Anticoagulant effects of protein C, protein S, and antithrombin levels on the protein C pathway in young children.

Antithrombin Developmental hemostasis Protein C Protein S Thrombin generation

Journal

International journal of hematology
ISSN: 1865-3774
Titre abrégé: Int J Hematol
Pays: Japan
ID NLM: 9111627

Informations de publication

Date de publication:
16 Jan 2024
Historique:
received: 11 10 2023
accepted: 27 12 2023
revised: 22 12 2023
medline: 17 1 2024
pubmed: 17 1 2024
entrez: 16 1 2024
Statut: aheadofprint

Résumé

The protein C (PC) pathway involves physiological anticoagulant factors (PC, protein S [PS], and factor V) and performs major anticoagulant functions in adults. Variations in overall PC pathway function due to dynamic changes in PC and PS in early childhood are poorly understood. We aimed to evaluate the contributions of PC pathway function during early childhood by measuring changes in plasma thrombin generation (TG) after administration of the PC activator protac. We evaluated correlations between anticoagulant factors and percentage of protac-induced coagulation inhibition (PiCi%). Before protac addition, TG in newborns (n = 35), infants (n = 42), young children (n = 35), and adults (n = 20) were 525 ± 74, 720 ± 96, 785 ± 53, and 802 ± 64 mOD/min, and PiCi% were 42.1 ± 9.9, 69.8 ± 11.0, 82.9 ± 4.4, and 86.9 ± 3.4%, respectively. The distribution of PiCi% on the two axes of TG (with or without protac) changed continuously with age and differed from that of warfarin-treated plasma and adult PC- or PS-deficient plasma. PiCi% increased dynamically during infancy and correlated with PS levels in newborns and PC levels in young children. Addition of PC or fresh frozen plasma equivalent to approximately 25% PC to PC-deficient plasma improved PiCi%. This automatic measurement requires only a small sample volume and is useful for analysis of developmental hemostasis.

Identifiants

pubmed: 38228939
doi: 10.1007/s12185-023-03699-4
pii: 10.1007/s12185-023-03699-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Japan Agency for Medical Research and Development
ID : 17ek0109210h0001
Organisme : Japan Agency for Medical Research and Development
ID : 20ek0109481h0001

Informations de copyright

© 2024. Japanese Society of Hematology.

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Auteurs

Takashi Nakagawa (T)

Department of Pediatrics, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
Division of Neonatal Intensive Care Unit, Maternal, Fetal and Neonatal Medical Center, Nara Medical University Hospital, Kashihara, Nara, Japan.

Kenichi Ogiwara (K)

Department of Pediatrics, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan. ogiwarak@naramed-u.ac.jp.

Hitoshi Tonegawa (H)

Department of Pediatrics, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
Division of Neonatal Intensive Care Unit, Maternal, Fetal and Neonatal Medical Center, Nara Medical University Hospital, Kashihara, Nara, Japan.

Yukihiro Takahashi (Y)

Division of Neonatal Intensive Care Unit, Maternal, Fetal and Neonatal Medical Center, Nara Medical University Hospital, Kashihara, Nara, Japan.

Toshiya Nishikubo (T)

Division of Neonatal Intensive Care Unit, Maternal, Fetal and Neonatal Medical Center, Nara Medical University Hospital, Kashihara, Nara, Japan.

Keiji Nogami (K)

Department of Pediatrics, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.

Classifications MeSH