An assay system for protein C (PC) activity and PC-inhibitor in plasma was developed.
The assay was based on: (1) binding of PC to wells of a microtiter plate coated with
a murine monoclonal anti-PC antibody (C3) that did not interfere with the activity
or activation of PC; (2) activation of immobilized PC with Protac C; (3) incubation
with or without a source of activated PC inhibitor; and (4) measurement of amidolytic
activity using the substrate S-2366. The activity assay was specific for PC and sensitive
to <1 μl of plasma or 4 ng PC. Inhibition of activated PC by plasma followed pseudo
first order kinetics. Heparin caused a dose dependent increase in the inhibition rate
with half maximal stimulation at approximately 3 U/ml and maximal stimulation at heparin
concentrations ≥10 U/ml. This assay is suitable not only for determination of functional
plasma levels of PC and PC inhibitor activities but also for kinetic studies of inhibition
of activated PC in complex systems, such as plasma. Studies showed that urokinase
interfered with the inhibition of APC by plasma inhibitor(s).
Key words
Protein C - Protein C inhibitor - Functional protein C assay - Functional protein
C inhibitor assay