Plasma fibrin clot properties as determinants of bleeding time in human subjects : association with histidine-rich glycoprotein

2020
journal article
article
15
cris.lastimport.wos2024-04-10T02:45:11Z
dc.abstract.enAims. Fibrin formation and histidine-rich glycoprotein (HRG) are involved in primary hemostasis and wound healing. Little is known regarding the relationship of clot characteristics, bleeding time, and wound healing. Methods and Results. We studied 154 patients with coronary artery disease (CAD) and 154 subjects free of CAD matched for age, obesity, and current smoking. We evaluated bleeding time (BT) using standardized skin incisions on a forearm, along with plasma clot permeability (s), clot lysis time (CLT), and histidine-rich glycoprotein (HRG). Compared with controls, BT was 45% shorter in CAD cases. CAD patients had 32% lower s and 17% longer CLT as well as 50% lower HRG compared with controls (all ). After adjusting for potential confounders, s and HRG levels were independent predictors of prolonged BT in CAD patients (OR 23.70, 95% CI 4.65-120.8 and OR 10.27, 95% CI 2.05-51.31, respectively) and controls (OR 10.89, 95% CI 2.31-51.11 and OR 4.54, 95% CI 1.07-19.27, respectively). Scar formation (, 25.6%) was independently predicted by both short and prolonged BT in CAD cases (OR 21.87, 95% CI 7.41-64.55 and OR 10.17, 95% CI 2.88-35.97) and controls (OR 5.94, 95% CI 2.29-15.41 and OR 14.76, 95% CI 4.29-50.77, respectively). Conclusions. The study shows that plasma fibrin clot density and HRG may influence BT and that appropriate skin wound healing is associated with medium BT. Translational Perspective. Elucidation of the complex relationships between plasma fibrin clot phenotype and wound healing might have important practical implications.pl
dc.affiliationWydział Lekarski : II Katedra Chorób Wewnętrznych im. Profesora Andrzeja Szczeklikapl
dc.affiliationWydział Lekarski : Instytut Kardiologiipl
dc.affiliationWydział Lekarski : Klinika Intensywnej Terapii Interdyscyplinarnejpl
dc.cm.date2020-12-02
dc.cm.id98794
dc.contributor.authorSzułdrzyński, Konstanty - 148084 pl
dc.contributor.authorJankowski, Miłosz - 129840 pl
dc.contributor.authorPotaczek, Daniel Piotrpl
dc.contributor.authorUndas, Anetta - 133708 pl
dc.date.accession2020-07-15pl
dc.date.accessioned2020-12-02T10:25:35Zpl
dc.date.available2020-12-02T10:25:35Zpl
dc.date.issued2020pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.points70pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume2020pl
dc.identifier.articleid7190828pl
dc.identifier.doi10.1155/2020/7190828pl
dc.identifier.eissn1875-8630pl
dc.identifier.issn0278-0240pl
dc.identifier.projectROD UJ / OPpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/257334
dc.identifier.weblinkhttps://www.hindawi.com/journals/dm/2020/7190828/pl
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa*
dc.rights.licenceCC-BY
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/legalcode.pl*
dc.share.typeinne
dc.source.integratorfalse
dc.subtypeArticlepl
dc.titlePlasma fibrin clot properties as determinants of bleeding time in human subjects : association with histidine-rich glycoproteinpl
dc.title.journalDisease Markerspl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-10T02:45:11Z
dc.abstract.enpl
Aims. Fibrin formation and histidine-rich glycoprotein (HRG) are involved in primary hemostasis and wound healing. Little is known regarding the relationship of clot characteristics, bleeding time, and wound healing. Methods and Results. We studied 154 patients with coronary artery disease (CAD) and 154 subjects free of CAD matched for age, obesity, and current smoking. We evaluated bleeding time (BT) using standardized skin incisions on a forearm, along with plasma clot permeability (s), clot lysis time (CLT), and histidine-rich glycoprotein (HRG). Compared with controls, BT was 45% shorter in CAD cases. CAD patients had 32% lower s and 17% longer CLT as well as 50% lower HRG compared with controls (all ). After adjusting for potential confounders, s and HRG levels were independent predictors of prolonged BT in CAD patients (OR 23.70, 95% CI 4.65-120.8 and OR 10.27, 95% CI 2.05-51.31, respectively) and controls (OR 10.89, 95% CI 2.31-51.11 and OR 4.54, 95% CI 1.07-19.27, respectively). Scar formation (, 25.6%) was independently predicted by both short and prolonged BT in CAD cases (OR 21.87, 95% CI 7.41-64.55 and OR 10.17, 95% CI 2.88-35.97) and controls (OR 5.94, 95% CI 2.29-15.41 and OR 14.76, 95% CI 4.29-50.77, respectively). Conclusions. The study shows that plasma fibrin clot density and HRG may influence BT and that appropriate skin wound healing is associated with medium BT. Translational Perspective. Elucidation of the complex relationships between plasma fibrin clot phenotype and wound healing might have important practical implications.
dc.affiliationpl
Wydział Lekarski : II Katedra Chorób Wewnętrznych im. Profesora Andrzeja Szczeklika
dc.affiliationpl
Wydział Lekarski : Instytut Kardiologii
dc.affiliationpl
Wydział Lekarski : Klinika Intensywnej Terapii Interdyscyplinarnej
dc.cm.date
2020-12-02
dc.cm.id
98794
dc.contributor.authorpl
Szułdrzyński, Konstanty - 148084
dc.contributor.authorpl
Jankowski, Miłosz - 129840
dc.contributor.authorpl
Potaczek, Daniel Piotr
dc.contributor.authorpl
Undas, Anetta - 133708
dc.date.accessionpl
2020-07-15
dc.date.accessionedpl
2020-12-02T10:25:35Z
dc.date.availablepl
2020-12-02T10:25:35Z
dc.date.issuedpl
2020
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.pointspl
70
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
2020
dc.identifier.articleidpl
7190828
dc.identifier.doipl
10.1155/2020/7190828
dc.identifier.eissnpl
1875-8630
dc.identifier.issnpl
0278-0240
dc.identifier.projectpl
ROD UJ / OP
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/257334
dc.identifier.weblinkpl
https://www.hindawi.com/journals/dm/2020/7190828/
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa 4.0 Międzynarodowa
dc.rights.licence
CC-BY
dc.rights.uri*
http://creativecommons.org/licenses/by/4.0/legalcode.pl
dc.share.type
inne
dc.source.integrator
false
dc.subtypepl
Article
dc.titlepl
Plasma fibrin clot properties as determinants of bleeding time in human subjects : association with histidine-rich glycoprotein
dc.title.journalpl
Disease Markers
dc.typepl
JournalArticle
dspace.entity.type
Publication
Affiliations

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