血液透析患者体内肝素-血小板因子4抗体的检测及其临床意义
被引量:2
摘要
目的检测89例维持血液透析的患者体内IgG型抗肝素-血小板因子4(H-PF4)抗体发生率,并探讨该抗体的作用。方法取血液透析患者透析前的血清,应用酶联免疫吸附法检测IgG型抗H-PF4抗体。结果8例(8.9%)患者IgG型抗H-PF4抗体阳性,其中3例发生血栓性并发症,抗体阳性组中动静脉血栓性并发症的发生率明显高于抗体阴性组(3/8vs8/81,P<0.05)。结论IgG型抗H-PF4抗体可能是血液透析患者发生血栓性并发症的危险因素。
出处
《广东医学》
CAS
CSCD
北大核心
2009年第6期917-919,共3页
Guangdong Medical Journal
参考文献11
-
1WARKENTIN T E,CHONG B H,GREINACHER A.Heparin-induced thrombocytopenia:toward consensus[J].Thromb Haemost,1998,79:1-7.
-
2PENA DE LA VEGA L,MILLER R S,BENDA M M,et al.Association of heparin-dependent antibodies and adverse outcomes in hemodialysis patients:a population-based study[J].Mayo Clin Proc,2005,80(8):995-1 000.
-
3雷迁,陈雷.肝素/血小板因子4抗体与肝素诱导的血小板减少症[J].中国实验血液学杂志,2008,16(2):457-460. 被引量:19
-
4SUVARNA S,RAUOVA L,MCCRACKEN E K,et al.PF4/heparin complexes are T cell-dependent antigens[J].Blood,2005,106:929-931.
-
5CHONG B H.Heparin-induced thrombocytopenia[J].J Thromb Haemost,2003,1:1471-1478.
-
6FRANCHINI M,VENERI D.Heparin-induced thrombocytopenia[J].Recenti Prog Med,2005,96(9):433-435.
-
7WARKENTIN T E.Heparin-induced thrombocytopenia:pathogenesis and management[J].Br J Haematol,2003,121:535-555.
-
8WARKENTIN T E,GREINACHER A.Heparin-induced thrombocytopenia:recognition,treatment,and prevention:the seventh ACCP conference on antithrombotic and thrombolytic therapy[J].Chest,2004,126:311S-337S.
-
9ZWICKER J I,UHL L,HUANG W Y,et al.Thrombosis and ELISA optical density values in hospitalized patients with heparin-induced thrombocytopenia[J].J Thromb Haemost,2004,2(12):2 133-2 137.
-
10JACOBSON S H,EGBERG N,HYLANDER B,et al.Correlation between soluble markers of endothelial dysfunction in patients with renal failure[J].Am J Nephrol,2002,22(1):42-47.
二级参考文献18
-
1Vun CM, Evans S, Chesterman CN. Anti-PF4-heparin immunoglobulin G is the major class of heparin-induced thrombocytopenia antibody: findings of an enzyme-linked immunofiltration assay using membrane-bound hPF4-heparin. Br J Haematol, 2001 ; 112 : 69 - 75
-
2Poncz M, Mechanistic basis of heparin-induced thrombocytopenia. Semin Thorac Cardiovasc Surg, 2005 ; 17:73 - 79
-
3Warkentin TE, Heparin-induced thrombocytopenia: pathogenesis and management, Br J Haematol, 2003 ; 121:535 - 555
-
4Francis JL. Detection and significance of heparin-platelet factor 4 antibodies, Semin Hematol, 2005 ;42 :S9 - S14
-
5Suvarna S, Rauova L, McCracken EK, et al. PF4/heparin complexes are T cell-dependent antigens. Blood, 2005 ; 106:929 - 931
-
6Amiral J, Marfaing-Koka A, Wolf M, et al. Presence of autoantibodies to interleukin-8 or neutrophil-acfivating peptide-2 in patients with heparin-associated thrombocytopenia. Blood, 1996; 88:410 - 416
-
7Newman PM, Chong BH. Heparin-induced thrombocytopenia: new evidence for the dynamic binding of purified anti-PF4-heparin antibodies to platelets and the resultant platelet activation. Blood, 2000 ;96 : 182 - 187
-
8Sub JS, Aster RH, Visentin GP. Antibodies from patients with heparin-induced thrombocytopenia/thrombosis recognize different epitopes on heparin : platelet factor 4. Blood, 1998 ;91:916 - 922
-
9Pouplard C, May MA, Regina S, et al. Changes in platelet count after cardiac surgery can effectively predict the development of pathogenic heparin-dependent antibodies. Br J Haematol, 2005; 128:837 -841
-
