Thromb Haemost 1980; 44(03): 130-134
DOI: 10.1055/s-0038-1650102
Original Article
Schattauer GmbH Stuttgart

Soluble Fibrin Complexes and Fibrinogen Heterogeneity in Diabetes mellitus

E B Tsianos
The Professorial Unit, Evangelismos Hospital, Athens, Greece
,
N E Stathakis
The Professorial Unit, Evangelismos Hospital, Athens, Greece
› Author Affiliations
Further Information

Publication History

Received 12 November 1979

Accepted 23 September 1980

Publication Date:
13 July 2018 (online)

Summary

The presence of soluble fibrin complexes (SFC) measured by gel filtration of plasma on 4% agarose columns, fibrinogen heterogeneity on 3.5% SDS-polyacrylamide gels and the concentrations of several plasma proteins were evaluated in 39 patients with diabetes mellitus (DM) and 19 matched control subjects. A small but significant increase of SFC was found in DM (p<0.01). On individual basis 51.2% of the patients had increased SFC (>M + 2 SD of the controls). Polyacrylamide gel electrophoresis of the SFC showed no evidence of cross-linking or proteolysis. Plasma clots formed in the presence of EDTA and trasylol were analysed in SDS-polyacrylamide gels in a normal and two lower molecular weight fibrin bands (band I, II, III). The percentage of band I fibrinogen was in diabetics (65.3 ± 4.7%) lower than that of the controls (71.8 ± 4.5%) (p < 0.01). Fibrinogen levels, antithrombin III, α1-antitrypsin, α2-macroglobulin and plasminogen were significantly increased in DM. We suggest that in DM there is an enhancement of intravascular fibrin formation and accelerated fibrinogen degradation to lower molecular weight forms.

 
  • References

  • 1 Colwell JA, Halushka PV, Sarji K, Levine J, Sagel J, Nair RM G. Altered platelet function in diabetes mellitus. Diabetes 1976; 25 (suppl. 2): 826-831
  • 2 Kwaan HC, Colwell JA, Cruz S, Suwanwela N, Dobbie JG. Increased platelet aggregation in diabetes mellitus. J Lab Clin Med 1972; 80: 236-246
  • 3 Egeberg O. The blood coagulability in diabetic patients. Scand J Clin Lab Invest 1963; 15: 533-538
  • 4 Mayne EE, Bridges JM, Weaver JA. Platelet adhesiveness, plasma fibrinogen and factor VIII levels in diabetes mellitus. Diabetologia 1970; 6: 436-440
  • 5 Valdord-Hansen F. Coagulability in diabetics. Acta Med Scand 1967; suppl. 476: 147-157
  • 6 Almér LO, Pandolfi M. Fibrinolysis and diabetic retinopathy. Diabetes 1976; 25 (suppl 2): 807-810
  • 7 Ferguson JC, Mackay N, Philip JA D, Sumner DJ. Determination of platelet and fibrinogen half life with [75 Se] selenomethionin: studies in normal and in diabetic subjects. Clin Sci Mol Med 1975; 49: 115-120
  • 8 O'Brien JR, Etherington MD, Jamienson S, Lawford P, Lincoln SV, Alkjaersig NJ. Blood changes in atherosclerosis and long after myocardial infraction and venous thrombosis. Thromb Diath Haemor 1975; 34: 483-497
  • 9 Gurewich V, Lipinska I, Pulini M, Gordon E, Lipinski B. Fibrinogen, fibrinogen heterogeneity and fibrinolytic activity in diabetes mellitus. Thromb Haemost 1977; 38: 103
  • 10 Ratnoff OD, Menzie C. A new method for the determination of fibrinogen in small samples of plasma. J Lab Clin Med 1951; 37: 316-320
  • 11 Fletcher AP, Alkjaersig N, O'Brien J, Tulevski VG. Blood hyercoagulability and thrombosis. Trans Ass Amer Phys 1970; 83: 159-167
  • 12 Mancini G, Carbonara CO, Heremans JF. Immunochemical quantitations of antigens by single radial immunodiffusion. Immunochemistry 1965; 2: 235-254
  • 13 Hansen MS, Bang NU, Barton RD, Mattler LE. Enhancement of blood coagulation by soluble fibrin complexes. J Exper Med 1975; 141: 944-961
  • 14 Stathakis NE, Mosesson MW, Chen AD, Galanakis DK. Cryoprecipitation of fibrin-fibrinogen complexes induced by the cold insoluble globulin of plasma. Blood 1978; 51: 1211-1222
  • 15 Weber K, Osborn M. The reliability of molecular weight determinations by dodecyl sulfate-polyacrylamide gel electrophoresis. J Biol Chem 1969; 244: 4406-4412
  • 16 Bang N, Chang M. Soluble fibrin complexes. Sem Thromb Hemostas 1974; 1: 91-109
  • 17 Fletcher AP, Alkjaersig N. The use and monitoring of antithrombotic drug therapy. The need for a new approach. Thromb Haemostas 1977; 38: 881-892
  • 18 Anaya-Galindo R, Shattil SJ, Shelburne JC, Coman RW. Soluble fibrin complexes in coronary disease. Thromb Res 1976; 9: 153-165
  • 19 Carvalho AC, Lees RS, Vaillancourt RA, Cabral RB, Weinberg RM, Colmann RW. Intravascular coagulation in hyperlipidemia. Thromb Res 1976; 8: 843-857
  • 20 Jones RL, Peterson CM. Reduced fibrinogen survival in diabetes mellitus; a reversible phenomenon. XVII Congress of the International Society of Hematology, Paris 1978 abstracts (I) 532
  • 21 Ly B, Kierulf P, Jakobsen E. Stabilization of soluble fibrin/fibrinogen complexes by fibrin stabilizing Factor (FSF). Thromb Res 1974; 4: 509-522
  • 22 Edgal W, Mckillop C, Howie PW, Forbes CD, Prendice CR M. Analysis of soluble fibrin complexes in patients with intravascular coagulation. Thromb Haemostas 1977; 38: 89
  • 23 Graeff H, von HugoR, Hafter R. In vivo formation of soluble fibrin monomer complexes in human plasma. Thromb Res 1973; 3: 465-476
  • 24 Mosesson MW, Alkjaersig N, Sweet B, Sherry S. Human fibrinogen of relatively high solubility. Comparative biophysical, biochemical and biological studies with fibrinogen of lower solubility. Biochemistry 1967; 6: 3279-3287
  • 25 Galanakis DK, Mosesson MW, Stathakis NE. Human fibrinogen heterogeneities: Distribution and charge characteristics of chains of Aa origin. J Lab Clin Med 1978; 92: 376-386
  • 26 Mosesson MW, Galanakis DK, Finlayson JS. Comparison of human plasma fibrinogen subtractions and early plasmic fibrinogen derivatives. J Biol Chem 1974; 249: 4656-4664
  • 27 Lipinska I, Lipinski B, Gurewich V. Fibrinogen heterogeneity in human plasma. Electrophoretic demonstration of two major fibrinogen components. J Lab Clin Med 1974; 84: 509-516
  • 28 Lipinska I, Lipinski B, Gurewich V, Hoffmann KD. Fibrinogen heterogeneity in cancer, in occlusive vascular disease and after surgical procedures. Amer J Clin Pathol 1976; 66: 958-966
  • 29 Weinstein MJ, Deykin D. Quantitative abnormality of an Aa chain molecular weight form in the fibrinogen of cirrhotic patients. Brit J Haemat 1978; 40: 617-630