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[长期保存期间VIII因子浓缩物、冷沉淀和右旋糖酐沉淀中纤维蛋白原降解产物的出现及行为]

[Occurrence and behavior of fibrin fibrinogen degradation products in concentrates of factor VIII, cryoprecipitate and dextran precipitate during long-term preservation].

作者信息

Kätzel R, Wegner H

出版信息

Z Gesamte Inn Med. 1977 Nov 15;32(22):603-11.

PMID:602311
Abstract

In deep-frozen and lyophilized cryoprecipitates and dextran precipitates it was analyzed by the TRCHII and the SCT, whether these factor VIII concentrates contain fibrinogen fission products effecting as inhibitors of the coagulation of blood and how they act during storage for 200 days. Simultaneously the parameters total protein, fibrinogen, fibrin monomers, plasminogen and factor VIII activity were always determined. In all preparations being tested fibrinogen fission products could be detected. Lyophilized cryoprecipitates showed the highest average values with 7.97 microgram/ml (TRCHII) resp. 18.31 microgram/ml (SCT). They were followed by deep-frozen cryoprecipitates with 6.93 microgram/ml (TRCHII) resp. 7.54 microgram/ml (SCT). Deep-frozen dextran precipitates free of heparin contained the fewest fission products (TRCHII: 0.36 microgram/ml; SCT: 3.13 microgram/ml). At the beginning of the storage only few fission products were found in all groups of preparates. A predominantly clear rise with forming a peak after about 115 to 145 days and a drop following happened with extended storage period. This course of storage of the quantities of fission products shows that the fibrinogen fission products arise during storage.

摘要

对深冻和冻干的冷沉淀及右旋糖酐沉淀,通过凝血酶时间(TRCHII)和硅化凝血时间(SCT)分析这些VIII因子浓缩物是否含有作为血液凝固抑制剂的纤维蛋白原裂解产物,以及它们在200天储存期内的作用方式。同时,始终测定总蛋白、纤维蛋白原、纤维蛋白单体、纤溶酶原和VIII因子活性等参数。在所有测试制剂中均能检测到纤维蛋白原裂解产物。冻干冷沉淀的平均值最高,TRCHII法为7.97微克/毫升,SCT法为18.31微克/毫升。其次是深冻冷沉淀,TRCHII法为6.93微克/毫升,SCT法为7.54微克/毫升。不含肝素的深冻右旋糖酐沉淀所含裂解产物最少(TRCHII法:0.36微克/毫升;SCT法:3.13微克/毫升)。在储存开始时,所有制剂组中仅发现少量裂解产物。在大约115至145天后,裂解产物的量主要呈明显上升并形成一个峰值,随后随着储存期延长而下降。裂解产物量的这种储存过程表明,纤维蛋白原裂解产物是在储存过程中产生的。

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