Empirical and theoretical phenotypic discrimination

We have developed an integrated approach that combines empirical and computational methodologies to define an individual’s thrombin phenotype. We have evaluated the process of thrombin generation in healthy individuals and individuals with defined pathologies in order to develop general criteria rel...

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Veröffentlicht in:Journal of thrombosis and haemostasis 2009-07, Vol.7, p.181-186
Hauptverfasser: BRUMMEL‐ZIEDINS, K. E., ORFEO, T., ROSENDAAL, F. R., UNDAS, A., RIVARD, G. E., BUTENAS, S., MANN, K. G.
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container_end_page 186
container_issue
container_start_page 181
container_title Journal of thrombosis and haemostasis
container_volume 7
creator BRUMMEL‐ZIEDINS, K. E.
ORFEO, T.
ROSENDAAL, F. R.
UNDAS, A.
RIVARD, G. E.
BUTENAS, S.
MANN, K. G.
description We have developed an integrated approach that combines empirical and computational methodologies to define an individual’s thrombin phenotype. We have evaluated the process of thrombin generation in healthy individuals and individuals with defined pathologies in order to develop general criteria relevant to assess an individual’s propensity for hemorrhage or thrombosis. Three complementary hypotheses have emerged from our work: (i) compensation by the ensemble of other coagulation proteins in individuals with specific factor deficiencies can ‘normalize’ an individual’s thrombin generation process and represents a rationale for their unexpected phenotype; (ii) individuals with clinically unremarkable factor levels may present thrombin generation profiles typical of individuals with hemostatic complications; and (iii) in some hemostatic disorders a specific pattern of expression of a small ensemble of coagulation factors may be sufficient to explain the overall phenotype.
doi_str_mv 10.1111/j.1538-7836.2009.03426.x
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects blood coagulation
computational
Computational Biology
empirical
Empirical Research
Hemorrhage
Hemostasis
Humans
Models, Theoretical
Phenotype
Thrombin - biosynthesis
Thrombin - physiology
thrombin generation
Thrombosis
title Empirical and theoretical phenotypic discrimination
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