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July 1, 1985BloodOpen Access

Effect of heparin on the inactivation rate of human activated factor XII by antithrombin III

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Authors

RPRA PixleyTemple UniversityMSM SchapiraUniversity of LausanneRCRW ColmanUniversity of Minnesota

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Overview

In vitro study demonstrates minimal heparin-induced acceleration of activated factor XII inhibition by antithrombin III in human plasma, suggesting negligible clinical impact on contact activation.

Key Points

  • Determine the extent to which heparin enhances the inactivation rate of activated factor XII species by antithrombin III in purified systems and human plasma.
  • Measured inactivation rates of purified factor XIIa and factor XIIf by antithrombin III in the presence of varying heparin concentrations ranging from 0.7 to 57.2 U/mL.
  • Assayed the inhibitory kinetics of factor XIIa and factor XIIf in factor XII-deficient and prekallikrein-deficient plasmas with and without therapeutic concentrations of heparin (1.4 to 1.5 U/mL).
  • In purified assays, therapeutic heparin (0.7 U/mL) increased factor XIIa inhibition by antithrombin III only fourfold (implying a 6% contribution to plasma inhibition), and heparin (1.5 U/mL) produced no detectable enhancement of factor XIIa inhibition in reconstituted factor XII-deficient plasma.
  • Heparin increased the inactivation rate constant of purified factor XIIf by 1.6- to 14.0-fold at concentrations of 3.6 to 57.2 U/mL, but 1.4 U/mL heparin did not modify factor XIIf inactivation in prekallikrein-deficient plasma, where C1 inhibitor remained the primary inhibitor.

Cite This Study

Pixley et al. (1985) studied this question.

synapsesocial.com/papers/6a72b58e75498292b70baedbhttps://doi.org/10.1182/blood.v66.1.198.198
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