ABSTRACT
Clinical screening tests for blood coagulation that use plasma as samples cannot estimate
the participation of platelets, leukocytes, and erythrocytes in blood coagulation
system. We developed an assay to evaluate the total coagulation ability of blood and
whole blood prothrombin time (WPT) using the principle of prothrombin time with the
diluted-tissue factor as a trigger and a newly developed apparatus, STA, viscosity
change detection system (electromagnetic clot detection). The activation of platelets
by Ca ionophore shortened WPT and increased the expression of CD62P on the platelet
surface. WPTs in citrated blood of spontaneous hypertensive rats (SHR) were significantly
shorter than those of controls, Wistar Kyoto rats (WKY). Plasma levels of thrombin-antithrombin
III (TAT) in SHR were significantly higher than those of WKY. Moreover, WPT and TAT
levels were significantly correlated. Based on these results, WPT was found to be
useful to estimate the activation of blood coagulation in whole blood.
KEYWORD
Prothrombin time - whole blood - tissue factor - hypertension