBQualitative response ε-ACA stimulated Glu-plasminogen activation under the tested THP-1 conditions, while Lys-plasminogen activation was reduced; cell-associated plasmin decreased for both.[1]

Literature-Reported Treatment Conditions

Treatment concentration
0–25 mM ε-ACA with 125 nM Glu-plasminogen (Figure 2); 5 or 25 mM with 500 nM Glu- or Lys-plasminogen (Figure 3).
Exposure duration
Kinetic assay; fixed total incubation duration not specified for Figures 2–3.
Method
Chromogenic plasmin assay at 37°C; 10^5 cells/well; 0.75 mM CBS0065; cell-associated activity assessed after PBS washing.
Vehicle
Cell medium; ε-ACA stock vehicle not specified.
Co-treatment
Exogenous plasminogen is the assay substrate. Separate mechanistic controls used anti-K1-LBS mAb 34D3 or CpB; these are not combination treatment claims.
Reported limits
No ε-ACA catalog number, lot/purity or stock solvent reported in the selected reagent description; no clinical exposure inference.
Methods and source locations

Compound reported in the paper: ε-Aminocaproic acid; Compound label in the paper: ε-ACA

Evidence concerns the named aminocaproic acid material in this model; it does not validate Adooq A10065 or establish equivalence of formulations.

Methods S3, S5, S8–S9, S13; Results S15–S17; Figures 1–3 and captions

Plasmin formation and cell-associated plasmin relative to no ε-ACA or antibody: CBS0065 hydrolysis; Figure 2 reports percentage mean ± SD, n = 3. Figure 1 identifies cellular activators; anti-K1-LBS antibody provides a complementary binding perturbation. — Results S16 P20; Figure 2A–C and caption

Response of Glu- versus Lys-plasminogen activation to ε-ACA and CpB: 500 nM Glu- or Lys-plasminogen; 5 or 25 mM ε-ACA; 50 μg/mL CpB control; Figure 3 mean ± SEM, n = 3. No exact heights or fold changes extracted from the curves/bars. — Results S17 P21–P22; Figure 3A–B and caption

Protection of reference-plasma clots against tPA-driven lysis

Biochemical assay · Platelet-free reference plasma, kaolin/calcium clotting and added tPA; thromboelastography. [2]

Aminocaproic acid reduced clot lysis in a cell-free reference-plasma assay. The reported half-maximal concentration is an assay estimate, not a purified-enzyme potency or a treatment dose. The comparator VLHL PAI-1 acted at lower molar concentrations in this assay.

Measured endpoints — not treatment concentrations
EndpointReported resultReference
Inhibition of tPA-driven reference-plasma clot lysis (LY30)IC50 1.6×10^−4 mol/l[2]
Clot lysis 30 min after maximum amplitudeLY30 18.0 μg 6AC: 2.4±2.3%; tPA-treated control: 87.5±7.5%; reference control: 0.0±0.0%[2]
Onset of clot formationQualitative response No tested 6AC dosage delayed clot formation.[2]

Literature-Reported Treatment Conditions

Treatment concentration
6AC masses 0.75–36.0 μg per trial in Table I; reported IC50 1.6×10^−4 mol/l.
Exposure duration
45 min at 37°C; LY30 denotes lysis 30 min after maximum amplitude.
Method
TEG 5000; paired control and experimental cups from the same plasma/kaolin preparation, with calcium and tPA for lytic trials.
Vehicle
6AC reconstituted in distilled water; control cup received 10 μl distilled water.
Co-treatment
tPA induces fibrinolysis in the assay. VLHL PAI-1 was a comparator; selected outcomes refer to 6AC alone, not coadministration.
Reported limits
Replicate n is not stated in the read methods, Table I or Figure 1 caption. Do not reconstruct a final concentration from reagent masses or equate this to direct plasmin IC50.
Methods and source locations

Compound reported in the paper: 6-Aminocaproic acid; Compound label in the paper: 6AC

Evidence concerns the named aminocaproic acid material in this model; it does not validate Adooq A10065 or establish equivalence of formulations.

Materials and methods sec4–sec6; Results sec9–sec10; Table I; Figure 1 and caption

Inhibition of tPA-driven reference-plasma clot lysis (LY30): Author-reported estimate from a linear fit of five 6AC points; thromboelastography. No uncertainty interval is supplied. — Figure 1 caption; Results sec10

Clot lysis 30 min after maximum amplitude: Table I values are mean ± standard deviation; replicate n not specified. These are cup masses, not concentrations. — Table I, 6AC 18.0 μg row and control rows; table footnote

Onset of clot formation: Reaction time R by thromboelastography. Applies to tested reference-plasma conditions only. — Results sec10; Figure 1 R panel; Table I 6AC rows

In Vivo Studies

In male mice with isolated traumatic brain injury, a single 400 mg/kg intraperitoneal aminocaproic acid dose given 10 minutes after recovery increased cerebral IL-6 at 1 hour and serum MIP-1α at 6 and 24 hours relative to saline-treated injured mice. Serum neuron-specific enolase showed no significant or consistent change over 1–24 hours. These short-term biomarker findings do not establish neurological benefit or harm in humans. [3]

Inflammatory and injury-biomarker responses after isolated brain injury

Animal study · 9–10-week-old male C57BL6/J mice after isolated moderate blunt traumatic brain injury, with sham and saline controls. [3]

A single post-injury dose increased selected inflammatory endpoints rather than producing a uniform anti-inflammatory response. Cerebral IL-6 increased at 1 hour, serum MIP-1α increased at 6 and 24 hours, and serum NSE was not consistently changed. These results do not establish clinical neurological harm or benefit.

