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Plasma thrombomodulin in health and diseases
S Takano, S Kimura, S Ohdama and N Aoki
First Department of Internal Medicine, Tokyo Medical and Dental University,
Japan.
Sodium dodecyl sulfate-polyacrylamide gel electrophoresis followed by
immunoblot analysis of plasma thrombomodulin concentrate revealed that four
degraded forms of thrombomodulin with different molecular weights are
present in plasma. Plasma concentrations of thrombomodulin in patients with
various diseases were measured by two methods of enzyme- linked
immunosorbent assay using monoclonal antibodies. One method measures intact
thrombomodulin and degraded forms of thrombomodulin; the other does not
detect the two smaller degraded forms of thrombomodulin present in plasma.
The results indicated that thrombomodulin was increased in the circulating
blood of patients with disseminated intravascular coagulation syndrome,
pulmonary thromboembolism, adult respiratory distress syndrome, chronic
renal failure, or acute hepatic failure. The different values obtained by
the two methods indicate that the increase of plasma thrombomodulin found
in these patients was mainly due to an increase of the smaller fragments of
degraded forms, suggesting that the release of thrombomodulin from
endothelial cells was accelerated in various disease states by proteolytic
activity generated on the surface of the endothelium and may be removed
from the circulation mostly by the kidneys and liver.
Volume 76,
Issue 10,
pp. 2024-2029,
11/15/1990
Copyright © 1990 by The American Society of Hematology

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