Department of Pediatrics, Division of Social Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
J Thromb Thrombolysis. 2010 Jan;29(1):46-51. doi: 10.1007/s11239-009-0329-z. Epub 2009 Mar 19.
Increased levels of sEPCR lead to dysfunction of EPCR-mediated coagulation. The aim of this present study was to determine plasma sEPCR levels in a group of Turkish healthy population including both adults and children. The study population consisted of 230 healthy individuals (108 children and 122 adults) having no acute or chronic disease. Plasma sEPCR levels were measured with ELISA. Analysis revealed a bimodal distribution in both groups. There was a negative relationship between sEPCR levels and the age of individuals (r = -0.385, P = 0.0001). The sEPCR levels of children were found significantly higher than that of adults (P < 0.001). This study is the first study to determine the relationship of sEPCR levels and terms of age. Higher levels of sEPCR may suggest a regulation mechanism for the protein C anticoagulation system over the first years of life. Further studies should be conducted to evaluate the physiological importance and molecular mechanism of increased sEPCR levels in children.
sEPCR 水平升高会导致 EPCR 介导的凝血功能障碍。本研究旨在测定一组包括成人和儿童在内的土耳其健康人群的血浆 sEPCR 水平。研究人群包括 230 名无急、慢性疾病的健康个体(108 名儿童和 122 名成人)。采用 ELISA 法测定血浆 sEPCR 水平。分析显示两组均呈双峰分布。sEPCR 水平与个体年龄呈负相关(r = -0.385,P = 0.0001)。儿童的 sEPCR 水平明显高于成人(P < 0.001)。本研究首次测定了 sEPCR 水平与年龄的关系。sEPCR 水平升高可能提示蛋白 C 抗凝系统在生命最初几年的调节机制。应进一步开展研究,以评估儿童中 sEPCR 水平升高的生理重要性和分子机制。