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癌症合并静脉血栓栓塞患者的微粒体组织因子活性增加。

Increased microparticle tissue factor activity in cancer patients with Venous Thromboembolism.

机构信息

Division of Hematology/Oncology, Department of Medicine, Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7035, USA.

出版信息

Thromb Res. 2010 Jun;125(6):511-2. doi: 10.1016/j.thromres.2009.09.019. Epub 2009 Oct 24.

Abstract

Cancer patients exhibit a high rate of thromboembolism (VTE). In this study, we analyzed levels of microparticle (MP) tissue factor (TF) activity in cancer patients with or without VTE. Blood was collected from cancer patients within 24 h of objectively diagnosed VTE (n=53) and from cancer patients without VTE (n=13). MPs were isolated from platelet poor plasma by centrifugation at 20,000g for 15 min. MP TF activity was measured using a two-stage chromogenic assay. Cancer patients with VTE had a significantly higher mean MP TF activity compared with cancer patients without VTE (1.7+/-3.8 pg/mL vs 0.6+/-0.4 pg/mL, p<0.05). Further prospective studies are required to determine if levels of MP TF activity may be a useful biomarker to identify patients at increased risk for VTE.

摘要

癌症患者血栓栓塞(VTE)发生率较高。在这项研究中,我们分析了伴有或不伴有 VTE 的癌症患者的微粒体(MP)组织因子(TF)活性水平。在客观诊断为 VTE 后 24 小时内采集癌症患者的血液(n=53),并采集无 VTE 的癌症患者的血液(n=13)。通过在 20,000g 下离心 15 分钟从血小板贫乏的血浆中分离 MPs。使用两步显色测定法测量 MP TF 活性。与无 VTE 的癌症患者相比,患有 VTE 的癌症患者的平均 MP TF 活性显著更高(1.7+/-3.8 pg/mL 比 0.6+/-0.4 pg/mL,p<0.05)。需要进一步的前瞻性研究来确定 MP TF 活性水平是否可以作为一种有用的生物标志物来识别 VTE 风险增加的患者。

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