Comparison of microvesicle tissue factor activity in non-cancer severely ill patients and cancer patients.

Abstract:

INTRODUCTION:Increased levels of circulating tissue factor (TF)-positive microvesicles (MVs) may increase the risk of thrombosis. Indeed, TF-positive MVs are detected in plasma of patients with various types of diseases. In this study, we measured levels of MV TF activity in non-cancer severely ill patients and cancer patients. METHODS:We used an in-house MV TF activity assay to measure MV TF activity. RESULTS:MV TF activity was significantly increased in a population of cancer patients but not in a population of non-cancer severely ill patients compared with healthy controls. However, in the population of severely ill patients, those with infection had significantly elevated levels of MV TF activity compared with controls. Interestingly, patients with adenocarcinoma had higher levels of MV TF activity compared with patients with non-adenocarcinoma tumors. Levels of MV TF activity were not associated with venous thromboembolism in cancer patients. MV TF activity was associated with reduced survival in cancer patients. CONCLUSION:Cancer patients as well as severely ill patients with infection have higher levels of MV TF activity compared with healthy controls. Patients with adenocarcinoma have higher levels of MV TF activity compared with patients with other types of cancer. An elevated level of MV TF activity was associated with reduced survival in cancer patients.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Hisada Y,Thålin C,Lundström S,Wallén H,Mackman N

doi

10.1016/j.thromres.2018.03.001

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

1-5

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(18)30267-6

journal_volume

165

pub_type

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