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. 1980 Nov;66(5):1186–1189. doi: 10.1172/JCI109952

Deficiency of protein C inhibitor in combined factor V/VIII deficiency disease.

R A Marlar, J H Griffin
PMCID: PMC371561  PMID: 6253526

Abstract

Activated protein C is an anticoagulant plasma protease enzyme that inactivates Factors V and VIII in plasma. Normal plasma contains a protein that inhibits activated protein C and that is distinct from previously described plasma protease inhibitors. Protein C inhibitory activity is not detectable in plasmas from four unrelated patients with combined Factor V/VIII deficiency but is present in normal amounts in plasmas from patients with simple factor V deficiency or Factor VIII deficiency. It is suggested that the molecular basis for combined Factor V/VIII deficiency that exhibits simple autosomal recessive inheritance is a deficiency of protein C inhibitor.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bouma B. N., Miles L. A., Beretta G., Griffin J. H. Human plasma prekallikrein. Studies of its activation by activated factor XII and of its inactivation by diisopropyl phosphofluoridate. Biochemistry. 1980 Mar 18;19(6):1151–1160. doi: 10.1021/bi00547a018. [DOI] [PubMed] [Google Scholar]
  2. Cimo P. L., Moake J. L., Gonzalez M. F., Natelson E. A., Fox K. R. Inherited combined deficiency of factor V and factor VIII: report of a case with normal factor VIII antigen and ristocetin-induced platelet aggregation. Am J Hematol. 1977;2(4):385–391. doi: 10.1002/ajh.2830020408. [DOI] [PubMed] [Google Scholar]
  3. Comp P. C., Esmon C. T. Activated protein C inhibits platelet prothrombin-converting activity. Blood. 1979 Dec;54(6):1272–1281. [PubMed] [Google Scholar]
  4. Dahlbäck B., Stenflo J. Inhibitory effect of activated protein C on activation of prothrombin by platelet-bound factor Xa. Eur J Biochem. 1980 Jun;107(2):331–335. doi: 10.1111/j.1432-1033.1980.tb06033.x. [DOI] [PubMed] [Google Scholar]
  5. Esmon C. T., Stenflo J., Suttie J. W. A new vitamin K-dependent protein. A phospholipid-binding zymogen of a serine esterase. J Biol Chem. 1976 May 25;251(10):3052–3056. [PubMed] [Google Scholar]
  6. Giddings J. C., Seligsohn U., Bloom A. L. Immunological studies in combined factor V and factor VIII deficiency. Br J Haematol. 1977 Oct;37(2):257–264. doi: 10.1111/j.1365-2141.1977.tb06842.x. [DOI] [PubMed] [Google Scholar]
  7. Griffin J. H., Cochrane C. G. Human factor XII (Hageman factor). Methods Enzymol. 1976;45:56–65. doi: 10.1016/s0076-6879(76)45009-7. [DOI] [PubMed] [Google Scholar]
  8. IVERSEN T., BASTRUP-MADSEN P. Congenital familial deficiency of factor V (parahaemophilia) combined with deficiency of antihaemophilic globulin. Br J Haematol. 1956 Jul;2(3):265–275. doi: 10.1111/j.1365-2141.1956.tb06698.x. [DOI] [PubMed] [Google Scholar]
  9. Kisiel W., Canfield W. M., Ericsson L. H., Davie E. W. Anticoagulant properties of bovine plasma protein C following activation by thrombin. Biochemistry. 1977 Dec 27;16(26):5824–5831. doi: 10.1021/bi00645a029. [DOI] [PubMed] [Google Scholar]
  10. Kisiel W., Ericsson L. H., Davie E. W. Proteolytic activation of protein C from bovine plasma. Biochemistry. 1976 Nov 2;15(22):4893–4900. doi: 10.1021/bi00667a022. [DOI] [PubMed] [Google Scholar]
  11. Kisiel W. Human plasma protein C: isolation, characterization, and mechanism of activation by alpha-thrombin. J Clin Invest. 1979 Sep;64(3):761–769. doi: 10.1172/JCI109521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Marciniak E. Inhibitor of human blood coagulation elicited by thrombin. J Lab Clin Med. 1972 Jun;79(6):924–934. [PubMed] [Google Scholar]
  13. Morita T., Iwanaga S., Suzuki T. The mechanism of activation of bovine prothrombin by an activator isolated from Echis carinatus venon and characterization of the new active intermediates. J Biochem. 1976 May;79(5):1089–1108. doi: 10.1093/oxfordjournals.jbchem.a131150. [DOI] [PubMed] [Google Scholar]
  14. OERI J., MATTER M., ISENSCHMID H., HAUSER F., KOLLER F. Angeborener Mangel an Faktor V (Parahaemophilie) verbunden mit echter Haemophilie A bei zwei Brüdern. Bibl Paediatr. 1954;58:575–588. [PubMed] [Google Scholar]
  15. Seegers W. H., Novoa E., Henry R. L., Hassouna H. I. Relationship of "new" vitamin K-dependent Protein C and "old" autoprothrombin II-a. Thromb Res. 1976 May;8(5):543–552. doi: 10.1016/0049-3848(76)90236-x. [DOI] [PubMed] [Google Scholar]
  16. Seligsohn U., Ramot B. Combined factor-V and factor-VIII deficiency: report of four cases. Br J Haematol. 1969 May;16(5):475–486. doi: 10.1111/j.1365-2141.1969.tb00426.x. [DOI] [PubMed] [Google Scholar]
  17. Sibinga C. T., Gökemeyer J. D., ten Kate L. P., Bos-van Zwol F. Combined deficiency of factor V and factor VIII: report of a family and genetic analysis. Br J Haematol. 1972 Oct;23(4):467–481. doi: 10.1111/j.1365-2141.1972.tb07081.x. [DOI] [PubMed] [Google Scholar]
  18. Stenflo J. A new vitamin K-dependent protein. Purification from bovine plasma and preliminary characterization. J Biol Chem. 1976 Jan 25;251(2):355–363. [PubMed] [Google Scholar]
  19. Vehar G. A., Davie E. W. Preparation and properties of bovine factor VIII (antihemophilic factor). Biochemistry. 1980 Feb 5;19(3):401–410. doi: 10.1021/bi00544a001. [DOI] [PubMed] [Google Scholar]
  20. Zimmerman T. S., Ratnoff O. D., Powell A. E. Immunologic differentiation of classic hemophilia (factor 8 deficiency) and von Willebrand's dissase, with observations on combined deficiencies of antihemophilic factor and proaccelerin (factor V) and on an acquired circulating anticoagulant against antihemophilic factor. J Clin Invest. 1971 Jan;50(1):244–254. doi: 10.1172/JCI106480. [DOI] [PMC free article] [PubMed] [Google Scholar]

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