Hypercoagulability resulting from opposite effects of lupus anticoagulants is associated strongly with thrombotic risk

Haematologica. 2007 May;92(5):714-5. doi: 10.3324/haematol.10577.

Abstract

Interference of antiphospholipid antibodies (aPL) with coagulation was investigated in 40 aPL-patients (24 with thrombosis) using thrombography. Impairment of the activated protein C anticoagulant pathway was partially offset by the genuine anticoagulant effect. The net result, a procoagulant phenotype, was associated with a 7-fold increased risk of thrombosis in aPL-patients.

Publication types

  • Letter

MeSH terms

  • Activated Protein C Resistance / blood
  • Activated Protein C Resistance / immunology
  • Adult
  • Aged
  • Antibodies, Antiphospholipid / immunology
  • Antiphospholipid Syndrome / blood*
  • Antiphospholipid Syndrome / complications
  • Antiphospholipid Syndrome / immunology
  • Female
  • Humans
  • Inhibitory Concentration 50
  • Lupus Coagulation Inhibitor / immunology*
  • Male
  • Middle Aged
  • Risk
  • Thrombophilia / blood*
  • Thrombophilia / etiology
  • Thrombophilia / immunology
  • Thrombosis / epidemiology*

Substances

  • Antibodies, Antiphospholipid
  • Lupus Coagulation Inhibitor