Determination of thrombin and plasmin activity using the turbidimetric analysis of clot formation and dissolution in human blood plasma

A. Udovenko, Ye. Makogonenko, O. Hornytska, G. Gogolinska,, O. Yusova,, V. Chernyshenko
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Abstract

Based on the turbidimetric curve of formation and dissolution of a blood plasma clot initiated by the activated partial thromboplastin time reagent, a method for determining the coagulation component of thrombin activity and fibrinolytic activity of plasmin is proposed. The activity of thrombin was calculated by the value of the lag period, and plasmin by its amidase activity at the moment of complete dissolution of the clot. At the end of the lag period, about 0.45% of the available prothrombin was activated, and at the moment of complete dissolution of the clot 1.05% of the available plasminogen was activated. This method makes it possible to determine the ratio of the thrombin generation rate to that of plasmin, the time of clot formation to the time of its dissolution, as well as the overall hemostasis potential and coagulation and fibrinolytic components and their ratio. Keywords: coagulation, fibrinolysis, global hemostasis assay, plasmin generation, thrombin generation
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利用对人体血浆中血凝块形成和溶解的浊度分析确定凝血酶和凝血酶活性
根据活化部分凝血活酶时间试剂引发的血浆凝块形成和溶解的比浊曲线,提出了一种测定凝血酶活性的凝血成分和凝血酶原的纤维蛋白溶解活性的方法。凝血酶的活性通过滞后期的数值计算,而凝血酶则通过血块完全溶解时的酰胺酶活性计算。在滞后期结束时,约 0.45% 的可用凝血酶原被激活,而在血块完全溶解时,1.05% 的可用纤溶酶原被激活。通过这种方法可以确定凝血酶生成率与凝血酶原生成率的比率、凝块形成时间与凝块溶解时间的比率、整体止血潜能以及凝血和纤维蛋白溶解成分及其比率。关键词:凝血;纤溶;整体止血测定;凝血酶生成;凝血酶生成
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