Factor VIII Complex in chronic renal failure: Influence of protein C, fibrinolysis and diabetes mellitus

• Published in: Thrombosis research Vol. 31; no. 1; pp. 177 - 186
• Main Authors: Bern, M.M., Klumpar, D.I., Wheeler, W.E., Davis, G.L.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Ltd 01.07.1983
• Subjects: Adult; Aged; Carrier Proteins - analysis; Chronic Renal Failure; Diabetes Mellitus; Diabetic Nephropathies - blood; Factor VIII; Factor VIII - analysis; Fibrinolysis; Hemodialysis; Humans; Kidney Failure, Chronic - blood; Middle Aged; Plasminogen - analysis; Protein C; Renal Dialysis; Ristocetin - blood; Protein C; Chronic Renal Failure; Diabetes Mellitus; Hemodialysis; Fibrinolysis; Factor VIII
• ISSN: 0049-3848; 1879-2472
• DOI: 10.1016/0049-3848(83)90018-X

Chronic renal failure causes elevations of factor VIII coagulant activity and Factor VIII-related antigen even before the patients enter chronic hemodialysis. The change from control of Factor VIII ristocetin cofactor does not reach significance. The elevations are not effected by entering onto hemodialysis. These parameters are the same for non-diabetic and diabetic patients. Protein C, plasminogen and total fibrinolytic capacity are normal in diabetic and non-diabetic patients, with or without hemodialysis for chronic renal failure. However, before entering onto hemodialysis some of these parameters had negative correlation coefficients with parts of the factor VIII complex among the diabetic and non-diabetic patients. These negative correlates turned positive after hemodialysis. Thus, there are differences in these catabolic mechanisms for factor VIII when hemodialysis is used for diabetic and non-diabetic patients with chronic renal failure.