Procoagulant activity, but not number, of microparticles increases with age and in individuals after a single venous thromboembolism.

Abstract:

:The Calibrated Automated Thrombogram (CAT), a plate-based assay that measures thrombin generation and inhibition in plasma samples, is modified to measure the procoagulant activity of phospholipid associated with plasma microparticles (MP). The assay uses a tissue factor trigger without addition of 4 μM exogenous phospholipid (PL) used in the standard CAT. Calibrated with 4:1 posphatidylcholine- phosphatidylserine (PCPS) liposomes, the assay defines a median of 40 nM procoagulant phospholipid (PPL) equivalents in plasma containing MPs from 50 normal donors, with a range from 20 - 200 nM. Like the standard CAT, the modified assay detected no difference in plasma from 36 individuals with a history of a single episode of venous thromboembolism. However the male cases had double the PPL activity, as measured by rate of thrombin generation, of females; and there was a significant correlation among cases of increased thrombin generation with age. In contrast, there were no gender disparities or age correlations among control plasmas. The findings suggest that procoagulant activity of plasma microparticles, facilitated by a simplified, one-stage plate-based assay, offer a promising avenue of investigation of mechanisms and management of venous thromboembolic disorders.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Owen BA,Xue A,Heit JA,Owen WG

doi

10.1016/j.thromres.2010.10.018

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

39-46

issue

1

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(10)00573-6

journal_volume

127

pub_type

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