322,994 research outputs found
A protein S functional assay yields unsatisfactory results in patients with activated protein C resistance.
No full text
Similar hypercoagulable state and thrombosis risk in type I and type III proteinS-deficient individuals from mixed type I/III families.
No full textHaematologica. 2010 Sep;95(9):1563-71. Epub 2010 Apr 26.
Similar hypercoagulable state and thrombosis risk in type I and type III protein
S-deficient individuals from families with mixed type I/III protein S deficiency.
Castoldi E, Maurissen LF, Tormene D, Spiezia L, Gavasso S, Radu C, Hackeng TM,
Rosing J, Simioni P.
Department of Biochemistry, Maastricht University P.O. Box 616, 6200 Maastricht,
The Netherlands. [email protected]
BACKGROUND: Protein S, which circulates in plasma in both free and bound forms,
is an anticoagulant protein that stimulates activated protein C and tissue factor
pathway inhibitor. Hereditary type I protein S deficiency (low total and low free
protein S) is a well-established risk factor for venous thrombosis, whereas the
thrombosis risk associated with type III deficiency (normal total and low free
protein S) has been questioned.
DESIGN AND METHODS: Kaplan-Meier analysis was performed on 242 individuals from
30 families with protein S deficiency. Subjects were classified as normal, or
having type I or type III deficiency according to their total and free protein S
levels. Genetic and functional studies were performed in 23 families (132
individuals).
RESULTS: Thrombosis-free survival was not different between type I and type III
protein S-deficient individuals. Type III deficient individuals were older and
had higher protein S, tissue factor pathway inhibitor and prothrombin levels than
type I deficient individuals. Thrombin generation assays sensitive to the
activated protein C- and tissue factor pathway inhibitor-cofactor activities of
protein S revealed similar hypercoagulable states in type I and type III protein
S-deficient plasma. Twelve PROS1 mutations and two large deletions were
identified in the genetically characterized families.
CONCLUSIONS: Not only type I, but also type III protein S deficiency is
associated with a hypercoagulable state and increased risk of thrombosis. These
findings may, however, be restricted to type III deficient individuals from
families with mixed type I/III protein S deficiency, as these represented 80% of
type III deficient individuals in our cohort.
PMCID: PMC2930959
PMID: 20421270 [PubMed - in process
The incidence of venous thromboembolism in carriers of antithrombin, protein C or protein S deficiency associated with the HR2 haplotype of factor V: a family cohort study
No full textI.F.=5.13
Study on the origin of coagulation protein S in human megakaryocyte cultures and caractherization of platelets protein S from patients with inherited protein S deficiency
No full text
Circulating microparticles in cord blood of normal pregnancy and of pregnancy with preeclampsia
No full text
- …
