Musumeci V, Vincenti A, Bizzi B
J Clin Pathol. 1976 Jan;29(1):63-8. doi: 10.1136/jcp.29.1.63.
A method for the differential determination of plasma antithrombins, antithrombin III and alpha2 macroglobulin, is described. The method is based on the selective inactivation of plasma alpha2 macroglobulin by treatment with 0-1 M methylamine for 10 minutes at 37 degrees C and on the observation that antithrombin III and alpha2 macroglobulin inhibited in defibrinated plasma low concentrations of thrombin without mutual interference and according to pseudo-first order reaction. In healthy subjects antithrombin III was shown to account for about 70% of the total antithrombin activity. But in patients with liver cirrhosis, where low levels of total antithrombin activity were observed, the relative contribution of antithrombin III was found to be noticeably lower.
本文描述了一种鉴别测定血浆抗凝血酶、抗凝血酶III和α2巨球蛋白的方法。该方法基于以下原理:通过在37℃下用0 - 1M甲胺处理10分钟来选择性灭活血浆α2巨球蛋白,并且观察到抗凝血酶III和α2巨球蛋白在去纤维蛋白血浆中能抑制低浓度凝血酶,且互不干扰,遵循假一级反应。在健康受试者中,抗凝血酶III约占总抗凝血酶活性的70%。但在观察到总抗凝血酶活性水平较低的肝硬化患者中,发现抗凝血酶III的相对贡献明显较低。