作者: Jonathan H. Foley , Karl-Uwe Petersen , Catherine J. Rea , Lori Harpell , Sandra Powell
DOI: 10.1182/BLOOD-2011-11-392308
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摘要: Solulin is a soluble form of thrombomodulin that resistant to proteolysis and oxidation. It has been shown increase the clot lysis time in factor VIII (fVIII)–deficient plasma by an activated thrombin-activatable fibrinolysis inhibitor (TAFIa)–dependent mechanism. In present study, blood was drawn from humans dogs with hemophilia, thromboelastography used measure tissue factor–initiated fibrin formation tissue-plasminogen activator–induced fibrinolysis. The kinetics TAFI protein C activation thrombin-Solulin complex were determined describe relative extent anticoagulation antifibrinolysis. severe hemophilia A, stability increased > 4-fold presence while minimally affecting time. Patients receiving fVIII/fIX prophylaxis showed similar trend Solulin. catalytic efficiencies be 1.53 0.02/μM/s, respectively, explaining its preference for antifibrinolysis over at low concentrations. Finally, hemophilic given had improved strength assays. conclusion, antifibrinolytic properties are exhibited human (in vitro) dog vivo/ex vivo) Our findings suggest therapeutic utility range very doses.