Thromb Haemost 1965; 13(02): 550-560
DOI: 10.1055/s-0038-1656300
Originalarbeiten — Original Articles — Travaux Originaux
Schattauer GmbH

Heparin, Protamine and Polybrene

Their Effect upon Certain Coagulation Factors after Incubation with Plasma
Anthony Britten M. B., B. Ch.
1   Blood Bank and Transfusion Service, Massachusetts General Hospital, Boston, Mass., U.S.A.
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
24. Juli 2018 (online)

Summary

The effects of incubating heparin, protamine or Polybrene with plasma were studied. All three drugs cause rapid loss of factor V from decalcified plasma, while Polybrene also accelerates the loss of factor VIII activity. These changes are related to temperature, the period of incubation and the dose of the drug used, and can be partially prevented by inclusion of neutralizing doses of the appropriate antagonist in the incubation mixture.

The implications of these findings are discussed.

 
  • References

  • 1 Brambel C. E, Corwin A. H, Capone V. A. Mechansim of action of heparin as an etiological basis for homeostasis (hemorrhage and thrombosis). Amer. J. med. Sci. 230: 276 1955;
  • 2 Britten A. Heparin, protamine and Polybrene. I Their effect upon one-stage coagulation tests. (To be published.)
  • 3 Britten A, Salzman E. W. Heparin and the coagulation defect in open-heart surgery. Proc. Int. Soc. Blood Trans. 1964 (To be published)
  • 4 Britten A, Salzman E. W, Grove-Rasmussen M, Shaw R. S. The use of ACD bank blood and fresh heparinized blood in open-heart surgery. Transfusion 3: 368 1963;
  • 5 Douglas A. S. The action of heparin in the prevention of prothrombin conversion. J. clin. Invest. 55: 533 1956;
  • 6 Holemans R, Vermylen C, Ver straete M. Disappearance of factor V activity after incubation of plasma with heparin and heparinoids. Thrombos. Diathes. haemorrh. (Stuttg.) 4: 303 1960;
  • 7 Nilsson I. M, Sivedberg J. Coagulation studies in cardiac surgery with extracorporeal circulation using a bubble-oxygenator. Acta chir. scand 117: 47 1959;
  • 8 Perkins A. H, Harkins G, Gerbode F, Rolfs M. R, Acra D. J. Comparison of effects of protamine and Polybrene, with special emphasis on the factor VIII (antihemophilic globulin) deficiency induced. J. clin. Invest. 40: 1421 1961;
  • 9 Perkins H. A, Rolfs M. R. Interaction of factor VIII (antihemophilic globulin) with hexadimethrine bromide (Polybrene). Proc. Soc. exp. Biol. (N. Y.) 113: 995 1963;
  • 10 Perkins H. A, Rolfs M. R, Torg B. Assay of blood coagulation factors in heparinized blood. Thrombos. Diathes. haemorrh. (Stuttg.) 9: 254 1964;
  • 11 Phillips L. L, Malm J. R, Deterling R. A. Coagulation defects following extracorporeal circulation. Ann. Surg. 157: 317 1963;
  • 12 Soulier J. P, Prou-Wartelle O. New data on Hageman factor and plasma thromboplastin antecedent: The role of contact in the initial phase of blood coagulation. Brit. J. Haemat. 6: 88 1960;