Thromb Haemost 2000; 83(03): 427-432
DOI: 10.1055/s-0037-1613832
Review Article
Schattauer GmbH

Haemostatic Factors in Human Peripheral Afferent Lymph

Authors

  • George J. Miller

    1   From the Medical Research Council Epidemiology and Medical Care Unit, London, UK
  • David J. Howarth

    1   From the Medical Research Council Epidemiology and Medical Care Unit, London, UK
  • Janet C. Attfield

    1   From the Medical Research Council Epidemiology and Medical Care Unit, London, UK
  • C. Justin Cooke

    2   Department of Cardiovascular Biochemistry, St Bartholomew ‘s and the Royal London School of Medicine and Dentistry, London, UK
  • M. Nazeem Nanjee

    2   Department of Cardiovascular Biochemistry, St Bartholomew ‘s and the Royal London School of Medicine and Dentistry, London, UK
  • Waldemar L. Olszewski

    3   Department of Surgical Research and Transplantology, Medical Research Council, Polish Academy of Sciences, Warsaw , Poland
  • James H. Morrissey

    4   Oklahom a Medical Research Foundation, Oklahoma City, Oklahoma, USA
  • Norman E. Miller

    2   Department of Cardiovascular Biochemistry, St Bartholomew ‘s and the Royal London School of Medicine and Dentistry, London, UK
Weitere Informationen

Publikationsverlauf

Received 21. Juli 1999

Accepted after rebsubmission 22. November 1999

Publikationsdatum:
14. Dezember 2017 (online)

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Summary

Peripheral afferent lymph was obtained by cannulation of a collecting vessel in 17 healthy men (mean age 26 years). Lymph/plasma ratios of all vitamin K-dependent factors were lower than expected from molecular weight. Factor VII, factor IX and tissue factor pathway inhibitor (TFPI) lymph/plasma activity ratios were higher than antigen ratios. Activated factor VII (FVIIa) and TFPI-Xa complex concentrations were higher in lymph than plasma, and the raised FVIIa did not appear to be due to cannulation. The fibrinogen lymph/plasma activity (Clauss) ratio averaged about 20% of the antigen ratio. The result of an ELISA for D-dimer was higher in lymph than plasma, often more than five-fold. This high level in lymph was not explored but may indicate proteolysis of fibrinogen and fibrin with release of D-like and D-dimerlike fragments in interstitial fluid.