The most frequent laboratory abnormality in patients with idiopathicdeep-vein thrombosis is resistance to activated protein C1.Depending on the selection criteria, in vitro resistance toactivated protein C can be identified in 20 to 50 percent ofpatients2,3,4,5,6. Protein C, a key element in the regulationof coagulation, circulates in plasma as an inactive precursor.On contact with thrombin bound to the thrombomodulin receptorson vascular endothelial cells, protein C rapidly becomes activated.Activated protein C enzymatically lyses two cofactors of thecoagulation cascade, factor VIIIa and factor Va. It is thusa natural anticoagulant that controls . . . [Full Text of this Article]
Methods
Collection of Blood Samples
Assay for Resistance to Activated Protein C
Coagulation Measures
Sequencing of Genomic DNA
Factor V Complementary DNA Sequence
Results
Discussion
Source Information
From the Departments of Molecular and Experimental Medicine and Vascular Biology, the Scripps Research Institute, La Jolla, Calif. (J.S.G., J.H.G.); and the Department of Medicine, Brockton-West Roxbury Veterans Affairs Medical Center, and Beth Israel Hospital, Harvard Medical School, Boston (S.E., K.A.B.).
Address reprint requests to Dr. Bauer at the Veterans Affairs Medical Center, 1400 VFW Pky., West Roxbury, MA 02132.
References
Related Letters:
Factor V Leiden and Thrombophilia
Hopmeier P., Krugluger W., Simioni P., Scudeller A., Girolami A., Kalafatis M., Mann K. G., Belliveau R. R., Bauer K. A., Griffin J. H., Hajjar K. A.
Extract |
Full Text
N Engl J Med 1995;
332:1381-1384, May 18, 1995.
Correspondence
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