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Journals / Akademik Gastroenteroloji Dergisi / 2026 / Cilt: 9 Sayı: 2

Protein C pathway and antithrombin in thrombosis-related gastrointestinal disorders

Trombozla ilişkili gastrointestinal hastalıklarda protein C yolağı ve antitrombin

Hüseyin Alkım
Selime Ayaz
Canan Alkım
Nurgül Şaşmaz
Pages
48–54
Publication Date
2010-08-01
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Results: Protein C deficiency in the cirrhosis, malignancy and secondary portal vein thrombosis groups was significantly higher than in the other groups (p

📌 3 Key Takeaways

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Objective & Hypothesis:Background and Aims: We aimed to determine the frequency of activated protein C resistance and deficiencies of protein C, protein S and antithrombin in different gastrointestinal diseases (portal vein thrombosis, Budd-Chiari syndrome, liver cirrhosis, inflammatory bowel disease and gastrointestinal malignancies), which related with thrombosis etiologically and/or pathogenetically.
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Key Findings & Data:Materials and Methods: Protein C, protein S and antithrombin activities were measured by functional methods.
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Conclusion & Impact:Results: Protein C deficiency in the cirrhosis, malignancy and secondary portal vein thrombosis groups was significantly higher than in the other groups (p
🔬Design:Makale
📍Scope:Comprehensive Sample
⚙️Variables:Tromboz · protein C · protein S

Abstract

Background and Aims: We aimed to determine the frequency of activated protein C resistance and deficiencies of protein C, protein S and antithrombin in different gastrointestinal diseases (portal vein thrombosis, Budd-Chiari syndrome, liver cirrhosis, inflammatory bowel disease and gastrointestinal malignancies), which related with thrombosis etiologically and/or pathogenetically. Materials and Methods: Protein C, protein S and antithrombin activities were measured by functional methods. Activated protein C resistance was detected by the modified method using factor V-deficient plasma. Results: Protein C deficiency in the cirrhosis, malignancy and secondary portal vein thrombosis groups was significantly higher than in the other groups (p

Özet

Giriş ve Amaç: Etyolojisinde tromboz olan ve/veya doğal seyrinde trombotik komplikasyonlarla sık karşılaşılan gastrointestinal hastalıklarda (portal ven trombozu, Budd-Chiari sendromu, karaciğer sirozu, inflamatuar barsak hastalığı ve gastrointestinal malignite) aktive protein C direnci sıklığı ile protein C, protein S ve antitrombin eksikliklerini araştırmak üzere bu prospektif çalışma planlandı. Gereç ve Yöntem: Hastalardan fonksiyonel yöntemlerle protein C, protein S, antitrombin aktiviteleri ve koagülasyon faktörü V’den yoksun test plazması kullanılarak modifiye yöntemle aktive protein C direnci araştırıldı. Bulgular: Protein C eksikliği siroz, malign ve sekonder portal ven trombozu gruplarında diğer gruplardan daha sıktı (p < 0.05). Primer portal ven trombozu ve Budd-Chiari sendromundaki protein C eksikliği ise kontrolden daha fazlaydı (p < 0.05). Protein S eksikliği Budd-Chiari sendromunda diğer tüm gruplardan istatistiksel önemde fazlaydı. ‹nflamatuar barsak hastalığı, malign ve her iki portal ven trombozu grubunda protein S eksikliği oranı siroz ve kontrolden yüksekdi (p < 0.05). Antitrombin eksikliği sirozda diğer tüm gruplardan daha fazlaydı. Aktive protein C direnci varlığı oranı tüm hasta gruplarında kontrolden istatistiksel önemde fazlalık gösteriyordu (p < 0.05). Budd-Chiari sendromunda aktive protein C direnci bulunma oranı ise diğer tüm gruplardan fazlaydı (p < 0.05). Ayrıca sirozlu ve maligniteli hastalarda tromboz varlığıyla aktive protein C direnci bulunması korelasyon gösteriyordu (p < 0.05). Trombofilik faktörlerden iki veya daha fazlasının birarada bulunması tromboz riskinde belirgin artışa neden olmaktaydı. Sonuç: Protein C, protein S ve antitrombin eksikliklerinin ve özellikle aktive protein C direnci varlığının; Budd-Chiari sendromu ve portal ven trombozu etyolojisinde rol oynayabileceği, sirozlu, inflamatuar barsak hastalıklı ve maligniteli hastalarda tromboz gelişme riskini arttırdığı saptandı.

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Cite This Article

Alkım, H., Ayaz, S., Alkım, C., Şaşmaz, N. (2010). Protein C pathway and antithrombin in thrombosis-related gastrointestinal disorders. Akademik Gastroenteroloji Dergisi, Cilt: 9 Sayı: 2, 48–54. https://ajindex.com/articles/1187572

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