Behavior of ADAMTS13 and von Willebrand factor levels in patients after living donor liver transplantation

Naoki Takahashi, Hideo Wada, Masanobu Usui, Toshihiko Kobayashi, Naomi Habe-Ito, Takeshi Matsumoto, Shinji Uemoto, Tsutomu Nobori, Shuji Isaji

研究成果: ジャーナルへの寄稿学術論文査読

17 被引用数 (Scopus)

抄録

Introduction Thrombotic microangiopathy (TMA) is one of the important complications occurring after liver transplantation (LT), and it is suggested that a Von Willebrand factor (VWF) and ADAMTS13 may play an important role in the onset of TMA and poor outcome after LT. Materials and Methods In 81 patients after living donor LT (LDLT), 17 patients who had both severe thrombocytopenia and hemolytic anemia with fragmented red cell were diagnosed as TMA- like syndrome (TMALS) and 10 patients died. Results ADAMTS13 activities were slightly low, and plasma levels of VWF and VWF propeptide (VWFpp) antigens and the ratio of VWFpp/VWF were significantly high before LDLT. ADAMTS13 activities were significantly reduced from day 1 to day 28 after surgery, and plasma levels of VWF antigen slightly decreased on day 1 and plasma levels of VWFpp continued to be high. The ratio of VWFpp/VWF was significantly high on day 1 after surgery. The mortality was high in the patients with TMALS and the frequency of TMALS was high in non-survivors. VWF levels were significantly low and the ratio of VWFpp/VWF was significantly high in those with TMALS on day 1 after surgery. The ADAMTS13 activity was significantly low, and the VWFpp and the VWFpp/ADAMTS13 ratio were significantly high in non-survivor on day 28 after surgery. Conclusion These findings suggest that VWF and ADAMTS13 might therefore play an important role in the onset of TMA and poor outcome after LT. The VWFpp may therefore be a more useful marker for the diagnosis of TMALS than VWF.

本文言語英語
ページ(範囲)225-229
ページ数5
ジャーナルThrombosis Research
131
3
DOI
出版ステータス出版済み - 03-2013
外部発表はい

All Science Journal Classification (ASJC) codes

  • 血液学

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