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Blood, 15 April 2005, Vol. 105, No. 8, pp. 3162-3168. Prepublished online as a Blood First Edition Paper on January 4, 2005; DOI 10.1182/blood-2004-04-1621.
Submitted April 28, 2004
Division of Hematology and Cardeza Foundation for Hematologic Research, Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA * Corresponding author; email: weisel{at}cellbio.med.upenn.edu.
Fibrinogen Philadelphia, a hypodysfibrinogenemia described in a family with a history of bleeding 1, is characterized by prolonged thrombin time, abnormal fibrin polymerization and increased catabolism of the abnormal fibrinogen. Turbidity studies of polymerization of purified fibrinogen under different ionic conditions reveal a reduced lag period and lower final turbidity, indicating more rapid initial polymerization and impaired lateral aggregation. Consistent with this, scanning and transmission electron microscopy show fibers with substantially lower average fiber diameters. DNA sequence analysis of the fibrinogen genes A, B and G revealed a T
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