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Novak, M; Hiden, M; Rehak, T; Rosenkranz, A; Zebisch, A; Sill, H; Klaschka, S; Muntean, W.
Enhanced thrombin generation in plasma of severe thrombocytopenic patients due to rFVIIa.
HAMOSTASEOLOGIE. 2008; 28 Suppl 1(12): S77-S80. Doi: 10.1055/s-0037-1621422
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Führende Autor*innen der Med Uni Graz
Muntean Eugen
Novak Michael Peter
Co-Autor*innen der Med Uni Graz
Ehammer-Rosenkranz Andrea
Hiden Michael
Klaschka Sandra
Rehak Thomas
Sill Heinz
Zebisch Armin
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Abstract:
RFVIIa-enhanced thrombin generation has been shown to be dependent on platelets. In previous work we have shown that addition of monocytes and rFVIIa to microparticle free plasma causes a distinct thrombin generation. The aim of our study has been to examine whether there is enough surface provided by microparticles in thrombocytopenic plasma to allow an effect of rFVIIa. PATIENTS, METHODS: Thrombin generation was measured in platelet rich plasma (PRP) and microparticle free plasma (MFP) of thrombocytopenic haemato-oncological patients with and without addition of rVIIa by means of calibrated automated thrombography. Microparticles were analyzed in PRP by FACS flow cytometry. RESULTS: Microparticle free plasma showed no thrombin generation with or without addition of rFVIIa. Addition of rFVIIa to PRP of thrombocytopenic patients led to a significant shortening of lag time and time to peak in thrombin generation, while ETP and peak remained unchanged. CONCLUSION: Our results show that even in plasma of severe thrombocytopenic patients enough surface may be provided by microparticles to allow an enhancement of thrombin generation by rFVIIa.
Find related publications in this database (using NLM MeSH Indexing)
Blood Platelets - physiology
Factor VIIa - pharmacology
Humans -
Kinetics -
Leukemia - blood
Lymphoma - blood
Recombinant Proteins - pharmacology
Reference Values -
Severity of Illness Index -
Thrombin - biosynthesis
Thrombocytopenia - blood

Find related publications in this database (Keywords)
Thrombin generation
rFVIIa
thrombocytopenia
microparticles
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