Whole blood clot lysis: enhanced by exposure to autologous but not to homologous plasma

Thromb Haemost. 1994 May;71(5):622-6.

Abstract

A new phenomenon is described: Whole blood clots lyse faster in the plasma of the same donor than in another donor's plasma. We have confirmed this finding in 68 healthy volunteers by a standardized, pair-wise analysis and have found a mean difference in clot weights of 8.8 +/- 0.99% (SEM, p < 0.0001) after 6 h of urokinase-induced (200 U/ml) clot lysis. No difference was found in a group of 7 pairs of identical twins. Further analysis revealed that increasing concentrations of platelets in the plasma reduced the difference significantly but did not abolish it. A 1:1 mixture of autologous with homologous plasma reduced the autologous advantage by almost 50%, thus making an inhibitor unlikely. The absence of cellular components in clots of platelet-poor plasma resulted in the loss of the advantage after 2 h of lysis, but not in the early phase. We conclude that there is a clear advantage of autologous over homologous clot lysis. Potential mechanisms are discussed and include an increased affinity of enzymes for their substrates in a given individual.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Blood Donors*
  • Blood Transfusion, Autologous*
  • Evaluation Studies as Topic
  • Female
  • Fibrinolysis / physiology*
  • Humans
  • Male
  • Plasma / physiology*
  • Thrombosis / therapy*
  • Twins, Monozygotic