APC resistance in neonates and infants
Standard
APC resistance in neonates and infants : adjustment of the APTT-based method. / Nowak-Göttl, U; Kohlhase, B; Vielhaber, H; Aschka, I; Schneppenheim, R; Jürgens, H.
in: THROMB RES, Jahrgang 81, Nr. 6, 15.03.1996, S. 665-70.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - APC resistance in neonates and infants
T2 - adjustment of the APTT-based method
AU - Nowak-Göttl, U
AU - Kohlhase, B
AU - Vielhaber, H
AU - Aschka, I
AU - Schneppenheim, R
AU - Jürgens, H
PY - 1996/3/15
Y1 - 1996/3/15
N2 - Resistance to activated protein C (APCR) has emerged as the most important hereditary cause of venous thromboembolism. Using an aPTT-based method together with DNA technique we investigated 120 healthy neonates and infants < 12 months of age and 24 infants with septicaemia for the presence of this mutation. In addition, data of 11 neonates with vascular occlusion, heterozygous (+/-) for the Arg 506 Gln mutation were included. Results of an aPTT-based method (clotting time using the APC/CaCl2 solution obtained in an undiluted, 1:5 and 1:11 dilution with factor V deficient plasma divided by clotting time with CaCl2 in the same plasma dilution) are shown: Whereas 7 (5.5%) out of 120 healthy neonates were (+/-) carriers for the factor V Arg 506 Gln mutation, concordance with the aPTT-based method (cut-off defined as ratio < 2) was found only when using the 1:11 plasma dilution. Six (four) out of 24 infants with sepsis, not carrying the factor V mutation, would have been classified as APC resistant when using the 1:1 (1:5) plasma dilution. Four (two) out of 18 patients, (+/-) for the Arg 506 Gln mutation showed APC ratios > 2 in the 1:1(1:5) plasma dilution.
AB - Resistance to activated protein C (APCR) has emerged as the most important hereditary cause of venous thromboembolism. Using an aPTT-based method together with DNA technique we investigated 120 healthy neonates and infants < 12 months of age and 24 infants with septicaemia for the presence of this mutation. In addition, data of 11 neonates with vascular occlusion, heterozygous (+/-) for the Arg 506 Gln mutation were included. Results of an aPTT-based method (clotting time using the APC/CaCl2 solution obtained in an undiluted, 1:5 and 1:11 dilution with factor V deficient plasma divided by clotting time with CaCl2 in the same plasma dilution) are shown: Whereas 7 (5.5%) out of 120 healthy neonates were (+/-) carriers for the factor V Arg 506 Gln mutation, concordance with the aPTT-based method (cut-off defined as ratio < 2) was found only when using the 1:11 plasma dilution. Six (four) out of 24 infants with sepsis, not carrying the factor V mutation, would have been classified as APC resistant when using the 1:1 (1:5) plasma dilution. Four (two) out of 18 patients, (+/-) for the Arg 506 Gln mutation showed APC ratios > 2 in the 1:1(1:5) plasma dilution.
KW - Case-Control Studies
KW - Drug Resistance
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - Mutation
KW - Partial Thromboplastin Time
KW - Protein C
KW - Sepsis
KW - Thromboembolism
M3 - SCORING: Journal article
C2 - 8868517
VL - 81
SP - 665
EP - 670
JO - THROMB RES
JF - THROMB RES
SN - 0049-3848
IS - 6
ER -