A NEW VARIANT OF INTERACTION BETWEEN PHOSPHOLIPID ANTIBODIES AND THE PROTEIN-C SYSTEM

被引:63
作者
BOKAREWA, MI [1 ]
BLOMBACK, M [1 ]
EGBERG, N [1 ]
ROSEN, S [1 ]
机构
[1] CHROMOGENIX AB, MOLNDAL, SWEDEN
关键词
PHOSPHOLIPID ANTIBODIES; PROTEIN C; LUPUS ANTICOAGULANT;
D O I
10.1097/00001721-199402000-00006
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The influence of 38 IgG fractions with either cardiolipin antibodies only (CLa) or both CLa and lupus anticoagulant activity (LA) on the response to activated protein C (APC) and on the snake venom activation of protein C were investigated. Five of eight IgG fractions with LA activity showed a tendency to reduce the effect of APC in the aPTT method and to simulate the APC-resistance phenomenon. This effect was not observed in IgG fractions without LA activity. The addition of IgG fractions did not decrease enzymatic activation of protein C in normal plasma. No correlation was found between sample protein C activity and CLa level or the extent of clotting time prolongation. These observations suggested that acquired resistance to APC in the presence of some types of phospholipid antibodies may be a cause of thrombophilia in such patients.
引用
收藏
页码:37 / 41
页数:5
相关论文
共 30 条
[1]  
ARMER L, 1990, THROMB RES, V57, P247
[2]  
BORRELL M, 1992, THROMB HAEMOSTASIS, V68, P268
[3]  
BRANDT J, 1992, CLIN EXP RHEUMATOL, V10, pS14
[4]   CONGENITAL PROTEIN-C DEFICIENCY AND VENOUS THROMBOEMBOLISM - A STUDY OF 3 DUTCH FAMILIES [J].
BROEKMANS, AW ;
VELTKAMP, JJ ;
BERTINA, RM .
NEW ENGLAND JOURNAL OF MEDICINE, 1983, 309 (06) :340-344
[5]  
CARIOU R, 1988, THROMB HAEMOSTASIS, V60, P54
[6]   FAMILIAL PROTEIN S DEFICIENCY IS ASSOCIATED WITH RECURRENT THROMBOSIS [J].
COMP, PC ;
NIXON, RR ;
COOPER, MR ;
ESMON, CT .
JOURNAL OF CLINICAL INVESTIGATION, 1984, 74 (06) :2082-2088
[7]  
COMP PC, 1983, BLOOD S, V62, P299
[8]   FAMILIAL THROMBOPHILIA DUE TO A PREVIOUSLY UNRECOGNIZED MECHANISM CHARACTERIZED BY POOR ANTICOAGULANT RESPONSE TO ACTIVATED PROTEIN-C - PREDICTION OF A COFACTOR TO ACTIVATED PROTEIN-C [J].
DAHLBACK, B ;
CARLSSON, M ;
SVENSSON, PJ .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1993, 90 (03) :1004-1008
[9]  
FREYSSINET JM, 1987, THROMB HAEMOSTASIS, V58, P679
[10]  
FREYSSINET JM, 1986, THROMB HAEMOSTASIS, V55, P309