ESANSIYEL TROMBOSITEMIDE PLAZMINOJEN AKTIVATÖR İNHIBITÖR-1 PAI-1 , ÜROKINAZ PLAZMINOJEN AKTIVATÖR UPA

Yıl 2015, Cilt: 19 Sayı: 4, 186 - 193, 01.12.2015

Ferda Bilgir Mehmet Calan Giray Bozkaya Oktay Bilgir

Öz

Giriş: Tromboembolik ataklar esansiyel trombositemi ET hastalarında sık görülmekte olup tromboembolizmin nedenleri JAK 2 gibi genetik faktörlere ek olarak birçok edinsel nedeni de kapsar. Bu çalışma tromboembolik ataklarda PAI-1, uPA, TM, TFPI, ve vWF von Willebrant Faktör gibi koagülasyon parametrelerinin düzeylerini değerlendirmeyi amaçlamaktadır. Materyal ve Metod: Çalışma grubunu ortalama yaşı 59.5±9.9 30 esansiyel trombositemi hastası ile ortalama yaşı 56.2±6.1 olan 30 sağlıklı kontrol oluşturmaktadır. Plazma PAI, uPA, TM, TFPI, and vWF düzeyleri üreticininin talimatları doğrultusundaki ELISA yöntemi ile belirlenmiştir. Bulgular: Hasta ve kontrol grubu arasında PAI-1, uPA, TM, ve TFPI düzeyleri bakımnıdan anlamlı bir farklılık mevcuttu p0.05 . Sonuç: Yüksek PAI-1, uPA, TM ve TFPI düzeyleri bazı koagülasyon parametrelerinin aktive olduğunu gösterir ve biz inanıyoruz ki bu durum genetik faktörlerden bağımsız olarak tromboembolik ataklara yol açabilir

THE LEVELS OF PLASMINOGEN ACTIVATOR INHIBITOR-1 PAI-1 , UROKINASE PLASMINOGEN ACTIVATOR UPA , THROMBOMODULIN TM AND TISSUE FACTOR PATHWAY INHIBITOR TFPI IN ESSENTIAL THROMBOCYTHEMIA

Öz

Introduction: Thromboembolic attacks are frequent in essential thrombocythemia ET patients, and the causes of thromboembolism include many acquired causes in addition to some genetic factors like JAK 2. This study is intended to evaluate the levels of some coagulation parameters such as PAI-1, uPA, TM, TFPI, and vWF von Willebrant Factor in thromboembolic attacks. Materials and Methods: The study group consisted of 30 essential thrombocythemia patients with a mean age of 59.5±9.9 and 30 healthy controls with a mean age of 56.2±6.1. Plasma PAI, uPA, TM, TFPI, and vWF levels were determined by ELISA method according to manufacturer’s instructions. Results: There was a significant difference in PAI-1, uPA, TM, and TFPI levels between the patient and control groups p0.05 . Conclusions: High levels of PAI-1, uPA, TM and TFPI indicate that some coagulation parameters are activated, and we believe that this may cause thromboembolic attacks regardless of genetic factors

Anahtar Kelimeler

essential thrombocythemia, plasminogen activator inhibitor-1, urokinase plasminogen activator, thrombomodulin, tissue factor pathway inhibitor

Kaynakça

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