Thromb Haemost 1972; 27(02): 337-348
DOI: 10.1055/s-0038-1649372
Originalarbeiten — Original Articles — Travaux Originaux
Schattauer GmbH

In Vitro and in Vivo Induction of Cryofibrinogen and “Paracoagulation” by Reptilase[*]

A.J Harder
1   Department of Medicine, Kantonsspital, University of Zurich, Switzerland
,
P.W Straub
1   Department of Medicine, Kantonsspital, University of Zurich, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
29 June 2018 (online)

Summary

Small doses of Reptilase, a snake venom enzyme which exclusively liberates fibrinopeptide A from fibrinogen, leads to formation of cryofibrinogen as well as ethanol- and protamine-precipitability of plasma both in vitro and in vivo. Precipitates obtained in vitro were shown to contain both fibrinogen and fibrin monomer. At 20° C Reptilase-treated fibrinogen solutions contained complexes with a sedimentation rate of 11-11.6 s20W, similar to those observed after thrombin. The artificial production of cryofibrinogenemia in volunteers is discussed in relation to spontaneously occurring cryofibrinogenemias in patients with intravascular coagulation.

* Presented in part at the XIII. International Congress of Hematology, Munich, August 2-8,1970


 
  • References

  • 1 Abildgaard U. N-terminal analysis during coagulation of purified human fibrinogen, fraction I and plasma. Scand. J. clin. Lab. Invest 17: 529-536. 1965;
  • 2 Abildgaard U, Godal H. G. Aggregation of fibrinogen and fibrinogen by TAMe. Scand. J. clin. Lab. Invest 16: 531 1964;
  • 3 Alkjaersig N, Fletcher A. P, Burstein R. Thromboembolism and oral contraceptive medication. J. clin. Invest 49: 3a 1970;
  • 4 Astrup T, Müllertz S. The fibrin plate method for estimating fibrinolytic activity. Arch. Biochem 40: 346 1952;
  • 5 Blombäck B, Blombäck M, Nilsson I. M. Coagulation studies on “Reptilase” an extract of the venom from Bothrops jararaca. Thrombos. Diathes. haemorrh. (Stuttg) 01: 76 1957;
  • 6 Blombäck B. In: Seegers W. H. (ed.): Blood Clotting Enzymology. 143 Academic Press; New York: 1967
  • 7 Blombäck M, Egberg N, Gruder E, Johansson S. A, Johannson H, Nilson S. E. G, Blombäck B. Treatment of thrombotic disorders with Reptilase. Annual Meeting of Intern. Soc. Thrombosis and Haemostasis, Montreux, July 1970. Thrombos. Diathes. haemorrh. (Stuttg) Suppl. 45, 51 1971;
  • 8 Boros M, Tarnoky K, Kereczkey G, Raki K. Kryofibrinogenämie und pathologisch gesteigerte Fibrinolyse bei einem Kranken mit Prostatakarzinom. Z. klin. Med 157: 68-76. 1962;
  • 9 Breen F. A, Tullis J. L. Ethanol gelation: a rapid screening test for intravascular coagulation. Ann. intern. Med 69: 1197-1206. 1968;
  • 10 Chan K. E, Rizza G. R, Henderson M. P. A study of the coagulant properties of Malayan pit-viper venom. Brit. J. Haemat 11: 646 1965;
  • 11 Clauss A. Gerinnungsphysiologische Schnellmethode zur Bestimmung des Fibrinogens. Acta haemat. (Basel) 17: 237 1957;
  • 12 Duckert F. Le diagnostic des coagulopathies. 3.Congrès Internat, de Biologie Clinique, Bruxelles, 1957. 635-654 Presses Académiques Européennes; Bruxelles: 1958
  • 13 Durante L. J, Moutsos A, Ambrose R. B, Duncan W. J, Fleming W, Zinsser H. H, Phillips L. L. Prostatectomy bleeding. Ann. Surg 156: 781 1962;
  • 14 Dvilansky A, Britten A. F. H, Loewy A. G. Factor XIII assay by an isotope method. I. Factor XIII (Transamidase) in plasma, serum, leucocytes, erythrocytes and platelets and evaluation of screening tests of clot solubility. Brit. J. Haemat 18: 399 1970;
