Relationship between elevation in the plasma concentration of elastase-alpha 1 proteinase inhibitor complex (E-alpha 1 PI) and haemostatic parameters during haemodialysis

To investigate the relationship between changes in plasma concentrations of polymorphonuclear elastase (PMN-E) and haemostatic effects during haemodialysis (HD), changes in the plasma concentrations of elastase-alpha 1 proteinase inhibitor complex (E-alpha 1 PI) and fibrinogen (Fbg), cross-linked fi...

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Veröffentlicht in:Blood coagulation & fibrinolysis 1995-02, Vol.6 (1), p.5-10
Hauptverfasser: Yamazaki, M, Asakura, H, Saito, M, Jokaji, H, Uotani, C, Kumabashiri, I, Morishita, E, Aoshima, K, Sato, T, Tsugawa, Y
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container_end_page 10
container_issue 1
container_start_page 5
container_title Blood coagulation & fibrinolysis
container_volume 6
creator Yamazaki, M
Asakura, H
Saito, M
Jokaji, H
Uotani, C
Kumabashiri, I
Morishita, E
Aoshima, K
Sato, T
Tsugawa, Y
description To investigate the relationship between changes in plasma concentrations of polymorphonuclear elastase (PMN-E) and haemostatic effects during haemodialysis (HD), changes in the plasma concentrations of elastase-alpha 1 proteinase inhibitor complex (E-alpha 1 PI) and fibrinogen (Fbg), cross-linked fibrin degradation products (XDP), thrombin-antithrombin III complex (TAT), plasmin-alpha 2 plasmin inhibitor complex (PIC) and soluble thrombomodulin (TM) in 49 patients with end-stage chronic glomerulonephritis maintained on chronic HD were measured. Plasma concentrations of TAT, PIC, TM and E-alpha 1 PI significantly increased during a single HD. There was a statistically significant correlation between change in plasma E-alpha 1 PI concentration and changes in plasma concentrations of TAT, PIC and TM during a single HD, as well as between changes in plasma concentrations of TM and TAT during a single HD. These observations suggested that activation of coagulation and fibrinolysis, endothelial cell damage, and activation of polymorphonuclear cells occur during HD. Activation of polymorphonuclear cells may induce activation of coagulation and fibrinolysis, leading to endothelial cell damage, augmented by release of proteases such as elastase.
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Plasma concentrations of TAT, PIC, TM and E-alpha 1 PI significantly increased during a single HD. There was a statistically significant correlation between change in plasma E-alpha 1 PI concentration and changes in plasma concentrations of TAT, PIC and TM during a single HD, as well as between changes in plasma concentrations of TM and TAT during a single HD. These observations suggested that activation of coagulation and fibrinolysis, endothelial cell damage, and activation of polymorphonuclear cells occur during HD. 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Plasma concentrations of TAT, PIC, TM and E-alpha 1 PI significantly increased during a single HD. There was a statistically significant correlation between change in plasma E-alpha 1 PI concentration and changes in plasma concentrations of TAT, PIC and TM during a single HD, as well as between changes in plasma concentrations of TM and TAT during a single HD. These observations suggested that activation of coagulation and fibrinolysis, endothelial cell damage, and activation of polymorphonuclear cells occur during HD. Activation of polymorphonuclear cells may induce activation of coagulation and fibrinolysis, leading to endothelial cell damage, augmented by release of proteases such as elastase.</description><subject>Adult</subject><subject>Aged</subject><subject>alpha 1-Antitrypsin - analysis</subject><subject>Antithrombin III - analysis</subject><subject>Blood Cell Count</subject><subject>Female</subject><subject>Fibrin Fibrinogen Degradation Products - analysis</subject><subject>Fibrinogen - analysis</subject><subject>Fibrinolysis</subject><subject>Glomerulonephritis - complications</subject><subject>Hemostasis</subject><subject>Humans</subject><subject>Kidney Failure, Chronic - blood</subject><subject>Kidney Failure, Chronic - etiology</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Leukocyte Elastase</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pancreatic Elastase - blood</subject><subject>Peptide Hydrolases - analysis</subject><subject>Renal Dialysis</subject><subject>Thrombomodulin - analysis</subject><issn>0957-5235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kF9LwzAUxfugzDn9CEKeRB8KadM2y6OMqYOBInsfN-mtjaRpTFL_fCU_pcENny6c8zsH7jnJ5lTUPK9LVp9l5yG8UUpZteSzbMa5qIuazbOfFzQQ9WhDrx2RGD8RLUGDH38q0ZbEHokzEAYgarQKbfQHb-wSCCFCwByM64EUxPkxorZJStFeSx1Hn2KDM_hFbtb_3PPmloBtSQ84jKkiakUceBgwog-knby2rwe31WC-gw4X2WkHJuDl8S6y3f16t3rMt08Pm9XdNnc1Y3lZiU4oVRWUgqoq1iLtpCqlaERTNkXRLbnquKwbVlChpGwK1i1LaKjibStAsEV2fahNr7xPGOJ-0EGhMWBxnMKe87RhGjaBV0dwkgO2e-f1AP57f9yW_QL-o3ha</recordid><startdate>199502</startdate><enddate>199502</enddate><creator>Yamazaki, M</creator><creator>Asakura, H</creator><creator>Saito, M</creator><creator>Jokaji, H</creator><creator>Uotani, C</creator><creator>Kumabashiri, I</creator><creator>Morishita, E</creator><creator>Aoshima, K</creator><creator>Sato, T</creator><creator>Tsugawa, Y</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199502</creationdate><title>Relationship between elevation in the plasma concentration of elastase-alpha 1 proteinase inhibitor complex (E-alpha 1 PI) and haemostatic parameters during haemodialysis</title><author>Yamazaki, M ; 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Plasma concentrations of TAT, PIC, TM and E-alpha 1 PI significantly increased during a single HD. There was a statistically significant correlation between change in plasma E-alpha 1 PI concentration and changes in plasma concentrations of TAT, PIC and TM during a single HD, as well as between changes in plasma concentrations of TM and TAT during a single HD. These observations suggested that activation of coagulation and fibrinolysis, endothelial cell damage, and activation of polymorphonuclear cells occur during HD. Activation of polymorphonuclear cells may induce activation of coagulation and fibrinolysis, leading to endothelial cell damage, augmented by release of proteases such as elastase.</abstract><cop>England</cop><pmid>7795153</pmid><tpages>6</tpages></addata></record>
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Aged
alpha 1-Antitrypsin - analysis
Antithrombin III - analysis
Blood Cell Count
Female
Fibrin Fibrinogen Degradation Products - analysis
Fibrinogen - analysis
Fibrinolysis
Glomerulonephritis - complications
Hemostasis
Humans
Kidney Failure, Chronic - blood
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - therapy
Leukocyte Elastase
Male
Middle Aged
Pancreatic Elastase - blood
Peptide Hydrolases - analysis
Renal Dialysis
Thrombomodulin - analysis
title Relationship between elevation in the plasma concentration of elastase-alpha 1 proteinase inhibitor complex (E-alpha 1 PI) and haemostatic parameters during haemodialysis
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