HEPARIN-INDUCED THROMBOCYTOPENIA: ASSOCIATION OF THROMBOTIC COMPLICATIONS WITH HEPARIN-DEPENDENT IgG ANTIBODY THAT INDUCES THROMBOXANE SYNTHESIS AND PLATELET AGGREGATION

作者: B.H. Chong , W.R. Pitney , P.A. Castaldi

DOI: 10.1016/S0140-6736(82)90106-4

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摘要: Abstract Eleven patients in whom thrombocytopenia developed during heparin therapy were studied. Six (group 1) had severe with delayed onset and five of these thromboembolic complications. A serum factor which induced heparin-dependent thromboxane B 2 synthesis, 14 C-serotonin release, platelet aggregation was found all group 1. The shown to be IgG. These findings suggest that the mechanism secondary is immunological associated complications may attributed in-vivo activation prostaglandin pathway by antibody. mild symptomless early onset. In this group, antibody not probably a direct action on platelets.

参考文章(15)
B.M Alving, N.R Shulman, W.R Bell, B.L Evatt, K.M Tack, In vitro studies of heparin-associated thrombocytopenia. Thrombosis Research. ,vol. 11, pp. 827- 834 ,(1977) , 10.1016/0049-3848(77)90111-6
I. D. Malcolm, T. A. Wigmore, U. P. Steinbrecher, Heparin-associated thrombocytopenia: low frequency in 104 patients treated with heparin of intestinal mucosal origin Canadian Medical Association Journal. ,vol. 120, pp. 1086- 1088 ,(1979)
Jack Hawiger, Sylvia Steckley, Dianne Hammond, Charles Cheng, Sheila Timmons, Alan D. Glick, Roger M. Des Prez, Staphylococci-induced Human Platelet Injury Mediated by Protein A and Immunoglobulin G Fc Fragment Receptor Journal of Clinical Investigation. ,vol. 64, pp. 931- 937 ,(1979) , 10.1172/JCI109559
WILLIAM R. BELL, Thrombocytopenia Occurring During the Administration of Heparin Annals of Internal Medicine. ,vol. 85, pp. 155- 160 ,(1976) , 10.7326/0003-4819-85-2-155
William R. Bell, Thrombocytopenia Occurring during Heparin Therapy New England Journal of Medicine. ,vol. 295, pp. 276- 277 ,(1976) , 10.1056/NEJM197607292950511
Jonathan B. Towne, White Clot Syndrome Archives of Surgery. ,vol. 114, pp. 372- 377 ,(1979) , 10.1001/ARCHSURG.1979.01370280026004
M. Hamberg, J. Svensson, B. Samuelsson, Thromboxanes: a new group of biologically active compounds derived from prostaglandin endoperoxides. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 72, pp. 2994- 2998 ,(1975) , 10.1073/PNAS.72.8.2994
Donald Kapsch, Heparin-Induced Thrombocytopenia With Thrombosis and Hemorrhage Archives of Surgery. ,vol. 116, pp. 1423- 1427 ,(1981) , 10.1001/ARCHSURG.1981.01380230047007
B. H. Chong, C. S. Grace, M. C. Rozenberg, Heparin‐induced Thrombocytopenia: Effect of Heparin Platelet Antibody on Platelets British Journal of Haematology. ,vol. 49, pp. 531- 540 ,(1981) , 10.1111/J.1365-2141.1981.TB07261.X