  • 15 Farell G, Stuckey R. J, Wolf P. Cryofibrinogenemia in women using oral contraceptives. Lancet I: 952 1970;
  • 16 Godal H. G, Abildgaard U. The symptomatic effect of anticoagulant therapy in defibrination syndrome associated with demonstrable fibrin in plasma. Acta med. scand 174: 311-314. 1963;
  • 17 Godal H. C, Abildgaard U. Gelation of soluble fibrin in plasma by ethanol. Scand. J. Haemat 03: 342-350. 1966;
  • 18 Harder A. J, Straub P. W. Reptilase-induced shortening of coagulation times in normal and hemophilic individuals. 5th Annual Meeting, Europ. Soc. Clin. Invest., Scheveningen, April 22—24, 1971. Abstract in Europ. J. clin. Invest 01: 374 1971;
  • 19 Kalbfleisch J. M, Bird R. M. Cryofibrinogenemia. New Engl. J. Med 263: 881-886. 1960;
  • 20 Korst D. R, Kratochvil C. H. “Cryofibrinogen” in case of lung neoplasm associated with thrombophlebitis migrans. Blood 10: 945-953. 1955;
  • 21 Komp D. M, Donaldson M. H. In vitro and in vivo effects of heparin on cryofibrinogen. New Engl. J. Med 279: 1439-1440. 1968;
  • 22 Lipinski B, Wegrzynowiçz Z, Budzynski A. Z, Kopec M, Latallo Z. S, Kowalski E. Soluble unclottable complexes formed in the presence of fibrinogen degradation products (F.D.P.) during the fibrinogen-fibrin conversion and their potential significance in pathology. Thrombos. Diathes. haemorrh. (Stuttg) 17: 67-76. 1967;
  • 23 Merskey G, Kleiner G. J, Johnson A. J. Quantitative estimation of split products of fibrinogen in human serum. Relation to diagnosis and treatment. Blood 28: 1 1966;
  • 24 Mosesson M. W, Colman R. W, Sherry S. Chronic intravascular coagulation syndrome. New Engl. J. Med 278: 815-821. 1968;
  • 25 Pindyck J, Lichtman H. G, Kohl S. G. Cryofibrinogenemia in women using oral contraceptives. Lancet I: 51 1970;
  • 26 Sasaki T, Page I. H, Shainoff J. R. Stable complex of fibrinogen and fibrin. Science 152: 1069 1966;
  • 27 Schulz F. Eine einfache Bewertungsmethode von Leberparenchymschäden (volumetrische Fibrinbestimmung). Actahepat. (Hamburg) 09: 306 1955;
  • 28 Shainoff J. R, Page I. H. Cofibrins and fibrin-intermediates as indicators of thrombin activity in vivo. Circulât. Res 08: 1013-1021. 1960;
  • 29 Shainoff J. R, Paqe I. H. Significance of cryoprofibrin in fibrinogen-fibrin conversion. J. exp. Med 116: 687 1962;
  • 30 Shainoff J. R, Lahiri B, Bumpus F. M. Ultracentrifuge studies on the reaction between thrombin and plasminized fibrinogen. Thrombos. Diathes. haemorrh. (Stuttg.) Suppl 39: 203 1970;
  • 31 Sigg P. E, Duckert F. Ein neuer Test zur Bestimmung des fibrinstabilisierenden Faktors (FSF). Schweiz, med. Wschr 93: 1455 1963;
  • 32 Stacher A, Böhnel J. Experimentelle und klinische Untersuchungen zur hämostatischen Wirkung von Schlangengiften. Wien. klin. Wschr 19: 333 1959;
  • 33 Stocker K, Straub P. W. Rapid detection of fibrinopeptides by bidimensional paper electrophoresis. Thrombos. Diathes. haemorrh. (Stuttg) 24: 248-255. 1970;
  • 34 Straub P. W. Chronic intravascular coagulation. Acta med. scand Suppl. 526 1971;
  • 35 Sugano T, Maruyama R. Experiences of the use of Reptilase in the field of otorhinolaryngology (Tokyo). 36: 365 1964;
  • 36 v. Kaulla K. N, Schultz R. L. Methods for the evaluation of human fibrinolysis. Amer. J. clin. Path 29: 104 1958;