Assay for determining sensitivity to activated protein C

Chemistry: molecular biology and microbiology – Measuring or testing process involving enzymes or... – Involving blood clotting factor

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435810, 436 69, 436808, 514834, 530381, 530383, 530384, 424529, C12Q 156, G01N 3386, C07K 100

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active

056437390

ABSTRACT:
An improved assay for determining sensitivity to activated protein C in test samples has been developed to ensure rapid and accurate evaluations. This assay is based on measuring the conversion, by activated factor VIII within a test sample, of added factor X to an activated form. The activated protein C sensitivity of the test sample is determined by the relative inhibition of factor X conversion as compared to a control. A test sample that has decreased sensitivity to activated protein C will show relatively low inhibition, and vice versa.

REFERENCES:
patent: 4672030 (1987-06-01), Witt
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Esmon, "Protein S and Protein C: Biochemistry, Physiology, and Clinical Manifestation of Deficiencies," TCM, vol.2, No. 6 (1992).
Dahlback et al., "Familial Thrombophilia Due to a Previously Unrecognized Mechanism Characterized by Poor Anticoagulant Response to Activated Protein C: Prediction of a Cofactor to Activated Protein C", Proc. Natl. Acad. Sci., vol. 90, pp. 1004-1008 (1993).
Bokarewa et al., "Heterogeneity of the APC-Resistance Phenomenon", Thrombosis Research, vol. 75, No. 4, pp. 395-400, (1994).
Shen et al., "Factor V and Protein S As Synergistic Cofactors To Activated Protein C In Degradation of Factor VIIIa", The Journal of Biological Chemistry, vol. 269, No. 29, pp. 18735-18738, (1994).
Varadi et al., "A Chromogenic Assay For Activated Protein C Resistance", British Journal of Haematology, vol. 90:884-891, (1995).

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