Variations of protein C in uremic hemodialysed patients.

Abstract:

:Protein C has been measured by three different assays (antigenic, amidolytic and chronometric) in 27 end-stage renal insufficient patients before and after hemodialysis. Protein C levels have been compared with other coagulation inhibitors (antithrombin III, protein S) and fibrinolytic parameters. Baseline anticoagulant activity of protein C has been found impaired in eight cases whereas other inhibitors were normal. In four cases, both anticoagulant and antigenic levels were low. In one case, amidolytic method could also found a low activity. Hemodialysis leads to an increase of protein C activity and antigen level. Heparinemia after hemodialysis does not interfere with the chronometric measurement of protein C anticoagulant activity. Total protein level, hematocrit, protein S and antithrombin III are also elevated after hemodialysis. Baseline fibrinolytic parameters are normal and remain unchanged after hemodialysis. The clinical relevance of such modifications is discussed.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Nguyen P,Toupance O,Chanard J,Potron G

doi

10.1016/0049-3848(93)90055-s

subject

Has Abstract

pub_date

1993-03-15 00:00:00

pages

509-18

issue

6

eissn

0049-3848

issn

1879-2472

pii

0049-3848(93)90055-S

journal_volume

69

pub_type

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