Thromb Haemost 1985; 54(04): 780-783
DOI: 10.1055/s-0038-1660132
Original Article
Schattauer GmbH Stuttgart

Disparity Between One- and Two-Stage Factor VIII Assays in Measuring VIIIC in Heparinized Plasma

G Rock
*   The Ottawa Center, Canadian Red Cross, Blood Transfusion Service and Department of Medicine, Ottawa, Ontario, Canada
,
D S Palmer
The University of Ottawa, Ontario, Canada
› Author Affiliations
Further Information

Publication History

Received 20 June 1984

Accepted 22 August 1985

Publication Date:
19 July 2018 (online)

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Summary

The level of Factor VIII procoagulant activity (VIIIC) was found to be more than 30% higher in heparinized plasma than in citrated plasma from the same donor when determined by a one-stage assay (1.34 U/ml versus 1.0 U/ml). However, after Al(OH)3 adsorption and two-stage assay, the VIIIC levels were not significantly different for the two types of plasma (0.90 ± 0.25 U/ ml versus 0.82 ± 0.23 U/ml). If a one-stage assay was employed after adsorption, a similar low result was obtained (0.92 ± 0.21 U/ ml versus 0.91 ± 0.12 U/ml). This indicated that the adsorption step itself was responsible for the difference in results. Parallel analyses of other VIII markers demonstrated that more VIIIC antigen (VIIICAg) was removed by adsorption of heparinized rather than citrated plasma (0.33 U/ml versus 0.12 U/ml) although there was no difference in the level of VUI-related antigen (VIIIRAg). The results show that adsorption of heparinized plasma prior to either one- or two-stage assay leads to a greater loss of both VIIIC and VIIICAg activity than observed with citrated plasma and indicate that, when applied to heparin plasma the two-stage assay for VIIIC underestimates the actual VIIIC content.