Influence of fibrinogen degradation products on thrombin time, activated partial thromboplastin time and prothrombin time of canine plasma.

Haemostasis Pub Date : 2000-05-01 DOI:10.1159/000022534
R Mischke, H Wolling
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引用次数: 29

Abstract

To investigate how thrombin time, activated partial thromboplastin time (APTT) and prothrombin time are influenced by fibrinogen degradation products (FDP), different concentrations (0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.8 and 1.0 mg/ml) of the purified FDP X, Y, D and E were added to the plasma of healthy dogs. If fragment Y was added to the plasma a considerable inhibitory effect could be demonstrated for all three test systems. A significant prolongation (p < 0.05) was found for concentrations of > or =0.1 mg/ml (thrombin time, APTT) and > or =0.2 mg/ml (prothrombin time). With FDP Y concentrations from >0.185 mg/ml (prothrombin time) to >0.24 mg/ml (APTT) coagulation time was prolonged beyond the respective reference range. As regards the other fragments, a comparable inhibitory effect could only be shown for fragment X added to the thrombin time test system. This effect can most probably be explained by the competition of the FDP X and fibrinogen for the fibrinogen binding sites of thrombin, rather than by a fibrin polymerization disorder. The results demonstrate that for plasma with normal fibrinogen concentration the group tests are only prolonged beyond the reference range at FDP concentrations very rarely found in spontaneous hyperfibrinolysis.

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纤维蛋白原降解产物对犬血浆凝血酶时间、活化部分凝血活酶时间和凝血酶原时间的影响。
为了研究纤维蛋白原降解产物(FDP)对凝血酶时间、活化的部分凝血活素时间(APTT)和凝血酶原时间的影响,在健康犬血浆中分别添加不同浓度(0.1、0.2、0.3、0.4、0.5、0.6、0.8和1.0 mg/ml)纯化的FDP X、Y、D和E。如果片段Y加入到血浆中,可以证明对所有三种测试系统都有相当大的抑制作用。凝血酶时间(APTT) >或=0.1 mg/ml和凝血酶原时间(APTT) >或=0.2 mg/ml显著延长(p < 0.05)。当FDP Y浓度从>0.185 mg/ml(凝血酶原时间)到>0.24 mg/ml (APTT)时,凝血时间延长,超出各自的参考范围。至于其他片段,只有片段X加入到凝血酶时间测试系统中才能显示出类似的抑制作用。这种效应最可能的解释是FDP X和纤维蛋白原争夺凝血酶的纤维蛋白原结合位点,而不是纤维蛋白聚合紊乱。结果表明,对于正常纤维蛋白原浓度的血浆,组试验仅在自发性高纤溶中很少发现的FDP浓度下延长到参考范围之外。
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