Recent advances in mass spectrometry analysis of low molecular weight heparins

Low molecular weight heparins (LMWHs) are the most widely used anticoagulant drugs produced by chemical or enzymatic modification of parent heparin polysaccharides. The present article reviews recent advances in orthogonal and complementary mass spectrometry (MS) methodologies towards complete elucidation of natural and modified structures in LMWHs that possibly affect the drug quality, safety and efficacy.