Measurement of Hematological, Clinical Chemistry, and Infection Parameters from Hirudinized Blood Collected in Universal Blood Sampling Tubes
| Autor: | Karl Melber, Natascha Brandt, Eckhard Thiel, Frank Müller, Hans D. Menssen, Rainer Leben |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Genes Wilms Tumor Critical Illness Hirudin Pharmacology Antibodies Viral Immunophenotyping Fibrinolytic Agents Internal medicine medicine Humans Serologic Tests Edetic Acid Blood coagulation test Clotting factor Prothrombin time Blood Specimen Collection Hematology medicine.diagnostic_test Chemistry DNA Neoplasm Venous blood Hirudins Blood Cell Count Blood Immunology Blood Coagulation Tests Cardiology and Cardiovascular Medicine Blood Chemical Analysis medicine.drug Blood sampling Partial thromboplastin time |
| Zdroj: | Seminars in Thrombosis and Hemostasis. 27:349-356 |
| ISSN: | 1098-9064 0094-6176 |
| DOI: | 10.1055/s-2001-16888 |
| Popis: | Hirudin, the anticoagulatory polypeptide of the leech Hirudo medicinalis, strongly inhibits thrombus formation by specifically interacting with thrombin. For diagnostic purposes, hirudin should be superior to other anticlotting compounds because it only minimally alters the mineral, protein, and cellular blood constituents. To test this hypothesis, hirudinized and routinely processed venous blood from 80 healthy volunteers and patients was subjected to a variety of automated blood tests. A strong correlation was found between the results of automated complete blood counts obtained from K(2)-ethylenediaminetetraacetic acid (EDTA) anticoagulated and hirudinized blood (1000 antithrombin units [ATU] hirudin/ml). In addition, clinical chemistry and serological infection parameters (asparlat amintransferase [ASAT], lactate dehydrogenase [LDH], sodium, and so on, and antibodies against hepatitis B and C and human immunodeficiency virus [HIV]1/2, respectively) correlated well when measured in serum as compared with hirudinized plasma. Contrary to single clotting factors, global coagulation parameters (activated partial thromboplastin time [aPTT], prothrombin time [PT]) could not be measured in hirudinized blood. Recombinant hirudin neither interfered with immunophenotyping of mononuclear cells using FACScan analysis, nor did it alter the detection of Wilms' tumor gene expression by RT-PCR technology even at high doses (5000 ATU hirudin). Thus, a hirudin-containing blood sampling tube can be designed as a universal blood sampling tube (UBT) for testing the majority of diagnostic blood parameters. |
| Databáze: | OpenAIRE |
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