Discovery and development of direct thrombin inhibitors the binding site for the globular amino-terminal domain and exosite 1 is the binding site for the acidic carboxy-terminal domain of hirudin. Native hirudin, a 65-amino-acid polypeptide, is produced in the parapharyngeal glands of medicinal leeches. Hirudins today are produced by recombinant biotechnology using yeast. These recombinant hirudins lack a sulfate group at Tyr-63 and are therefore called desulfatohirudins. They have a 10-fold lower binding affinity to thrombin compared to native hirudin, but remain a highly specific inhibitor of thrombin and have an inhibition constant for thrombin in the picomolar range. Renal clearance and degradation account for the most part
Labial glands the superior cervical ganglion and pass through the otic ganglion without synapsing. Labial glands The labial glands are minor salivary glands situated between the mucous membrane and the orbicularis oris around the orifice of the mouth. They are circular in form, and about the size of small peas; their ducts open by minute orifices upon the mucous membrane. Like the parotid and buccal glands, the labial glands are innervated by parasympathetic fibres that arise in the inferior salivatory nucleus, travel with the glossopharyngeal nerve and lesser petrosal nerve to the otic ganglion, where they synapse and then continue to the