1. Blood coagulation changes in homocystinuria: effects of pyridoxine and other specific therapy
- Author
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Mario Poggi, Silvana Salardi, Gualtlero Palareti, Sandro Piazzi, Emanuele Cacciari, Cristina Legnani, Sergio Coccheri, Andrea Caniato, and Francesca Grauso
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Antithrombin III ,Transsulfuration ,Homocystinuria ,chemistry.chemical_compound ,Internal medicine ,medicine ,Humans ,Platelet activation ,Amino Acids ,Blood Coagulation ,Clotting factor ,Factor VII ,business.industry ,Factor X ,Antithrombin ,Pyridoxine ,medicine.disease ,Endocrinology ,Biochemistry ,chemistry ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,business ,circulatory and respiratory physiology ,medicine.drug ,Protein C - Abstract
The aim of this study was to investigate the blood coagulation changes in three patients with homocystinuria, in baseline condition and during therapy. At baseline, antithrombin III activity and factor VII levels were reduced in all three patients; antithrombin III protein and protein C antigen were also slightly lowered in one patient, and factor X in another. beta-Thromboglobulin, a measure of platelet activation, was increased in one case. During pyridoxine treatment, antithrombin III activity was rapidly restored to normal; factor VII increased and beta-thromboglobulin decreased. These data suggest that, in addition to platelet activation, abnormalities of blood clotting, and particularly reduction of antithrombin III, may play a role in the thrombotic tendency associated with homocystinuria. The nature of these clotting alterations is still uncertain, but their improvement during active metabolic treatment suggests that the defect in amino acid transsulfuration of homocystinuria may directly affect synthesis or activity of some liver-dependent clotting factors.
- Published
- 1986