2015年1月1日
Novel HIT antibody detection method using Sonoclot® coagulation analyzer
Thrombosis Research
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- 巻
- 135
- 号
- 1
- 開始ページ
- 127
- 終了ページ
- 129
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.thromres.2014.10.024
- 出版者・発行元
- Elsevier Ltd
Introduction Since heparin-induced thrombocytopenia (HIT), caused by the generation of antibodies against platelet factor 4 (PF4)/heparin complexes (HIT antibodies), may induce serious complications due to thrombosis, a prompt diagnosis is desirable. Functional tests with platelet activation to detect HIT antibodies are useful for diagnosis of HIT, in particular 14C-selotonin release assay (SRA). However, they are complicated and so can be performed only in limited laboratories. We tested if a blood coagulation test using Sonoclot® analyzer can serve for the detection of HIT antibodies. Materials and Methods A murine monoclonal antibody (HIT-MoAb) against PF4/heparin complexes was used as an alternative to human HIT antibodies. To the mixture of HIT-MoAb and heparin (0.5 U/mL, final), whole blood obtained from a healthy volunteer was added, and then the activated clotting time (ACT), clot rate (CR), and area under the curve (AUC) were measured with Sonoclot® analyzer for 30 minutes. Results The HIT-MoAb (30 to 100 μg/mL, final) concentration dependently suppressed the anticoagulation activity (prolongation of ACT and decrease of CR and AUC) of heparin. Conclusions The suppression of anticoagulation effect of heparin by HIT-MoAb was demonstrated by measurements using Sonoclot® analyzer. This method may provide a new tool for screening of HIT antibodies.
- リンク情報
- ID情報
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- DOI : 10.1016/j.thromres.2014.10.024
- ISSN : 1879-2472
- ISSN : 0049-3848
- PubMed ID : 25466847
- SCOPUS ID : 84922478724