10Rauova L, Poncz M, McKenzie SE, et al.Ultralarge complexes of PF4 and heparin are central to the pathogenesis of heparin-induced thrombocytopenia. Blood, 2005 ; 105 : 131 - 138
共引文献18
-
1曹磊,谭颖,吕继成,喻陆,赵明辉.肝素诱导的血小板减少症[J].中国血液净化,2009,8(3):163-166. 被引量:16
-
2熊维建,钟锦.低分子肝素诱发Ⅱ型血小板减少症1例[J].中国中西医结合肾病杂志,2009,10(10):936-936. 被引量:1
-
3刘新宇,李宓,苏明,周文英.维持性血液透析患者肝素-血小板因子4抗体的相关研究[J].中华临床医师杂志(电子版),2011,5(1):111-115. 被引量:1
-
4智慧.肝素诱导血小板减少症1例[J].临床合理用药杂志,2011,4(17):55-55. 被引量:1
-
5何承.低分子肝素治疗102例肺栓塞发生血小板减少8例报道并文献复习[J].临床肺科杂志,2012,17(5):899-899. 被引量:4
-
6王京华,王春颖,陈曦,关悦,张延清,薛艳明,王龙艳.肝素诱导的血小板减少症及肝素/血板因子4抗体与低分子肝素交叉反应的初步研究[J].中华血液学杂志,2012,33(7):584-586. 被引量:1
-
7王雪云,贾丹.低分子肝素诱导的血小板减少一例并文献复习[J].实用药物与临床,2012,15(10):663-665. 被引量:14
-
8陈霞,谭兵.低分子肝素致不良反应69例文献分析[J].中国药房,2013,24(20):1898-1900. 被引量:15
-
9郭伟,杜昕.突破传统局限性优化深静脉血栓形成的抗凝治疗[J].中华外科杂志,2014,52(3):161-164. 被引量:2
-
10王明,陈建明.阿加曲班与低分子肝素钙治疗急性脑梗死的疗效研究[J].临床神经病学杂志,2014,27(4):320-320. 被引量:14
同被引文献20
-
1陈平,杨秀川.糖尿病肾病中血小板功能异常和内皮损伤的研究[J].肾脏病与透析肾移植杂志,1995,4(2):112-116. 被引量:12
-
2冯光兴.复合血小板因子4替代鱼精蛋白中和肝素的研究现状[J].国外医学(心血管疾病分册),1996,23(4):220-222. 被引量:1
-
3Kibbe MR,Rhee RY.Heparin-induced thrombocytopenia:pathophysiology.Semin Vasc Surg,1996,9(4):284-291.
-
4Menajovsky LB.Heparin-induced thrombocytopenia:clinical manifestations and management strategies.Am J Med,2005,118 Suppl 8A:21S30S.
-
5Arnold DM,Kelton JG.Heparin-induced thrombocytopenia:an iceberg rising.Mayo Clin Proc,2005,80(8):988-990.
-
6Carrier M,Knoll GA,Kovacs MJ,et al.The prevalence of antibodies to the platelet factor 4-heparin complex and association with access thrombosis in patients on chronic hemodialysis.Thromb Res,2007,120(2):215-220.
-
7Rauova L,Poncz M,McKenzie SE,et al.Ultralarge complexes of PF4 and heparin are central to the pathogenesis of heparin-induced thrombocytopenia.Blood,2005,105(1):131-138.
-
8Blank M,Shoenfeld Y,Tavor S,et al.Anti-platelet factor 4 /heparin antibodies from patients with heparin-induced thrombocytopenia provoke direct activation of microvascular endothelial cells.Int Immunol,2002,14(2):121-129.
-
9Arepally GM,Mayer IM.Antibodies from patients with heparin-induced thrombocytopenia stimulate monocytic cells to express tissue factor and secrete interleukin-8.Blood,2001,98(4):1252-1254.
-
10Lee EY,Hwang KY,Yang JO,et al.Anti-heparin-platelet factor 4 antibody is a risk factor for vascular access obstruction in patients undergoing hemodialysis.J Korean Med Sci,2003,18(1):69-72.
二级引证文献2
-
1刘子毓,汤晓静,叶朝阳,郁胜强.肝素/血小板因子4抗体在维持性血液透析患者中的临床意义[J].第二军医大学学报,2020,41(8):907-912. 被引量:1
-
2金秀芳,牛立盼,郭浩强,朱兵兵,刘凤霞.伊木萨克通过调节人血清PF4和CXCL7水平改善勃起功能障碍[J].系统医学,2021,6(17):19-22. 被引量:1
-
1刘新宇,李宓,苏明,周文英.维持性血液透析患者肝素-血小板因子4抗体的相关研究[J].中华临床医师杂志(电子版),2011,5(1):111-115. 被引量:1
-
2刘新宇(综述),李宓(审校).血液透析中肝素/血小板因子4复合物抗体的研究状况[J].国际泌尿系统杂志,2009,29(4):565-568. 被引量:1
-
3张红梅,陈雍华.骨科术后深静脉血栓形成的预防及护理进展[J].中国伤残医学,2012,20(2):79-80. 被引量:3
-
4齐莉,张娟,等.股骨颈骨折术后患者血栓性并发症的原因分析及护理[J].中华医学写作杂志,2002,9(23):2045-2046.
-
5雷迁,陈雷.肝素/血小板因子4抗体与肝素诱导的血小板减少症[J].中国实验血液学杂志,2008,16(2):457-460. 被引量:19
-
6黄文瑶,白中华.用自动血凝分析仪测定PF4活性[J].医学检验杂志,1991,6(1):14-17.
-
7崔丽君,杨苓,魏雪梅.冠状动脉介入术后并发症的原因分析与护理[J].当代护士(中旬刊),2005,12(11):14-16. 被引量:1
-
8刘文岩,吴秀媛.人工关节置换患者血栓性并发症危险因素的分析和护理体会[J].齐鲁护理杂志,2002,8(6):414-414. 被引量:2
-
9高亚玥,赵永强,王书杰.酶联免疫吸附法检测抗肝素/血小板因子4复合物抗体的临床意义[J].中日友好医院学报,2011,25(6):331-333. 被引量:3
-
10宋俊玲,杨岚,曹云新,田琼.流式细胞术在血小板因子4保护环磷酰胺损伤小鼠骨髓中的应用价值[J].武警医学,2002,13(5):259-261. 被引量:4