Description:
RoxFactorXIaisachromogenicassaykitbaseduponFXagenerationforquantitativeactivitydeterminationofFactorXIainenrichedorhighlypurifiedproteinpreparations.Notintendedforanalysisofplasma.
- DetectionLimit=about0.03mU/mL
- Nouseofhumanplasma
MeasurementPrinciple:
HumanFXIaisdeterminedfromitsactivationofhumanFactorIXandensuingactivationofhumanFactorX.GeneratedFactorXaisthenmeasuredwithachromogenicFXasubstrate.
TheactivationofFactorIXisperformedintwosteps:
- InitialactivationofFIXintheabsenceofphospholipids.
- ContinuedactivationofFIXinthepresenceofFXandphospholipids,therewithallowingconcomitantactivationofFX.
Typicaldose-responsecurves:
Background:
FactorXI(FXI)hasbeenidentifiedasariskfactorforbotharterialandvenousthromboembolism(Ref1-3).PlasmafractionationproceduresmaysometimesbeassociatedwithinadvertentactivationofhemostasiszymogenproteinssuchasFXIandFactorXIa(FXIa)canbeacontaminantinintermediateorfinalproductssuchasimmunoglobulins(IgG).ThromboemboliceventshavebeenreportedtooccurafterintravenousadmiNISTrationofIgGandensuingdetailedanalysesappearedtolinktheseeventstothepresenceofFXIaintheadministeredIgGbatches(4-7).RoutinetestssuchastheNAPTTmaynotbesufficientlysensitivetodetectrelevantlowlevelsofFXIa,possIBLypartlyexplainedbymatrixinterference.RoxFactorXIaoffersahighlysensitivechromogenicmethodfordeterminationofsub-picomolarlevelsofFXIa,therewithallowinghighsampledilutionsandminimizinginterferencefromthesamplematrixandfromcontaminatingproteinssuchaskallikrein,zymogenFXIandFIXa.
- MeijersJCM,TekelenburgWLH,BoumaBN,BertinaRM,RosendaalFR.
HighlevelsofcoagulationfactorXIasariskfactorforvenousthrombosis.
NEnglJMed342,696-701(2000). - DoggenCJM,RosendaalFR,MeijersJCM.
Levelsofintrinsiccoagulationfactorsandtheriskofmyocardialinfarctionamongmen:OppositeandsynergisticeffectsoffactorsXIandXII.
Blood108,4045-4051(2006). - SuriMFK,YamagishiK,AleksicN,HannanPJ,FolsomAR.
Novelhemostaticfactorlevelsandriskofischemicstroke:theAtherosclerosisRiskinCommunities(ARIC)Study.
CerebrovascDis29,497-502(2010). - WoodruffRK,GriggAP,FirkinFC,SmithIL.
Fatalthromboticeventsduringtreatmentofautoimmmunethrombocytopeniawithintravousimmunoglobulininelderlypatients.
Lancet2,217-218(1986). - CaressJB,Hobson-WebbL,PassmoreLV.
Case-controlstudyofthromboemboliceventsassociatedwithIVimmunoglobulin.
JNeurol256,339-342(2009). - FosterR,SuriA,FilateW,etal.
UseofintravenousimmuneglobulinintheICU:aretrospectivereviewofprescribingpracticesandpatientoutcomes.
TransfusMed20,403-408(2010). - EtscheidM,Breitner-RuddockS,GrossS,HunfeldA,SeitzR,DodtJ.
IdentificationofkallikreinandFXIaasimpuritiesintherapeuticimmunoglobulins:implicationsforthesafetyandcontrolofintravenousbloodproducts.
VoxSanguinis102,40-46(2012). - LindquistPA,FujikawaK,DavieEW.
ActivationofbovineFactorIX(ChristmasFactor)byFactorXIa(ActivatedPlasmaThromboplastinAntecedent)andaproteasefromRussell´sViperVenom.
JBiolChem253,1902-1909(1978). - WalshPN,BradfordH,SinhaD,PipernoJR,TuszynskiGP.
KineticsoftheFactorXIacatalyzedactivationofhumanbloodcoagulationFactorIX.
JClinInvest73,1392-1399(1984). - TansG,Janssen-ClaessenT,vanDieijenG,HemkerHC,RosingJ.
ActivationofFactorIXbyFactorXIa–aspectrophotometricassayforFactorIXinhumanplasma.
ThrombHaemost48,127-132(1982).