Gewählte Publikation:
Marsik, C; Graninger, M; Mackman, N; Osterud, B; Luther, T; Jilma, B.
Effects of enalapril on disseminated intravascular thrombin formation during systemic inflammation.
Cardiovasc Res. 2003; 60(1):131-135
Doi: 10.1016/S0008-6363(03)00363-8
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- Co-Autor*innen der Med Uni Graz
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Graninger Monika
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- Abstract:
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Tissue factor (TF), the main trigger of coagulation is important in the propagation of cardiovascular diseases. Based on an in vitro study, we hypothesised that enalapril may blunt the endotoxin-induced, TF-triggered coagulation in humans.
In a randomised, controlled trial, 30 healthy male volunteers received 2 ng/kg of lipopolysaccharide (LPS) after pre-treatment with placebo or enalapril for 5 days or with enalapril 2 h before LPS infusion.
Infusion of LPS increased interleukin-6 levels 400 fold, and induced a 10-fold increase in prothrombin fragment, a fourfold increase in D-dimer, and a fivefold increase in plasmin-antiplasmin complexes. However, pre-treatment with enalapril did not blunt LPS-induced coagulation.
Our trial provides evidence against a modulatory role of angiotensin converting enzyme in LPS-induced, TF-triggered coagulation.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Analysis of Variance -
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Angiotensin-Converting Enzyme Inhibitors - therapeutic use
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Disseminated Intravascular Coagulation - immunology
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Disseminated Intravascular Coagulation - microbiology
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Disseminated Intravascular Coagulation - prevention & control
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Enalapril - therapeutic use
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Fibrin Fibrinogen Degradation Products - analysis
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Fibrinolysin - analysis
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Humans -
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Infusions, Intravenous -
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Interleukin-6 - blood
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Leukocytes, Mononuclear - chemistry
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Lipopolysaccharides - administration & dosage
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Male -
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Prothrombin - analysis
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Statistics, Nonparametric -
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Thromboplastin - analysis
- Find related publications in this database (Keywords)
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angiotensin converting enzyme
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endotoxins
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enalapril
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prothrombin fragment
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D-dimer
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randomised controlled trial