Abstract | INTRODUCTION: MATERIALS AND METHODS: RESULTS: In DIC patients, higher levels of soluble fibrin, PAI-1, and FDP and markedly lower levels of antithrombin and protein C were observed in comparison to those in non- DIC patients. DIC patients showed a significantly higher level of peak Elastase-XDP than non- DIC patients (25.7+/-5.9 vs. 16.3+/-2.6 microg/mL, respectively; p=0.0333). However, we could not find any substantial difference in the levels of Elastase-XDP, UTI, and D-dimer on each day during the study period between the two groups. Good correlations were observed between the levels of D-dimer and Elastase-XDP in both patients with and without DIC (r(s)=0.699 and r(s)=0.817, respectively), but the coefficients of determination in both groups showed low values and the slopes of the regression lines were less than 1.0. A multivariate logistic regression analysis showed the elevated peak Elastase-XDP levels to inversely correlate with death. On the other hand, the DIC patients showed a higher number of organ dysfunctions and a poorer prognosis than did the non- DIC patients. CONCLUSIONS: The activation of the neutrophil elastase-mediated fibrinolytic pathway may be insufficient to overcome the fibrinolytic shutdown by PAI-1 and may in part explain the poor prognosis of DIC patients associated with systemic inflammation.
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Authors | Satoshi Gando, Mineji Hayakawa, Atsushi Sawamura, Hirokatsu Hoshino, Akiko Oshiro, Nobuhiko Kubota, Subrina Jesmin |
Journal | Thrombosis research
(Thromb Res)
Vol. 121
Issue 1
Pg. 67-73
( 2007)
ISSN: 0049-3848 [Print] United States |
PMID | 17397908
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Plasminogen Activator Inhibitor 1
- SERPINE1 protein, human
- Leukocyte Elastase
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Topics |
- Adult
- Disseminated Intravascular Coagulation
(blood, pathology)
- Female
- Fibrinolysis
- Humans
- Leukocyte Elastase
(metabolism)
- Male
- Middle Aged
- Plasminogen Activator Inhibitor 1
(physiology)
- Prospective Studies
- Sepsis
(blood, pathology)
- Systemic Inflammatory Response Syndrome
(blood)
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