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001-es BibID:	BIBFORM056708
Első szerző:	Kovács Bettina (orvos)
Cím:	Progressive chromogenic anti-factor Xa assay and its use in the classification of antithrombin deficiencies / Bettina Kovács, Zsuzsanna Bereczky, Anna Selmeczi, Réka Gindele, Zsolt Oláh, Adrienne Kerényi, Zoltán Boda, László Muszbek
Dátum:	2014
ISSN:	1434-6621
Megjegyzések:	Background: Antithrombin (AT) is a slow-acting progressiveinhibitor of activated clotting factors, particularlythrombin and activated factor X (FXa). However, the presenceof heparin or heparan sulfate accelerates its effectby several magnitudes. AT deficiency, a severe thrombophilia,is classified as type I (quantitative) and type II(qualitative) deficiency. In the latter case mutations mayinfluence the reactive site, the heparin binding-site (HBS)and exert pleiotropic effect. Heterozygous type II-HBSdeficiency is a less severe thrombophilia than other heterozygoussubtypes. However, as opposed to other subtypes,it also exists in homozygous form which representsa very high risk of venous thromboembolism.Methods: A modified anti-FXa chromogenic AT assay wasdeveloped which determines both the progressive (p) andthe heparin cofactor (hc) activities, in parallel. The methodwas evaluated and reference intervals were established.The usefulness of the assay in detecting type II-HBS ATdeficiency was tested on 78 AT deficient patients including51 type II-HBS heterozygotes and 18 homozygotes.Results: Both p-anti-FXa and hc-anti-FXa assays showedexcellent reproducibility and were not influenced by highconcentrations of triglyceride, bilirubin and hemoglobin.Reference intervals for p-anti-FXa and hc-anti-FXa ATactivities were 84%-117% and 81%-117%, respectively.Type II-HBS deficient patients demonstrated low (heterozygotes)or very low (homozygotes) hc-anti-FXa activitywith normal or slightly decreased p-anti-FXa activity. Thep/hc ratio clearly distinguished wild type controls, typeII-HBS heterozygotes and homozygotes.Conclusions: Concomitant determination of p-anti-FXaand hc-anti-FXa activities provides a reliable, clinicallyimportant diagnosis of type II-HBS AT deficiency and distinguishesbetween homozygotes and heterozygotes.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban anti-factor Xa assay antithrombin antithrombin deficiency heparin binding-site thrombophilia
Megjelenés:	Clinical Chemistry and Laboratory Medicine. - 52 : 12 (2014), p. 1797-1806. -
További szerzők:	Bereczky Zsuzsanna (1974-) (orvosi laboratóriumi diagnosztika szakorvos) Selmeczi Anna (1982-) (orvos) Gindele Réka (1987-) (molekuláris biológus) Oláh Zsolt (1974-) (belgyógyász) Kerényi Adrienne (1970-) (laboratóriumi szakorvos) Boda Zoltán (1947-) (belgyógyász, haematologus, klinikai onkológus) Muszbek László (1942-) (haematológus, kutató orvos)
Pályázati támogatás:	TÁMOP-4.2.2.A-11/1/KONV-2012-0045 TÁMOP Trombózis Kutató Központ Kutatócsoport PD-101120 OTKA K-109543 OTKA MTA-DE MTA Vascularis Biológia, Thrombosis-Haemostasis Kutatócsoport
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