Protease: Serpin complexes to assess contact system and intrinsic pathway activation

Abstract Mounting evidence suggests that a variety of disease states are pathophysiologically related to activation of the contact system in vivo. The plasma contact system is composed of a cascade of serine proteases initiated by surface activation of factor XII, which can then proceed through a pr...

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Main Authors: Michael W. Henderson, Denis F. Noubouossie, Anton Ilich, Kathy J. Wilson, Rafal Pawlinski, Dougald M. Monroe, Nigel S. Key
Format: Article
Language:English
Published: Elsevier 2020-07-01
Series:Research and Practice in Thrombosis and Haemostasis
Subjects:
Online Access:https://doi.org/10.1002/rth2.12389
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author Michael W. Henderson
Denis F. Noubouossie
Anton Ilich
Kathy J. Wilson
Rafal Pawlinski
Dougald M. Monroe
Nigel S. Key
author_facet Michael W. Henderson
Denis F. Noubouossie
Anton Ilich
Kathy J. Wilson
Rafal Pawlinski
Dougald M. Monroe
Nigel S. Key
author_sort Michael W. Henderson
collection DOAJ
description Abstract Mounting evidence suggests that a variety of disease states are pathophysiologically related to activation of the contact system in vivo. The plasma contact system is composed of a cascade of serine proteases initiated by surface activation of factor XII, which can then proceed through a procoagulant pathway by activating the intrinsic coagulation factor XI, or a proinflammatory pathway by activating prekallikrein. Serpins are the primary endogenous inhibitors of the contact system, which irreversibly inhibit their respective protease(s), forming a stable complex. We modified an existing assay strategy for detecting these complexes in plasma using ELISAs and determined the effect of preanalytical variation caused by anticoagulant selection and processing time. The assays were sensitive and specific to inherited deficiency of individual contact factors. We conclude that these assays are robust and represent a relatively simple approach to the assessment of contact factor activation in plasma samples.
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spelling doaj.art-ef9e3503ced04bb0a1cc394be1c50aa82023-08-02T01:35:42ZengElsevierResearch and Practice in Thrombosis and Haemostasis2475-03792020-07-014578979810.1002/rth2.12389Protease: Serpin complexes to assess contact system and intrinsic pathway activationMichael W. Henderson0Denis F. Noubouossie1Anton Ilich2Kathy J. Wilson3Rafal Pawlinski4Dougald M. Monroe5Nigel S. Key6Department of Pathology and Laboratory Medicine University of North Carolina at Chapel Hill Chapel Hill NC USAUNC Blood Research Center University of North Carolina at Chapel Hill Chapel Hill NC USAUNC Blood Research Center University of North Carolina at Chapel Hill Chapel Hill NC USAUNC Blood Research Center University of North Carolina at Chapel Hill Chapel Hill NC USAUNC Blood Research Center University of North Carolina at Chapel Hill Chapel Hill NC USAUNC Blood Research Center University of North Carolina at Chapel Hill Chapel Hill NC USADepartment of Pathology and Laboratory Medicine University of North Carolina at Chapel Hill Chapel Hill NC USAAbstract Mounting evidence suggests that a variety of disease states are pathophysiologically related to activation of the contact system in vivo. The plasma contact system is composed of a cascade of serine proteases initiated by surface activation of factor XII, which can then proceed through a procoagulant pathway by activating the intrinsic coagulation factor XI, or a proinflammatory pathway by activating prekallikrein. Serpins are the primary endogenous inhibitors of the contact system, which irreversibly inhibit their respective protease(s), forming a stable complex. We modified an existing assay strategy for detecting these complexes in plasma using ELISAs and determined the effect of preanalytical variation caused by anticoagulant selection and processing time. The assays were sensitive and specific to inherited deficiency of individual contact factors. We conclude that these assays are robust and represent a relatively simple approach to the assessment of contact factor activation in plasma samples.https://doi.org/10.1002/rth2.12389anticoagulantenzymefactor XIfactor XIIkallikreinserpin
spellingShingle Michael W. Henderson
Denis F. Noubouossie
Anton Ilich
Kathy J. Wilson
Rafal Pawlinski
Dougald M. Monroe
Nigel S. Key
Protease: Serpin complexes to assess contact system and intrinsic pathway activation
Research and Practice in Thrombosis and Haemostasis
anticoagulant
enzyme
factor XI
factor XII
kallikrein
serpin
title Protease: Serpin complexes to assess contact system and intrinsic pathway activation
title_full Protease: Serpin complexes to assess contact system and intrinsic pathway activation
title_fullStr Protease: Serpin complexes to assess contact system and intrinsic pathway activation
title_full_unstemmed Protease: Serpin complexes to assess contact system and intrinsic pathway activation
title_short Protease: Serpin complexes to assess contact system and intrinsic pathway activation
title_sort protease serpin complexes to assess contact system and intrinsic pathway activation
topic anticoagulant
enzyme
factor XI
factor XII
kallikrein
serpin
url https://doi.org/10.1002/rth2.12389
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