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spelling paper:paper_09575235_v3_n6_p765_Kordich2023-06-08T15:56:38Z Natural inhibitors of blood coagulation and fibrinolysis in patients with lupus anticoagulant antithrombin iii blood clotting inhibitor lupus anticoagulant plasminogen activator inhibitor protein c protein s adolescent adult article child controlled study female human major clinical study male systemic lupus erythematosus thrombosis Abortion, Habitual Adolescent Adult Antiplasmin Antithrombin III Autoimmune Diseases Blood Coagulation Child Comparative Study Female Fibrinolysis Hematologic Diseases Human Infection Lupus Coagulation Inhibitor Lupus Erythematosus, Systemic Male Middle Age Neoplasms Plasminogen Activator Inhibitor 1 Pregnancy Protein C Protein S Thrombosis We studied the natural inhibitors (NI) of blood coagulation and fibrinolysis in 50 patients with lupus anticoagulant (LA), in order to identify possible alterations of these NI, that could favour thrombotic manifestations. We found no statistically significant difference in antithrombin III, protein C and α2-antiplasmin between controls and patients with LA, irrespective of their clinical manifestations. We found an increase of plasminogen activator inhibitor (PAI, P < 0.001) and a decrease of free protein S (PS(f), P < 0.001) and total protein S (PS(t), 0.01 < P < 0.05) in the patients with LA when compared with the control group. We found no difference in the levels of NI between patients with thrombosis (n = 19) and without thrombosis (n = 31) nor between patients with (n = 25) or without thrombosis and/or foetal loss (n = 25). In contrast, we observed a decrease of PS(f) in women with foetal loss (n = 10) as compared with women without foetal loss (n = 22, 0.01 < P < 0.05) and a decrease of PS(f) when comparing 19 patients with systemic lupus erythematosus (SLE) with 31 patients without SLE (0.01 < P < 0.05). These findings show that the patients with LA had several abnormalities in the NI system, but there was no significant association between levels of PAI, PS(f), PS(t) and a history of thrombosis. 1992 https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_09575235_v3_n6_p765_Kordich http://hdl.handle.net/20.500.12110/paper_09575235_v3_n6_p765_Kordich
institution Universidad de Buenos Aires
institution_str I-28
repository_str R-134
collection Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA)
topic antithrombin iii
blood clotting inhibitor
lupus anticoagulant
plasminogen activator inhibitor
protein c
protein s
adolescent
adult
article
child
controlled study
female
human
major clinical study
male
systemic lupus erythematosus
thrombosis
Abortion, Habitual
Adolescent
Adult
Antiplasmin
Antithrombin III
Autoimmune Diseases
Blood Coagulation
Child
Comparative Study
Female
Fibrinolysis
Hematologic Diseases
Human
Infection
Lupus Coagulation Inhibitor
Lupus Erythematosus, Systemic
Male
Middle Age
Neoplasms
Plasminogen Activator Inhibitor 1
Pregnancy
Protein C
Protein S
Thrombosis
spellingShingle antithrombin iii
blood clotting inhibitor
lupus anticoagulant
plasminogen activator inhibitor
protein c
protein s
adolescent
adult
article
child
controlled study
female
human
major clinical study
male
systemic lupus erythematosus
thrombosis
Abortion, Habitual
Adolescent
Adult
Antiplasmin
Antithrombin III
Autoimmune Diseases
Blood Coagulation
Child
Comparative Study
Female
Fibrinolysis
Hematologic Diseases
Human
Infection
Lupus Coagulation Inhibitor
Lupus Erythematosus, Systemic
Male
Middle Age
Neoplasms
Plasminogen Activator Inhibitor 1
Pregnancy
Protein C
Protein S
Thrombosis
Natural inhibitors of blood coagulation and fibrinolysis in patients with lupus anticoagulant
topic_facet antithrombin iii
blood clotting inhibitor
lupus anticoagulant
plasminogen activator inhibitor
protein c
protein s
adolescent
adult
article
child
controlled study
female
human
major clinical study
male
systemic lupus erythematosus
thrombosis
Abortion, Habitual
Adolescent
Adult
Antiplasmin
Antithrombin III
Autoimmune Diseases
Blood Coagulation
Child
Comparative Study
Female
Fibrinolysis
Hematologic Diseases
Human
Infection
Lupus Coagulation Inhibitor
Lupus Erythematosus, Systemic
Male
Middle Age
Neoplasms
Plasminogen Activator Inhibitor 1
Pregnancy
Protein C
Protein S
Thrombosis
description We studied the natural inhibitors (NI) of blood coagulation and fibrinolysis in 50 patients with lupus anticoagulant (LA), in order to identify possible alterations of these NI, that could favour thrombotic manifestations. We found no statistically significant difference in antithrombin III, protein C and α2-antiplasmin between controls and patients with LA, irrespective of their clinical manifestations. We found an increase of plasminogen activator inhibitor (PAI, P < 0.001) and a decrease of free protein S (PS(f), P < 0.001) and total protein S (PS(t), 0.01 < P < 0.05) in the patients with LA when compared with the control group. We found no difference in the levels of NI between patients with thrombosis (n = 19) and without thrombosis (n = 31) nor between patients with (n = 25) or without thrombosis and/or foetal loss (n = 25). In contrast, we observed a decrease of PS(f) in women with foetal loss (n = 10) as compared with women without foetal loss (n = 22, 0.01 < P < 0.05) and a decrease of PS(f) when comparing 19 patients with systemic lupus erythematosus (SLE) with 31 patients without SLE (0.01 < P < 0.05). These findings show that the patients with LA had several abnormalities in the NI system, but there was no significant association between levels of PAI, PS(f), PS(t) and a history of thrombosis.
title Natural inhibitors of blood coagulation and fibrinolysis in patients with lupus anticoagulant
title_short Natural inhibitors of blood coagulation and fibrinolysis in patients with lupus anticoagulant
title_full Natural inhibitors of blood coagulation and fibrinolysis in patients with lupus anticoagulant
title_fullStr Natural inhibitors of blood coagulation and fibrinolysis in patients with lupus anticoagulant
title_full_unstemmed Natural inhibitors of blood coagulation and fibrinolysis in patients with lupus anticoagulant
title_sort natural inhibitors of blood coagulation and fibrinolysis in patients with lupus anticoagulant
publishDate 1992
url https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_09575235_v3_n6_p765_Kordich
http://hdl.handle.net/20.500.12110/paper_09575235_v3_n6_p765_Kordich
_version_ 1768546683990310912