Measured endpoints — not treatment concentrations
EndpointReported resultReference
Cerebral IL-6 versus TBI + normal salineDirection and significance Increased at 1 hour (p<0.05); a similar trend, not a stated significant increase, at 24 hours.[3]
Serum MIP-1α versus TBI + normal salineDirection and significance Increased at 6 and 24 hours (p<0.05).[3]
Serum neuron-specific enolase versus TBI + normal salineNegative finding No significant or consistent difference from 1 to 24 hours.[3]

Conditions shared by the study groups

Route
Intraperitoneal injection
Frequency
Single administration
Treatment course
10 minutes after recovery from TBI; serum/brain assessment at 1, 6 or 24 hours.
Vehicle
Drug formulation vehicle not specified; normal saline was the comparator.
Study groups and reported outcomes
Group / doseComparatorObserved resultReference
Aminocaproic acid after isolated TBI
400 mg/kg
TBI + normal saline; sham TBI + normal saline and sham treatment groups were included.Cerebral IL-6 increased at 1 hour; serum MIP-1α increased at 6 and 24 hours versus TBI + saline. Serum NSE showed no significant or consistent difference over 1–24 hours.[3]
Aminocaproic acid after isolated TBI
Model: 9–10-week-old male C57BL6/J mice; isolated moderate blunt TBI.
Reported limits: Hospira aminocaproic acid product strength, excipients and catalog/lot not stated; only one aminocaproic acid dose tested.
Methods and source locations

Compound reported in the paper: Aminocaproic acid; Compound label in the paper: Amicar / aminocaproic acid

Evidence concerns the named aminocaproic acid material in this model; it does not validate Adooq A10065 or establish equivalence of formulations.

Methods S8–S12; Results S14–S16 P25–P33; Figures 3, 5, 6A–C; Discussion P39

Cerebral IL-6 versus TBI + normal saline: Multiplex ELISA; n=5 per group per time point; figure caption denotes p<0.05. No exact cytokine values inferred from bars. — Results S15 P30; Figure 5 and caption

Serum MIP-1α versus TBI + normal saline: Multiplex ELISA; n=5 per group per time point. Bar heights not digitized; no error-bar semantics inferred where caption does not specify them. — Results S14 P25; Figure 3 and caption

Serum neuron-specific enolase versus TBI + normal saline: ELISA; n=5 per group per sampling time as reported for serum/brain sampling. Figure 6D–E is a separate TXA-only long-term cohort, not evidence for aminocaproic acid. — Results S16 P33; Figure 6A–C and caption

Aminocaproic acid after isolated TBI · Methods S8–S12; Results S14–S16 P25–P33; Figures 3, 5, 6A–C; Discussion P39

Specifications

Manufacturer Adooq Bioscience
CAS Number 60-32-2
Formula C6H13NO2
Molecular Weight 131.2
Synonyms Amicar
SMILES
C(CCC(=O)O)CCN

Storage & Solubility

In Vitro Solubility

Reported Solubility

SolventReported Solubility
DMSO 6 mg/mL (45.74 mM)
Water 25 mg/mL (190.59 mM)
Ethanol 1 mg/mL (7.62 mM)

Preparing Stock Solutions

Stock preparation is unavailable for this product molecular weight.

Calculated stock concentrations do not establish solvent solubility. Refer to the reported solubility data for experimental guidance.

Storage

Store powder at -20°C, keep desiccated.
In powder form, the chemical is stable for 36 months.
In solution, store at -20°C and use within 1 month to prevent loss of potency. Aliquot to avoid multiple freeze/thaw cycles.

Research References

  1. [1] Tiphaine Dejouvencel, Loïc Doeuvre, Romaric Lacroix, et al. Fibrinolytic cross-talk: a new mechanism for plasmin formation Blood (2010). PMID: 19996088 DOI: 10.1182/blood-2009-06-228817 Source material
  2. [2] DANIEL GLENN KINDELL, RICK WAYNE KECK, JERZY JANKUN. Comparison between the clot-protecting activity of a mutant plasminogen activator inhibitor-1 with a very long half-life and 6-aminocaproic acid Experimental and Therapeutic Medicine (2015). PMID: 26136983 DOI: 10.3892/etm.2015.2399 Source material
  3. [3] Taylor E Wallen, Kathleen E Singer, Matthew R Baucom, et al. Effects of antifibrinolytics on systemic and cerebral inflammation after traumatic brain injury The journal of trauma and acute care surgery (2022). PMID: 35319541 DOI: 10.1097/TA.0000000000003607 Source material

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