ADAMTS13 and Von Willebrand factor in patients undergoing hemodialysis

Hemodialysis (HD) is associated with increasing thrombotic trend. Vascular access thrombosis (VAT) increases morbidity in HD patients. The aim of this study was to evaluate ADAMTS13 and VWF plasma levels from patients undergoing HD as putative biomarkers of the hypercoagulability state, as well the...

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Veröffentlicht in:Journal of thrombosis and thrombolysis 2012-07, Vol.34 (1), p.73-78
Hauptverfasser: Rios, Danyelle R. A., Carvalho, Maria G., Figueiredo, Roberta C., Ferreira, Cláudia N., Rodrigues, Valério L., Souza, Regina A., Silva, Ana C. Simões e, Fernandes, Ana Paula, Gomes, Karina B., Dusse, Luci M. S.
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container_issue 1
container_start_page 73
container_title Journal of thrombosis and thrombolysis
container_volume 34
creator Rios, Danyelle R. A.
Carvalho, Maria G.
Figueiredo, Roberta C.
Ferreira, Cláudia N.
Rodrigues, Valério L.
Souza, Regina A.
Silva, Ana C. Simões e
Fernandes, Ana Paula
Gomes, Karina B.
Dusse, Luci M. S.
description Hemodialysis (HD) is associated with increasing thrombotic trend. Vascular access thrombosis (VAT) increases morbidity in HD patients. The aim of this study was to evaluate ADAMTS13 and VWF plasma levels from patients undergoing HD as putative biomarkers of the hypercoagulability state, as well the association between these markers and VAT occurrence. This study included 195 patients on HD for more than 6 months. HD patients were allocated into two groups according to the occurrence or not of previous episode of VAT; HD with VAT ( N  = 46) and HD without VAT ( N  = 149). ADAMTS13 and VWF were performed by ELISA. There was no significant difference between HD patients with and without VAT for ADAMTS13 and VWF levels. However, VWF levels were higher ( P  
doi_str_mv 10.1007/s11239-012-0682-1
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A. ; Carvalho, Maria G. ; Figueiredo, Roberta C. ; Ferreira, Cláudia N. ; Rodrigues, Valério L. ; Souza, Regina A. ; Silva, Ana C. Simões e ; Fernandes, Ana Paula ; Gomes, Karina B. ; Dusse, Luci M. S.</creator><creatorcontrib>Rios, Danyelle R. A. ; Carvalho, Maria G. ; Figueiredo, Roberta C. ; Ferreira, Cláudia N. ; Rodrigues, Valério L. ; Souza, Regina A. ; Silva, Ana C. Simões e ; Fernandes, Ana Paula ; Gomes, Karina B. ; Dusse, Luci M. S.</creatorcontrib><description>Hemodialysis (HD) is associated with increasing thrombotic trend. Vascular access thrombosis (VAT) increases morbidity in HD patients. The aim of this study was to evaluate ADAMTS13 and VWF plasma levels from patients undergoing HD as putative biomarkers of the hypercoagulability state, as well the association between these markers and VAT occurrence. This study included 195 patients on HD for more than 6 months. HD patients were allocated into two groups according to the occurrence or not of previous episode of VAT; HD with VAT ( N  = 46) and HD without VAT ( N  = 149). ADAMTS13 and VWF were performed by ELISA. There was no significant difference between HD patients with and without VAT for ADAMTS13 and VWF levels. However, VWF levels were higher ( P  &lt; 0.001) and ADAMTS13 were lower ( P  &lt; 0.001) in HD patients, comparing to the control group composed by healthy subjects without kidney disease, age and sex-matched ( N  = 80). Taken together our data suggest a potential role of the kidneys function compromised on ADAMTS13 synthesis or metabolism, regardless other known sources of ADAMTS13. The imbalance between ADAMTS13 and VWF levels does not explain the development of VAT in HD patients by itself, although it should contribute for the hypercoagulability state. 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The aim of this study was to evaluate ADAMTS13 and VWF plasma levels from patients undergoing HD as putative biomarkers of the hypercoagulability state, as well the association between these markers and VAT occurrence. This study included 195 patients on HD for more than 6 months. HD patients were allocated into two groups according to the occurrence or not of previous episode of VAT; HD with VAT ( N  = 46) and HD without VAT ( N  = 149). ADAMTS13 and VWF were performed by ELISA. There was no significant difference between HD patients with and without VAT for ADAMTS13 and VWF levels. However, VWF levels were higher ( P  &lt; 0.001) and ADAMTS13 were lower ( P  &lt; 0.001) in HD patients, comparing to the control group composed by healthy subjects without kidney disease, age and sex-matched ( N  = 80). Taken together our data suggest a potential role of the kidneys function compromised on ADAMTS13 synthesis or metabolism, regardless other known sources of ADAMTS13. 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The imbalance between ADAMTS13 and VWF levels does not explain the development of VAT in HD patients by itself, although it should contribute for the hypercoagulability state. Therefore, additional studies to identify other risk factors are warranted and essential for better management of HD patients.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>22298244</pmid><doi>10.1007/s11239-012-0682-1</doi><tpages>6</tpages></addata></record>
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subjects ADAM Proteins - blood
ADAMTS13 Protein
Adolescent
Adult
Aged
Biomarkers - blood
Cardiology
Enzyme-Linked Immunosorbent Assay
Female
Hematology
Humans
Kidney - metabolism
Kidney Diseases - blood
Kidney Diseases - therapy
Male
Medicine
Medicine & Public Health
Middle Aged
Renal Dialysis - adverse effects
Thrombosis - blood
Thrombosis - etiology
Time Factors
von Willebrand Factor - metabolism
title ADAMTS13 and Von Willebrand factor in patients undergoing hemodialysis
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