- 同
- APC
WordNet
- a drug combination found in some over-the-counter headache remedies (aspirin and phenacetin and caffeine)
- any mechanical force that tends to retard or oppose motion
- the capacity of an organism to defend itself against harmful environmental agents; "these trees are widely planted because of their resistance to salt and smog"
- the action of opposing something that you disapprove or disagree with; "he encountered a general feeling of resistance from many citizens"; "despite opposition from the newspapers he went ahead" (同)opposition
- (psychiatry) an unwillingness to bring repressed feelings into conscious awareness
- group action in opposition to those in power
- the military action of resisting the enemys advance; "the enemy offered little resistance"
- the degree of unresponsiveness of a disease-causing microorganism to antibiotics or other drugs (as in penicillin-resistant bacteria)
- aerate (sewage) so as to favor the growth of organisms that decompose organic matter (同)aerate
- make (substances) radioactive
- make active or more active; "activate an old file"
- make more adsorptive; "activate a metal"
- the 3rd letter of the Roman alphabet (同)c
- (music) the keynote of the scale of C major
- a general-purpose programing language closely associated with the UNIX operating system
- rendered active; e.g. rendered radioactive or luminescent or photosensitive or conductive
- (of e.g. a molecule) made reactive or more reactive (同)excited
- (military) set up and placed on active assignment; "a newly activated unit"
- (of sewage) treated with aeration and bacteria to aid decomposition
- any of a large group of nitrogenous organic compounds that are essential constituents of living cells; consist of polymers of amino acids; essential in the diet of animals for growth and for repair of tissues; can be obtained from meat and eggs and milk and legumes; "a diet high in protein"
PrepTutorEJDIC
- アスピリン(Aspirin)・フェナセチン(Phenacetin)・カフェイン(Caffeine)混合の鎮痛解熱剤
- 〈U〉〈C〉(…に)『抵抗』(『反抗』)『すること』;(…を)『こらえること』《+『to』(『against』)+『名』(do『ing』)》 / 〈U〉(病気などに対する)『抵抗力』《+『against』(『to』)+『名』》 / 〈U〉〈C〉(またresistance movement)(権力・圧制に対する)抵抗運動,レジスタンス / 〈U〉(空気の)抵抗;(電気の)抵抗
- …'を'活動的にする / …‘に'放射能を与える / 〈物質〉'を'活性化する
- carbonの化学記号
- 蛋白(たんばく)質
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2018/09/24 17:45:22」(JST)
[Wiki en表示]
Activated protein C resistance (APCR) |
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Synonyms |
ICD9= 289.81 |
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Protein C Anticoagulant Pathway: Thrombin escaping from a site of vascular injury binds to its receptor thrombomodulin (TM) on the intact cell surface. As a result, thrombin loses its procoagulant properties and instead becomes a potent activator of protein C. Activated protein C (APC) functions as a circulating anticoagulant, which specifically degrades and inactivates the phospholipid-bound factors Va and VIIIa. This effectively down-regulates the coagulation cascade and limits clot formation to sites of vascular injury. T = Thrombin, PC= Protein C, Activated Protein C= APC, PS= Protein S |
Activated protein C resistance (APCR) is a hemostatic disorder characterized by a poor anticoagulant response to activated protein C (APC). This results in an increased risk of venous thrombosis, which can cause problems with circulation, such as pulmonary embolism.[1]
The disorder can be acquired or inherited, the hereditary form having an autosomal dominant inheritance pattern.[2]
Presentation
Associated conditions
An estimated 64 percent of patients with venous thromboembolism may have activated protein C resistance.[3]
Pathophysiology
Activated protein C (with protein S as a cofactor) degrades Factor Va and Factor VIIIa. Activated protein C resistance is the inability of protein C to cleave Factor Va and/or Factor VIIIa, which allows for longer duration of thrombin generation and may lead to a hypercoagulable state. This may be hereditary or acquired.[4] The best known and most common hereditary form is Factor V Leiden. Acquired forms occur in the presence of elevated Factor VIII concentrations.
Diagnosis
"APC(Activated protein C) ratio: To diagnose functional assays | PCR(Polymerase chain reaction)/ Restriction enzyme analysis: To detect the specific genetic anomaly responsible for FVL(factor V Leiden)
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Treatment
| This section is empty. You can help by adding to it. (October 2017) |
References
- ^ Dahlbäck B (2003). "The discovery of activated protein C resistance". J. Thromb. Haemost. 1 (1): 3–9. doi:10.1046/j.1538-7836.2003.00016.x. PMID 12871530.
- ^ Koster T, Rosendaal FR, De Ronde H, Briët E, Vandenbroucke JP, Bertina RM (December 1993). "Venous thrombosis due to poor anticoagulant response to activated protein C: Leiden Thrombophilia Study". Lancet. 342 (8886–8887): 1503–6. doi:10.1016/S0140-6736(05)80081-9. ISSN 0140-6736. PMID 7902898.
- ^ Sheppard DR (2000). "Activated protein C resistance: the most common risk factor for venous thromboembolism". J Am Board Fam Pract. 13 (2): 111–5. doi:10.3122/15572625-13-2-111. PMID 10764192.
- ^ Nicolaes GA, Dahlbäck B (2003). "Congenital and acquired activated protein C resistance". Semin Vasc Med. 3 (1): 33–46. doi:10.1055/s-2003-38331. PMID 15199491.
External links
Classification |
D - ICD-10: D68.51
- OMIM: 188055
- MeSH: D020016
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Diseases of clotting (D50–69,74, 280–287) |
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Coagulation/ coagulopathy | ↑ | Hyper- coagulability |
- primary: Antithrombin III deficiency
- Protein C deficiency/Activated protein C resistance/Protein S deficiency/Factor V Leiden
- Prothrombin G20210A
- Sticky platelet syndrome
- acquired:Thrombocytosis
- DIC
- autoimmune
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↓ | Hypo- coagulability | Thrombocytopenia |
- Thrombocytopenic purpura: ITP
- TM
- TTP
- Upshaw Schulman syndrome
- Heparin-induced thrombocytopenia
- May–Hegglin anomaly
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Platelet function |
- adhesion
- aggregation
- Glanzmann's thrombasthenia
- platelet storage pool deficiency
- Hermansky–Pudlak syndrome
- Gray platelet syndrome
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Clotting factor |
- Hemophilia
- von Willebrand disease
- Hypoprothrombinemia/II
- Factor VII deficiency
- Factor X deficiency
- Factor XII deficiency
- Factor XIII deficiency
- Dysfibrinogenemia
- Congenital afibrinogenemia
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UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Rivaroxaban Causes Missed Diagnosis of Protein S Deficiency but Not of Activated Protein C Resistance (Factor V Leiden).
- Maryamchik E, Rosenbaum MW, Van Cott EM.
- Archives of pathology & laboratory medicine.Arch Pathol Lab Med.2017 Sep 18. doi: 10.5858/arpa.2016-0616-OA. [Epub ahead of print]
- CONTEXT: - Rivaroxaban causes a false increase in activated protein C resistance (APCR) ratios and protein S activity.OBJECTIVE: - To investigate whether this increase masks a diagnosis of factor V Leiden (FVL) or protein S deficiency in a "real-world" population of patients undergoing rivaroxaban t
- PMID 28920711
- Prevalence of Factor V Genetic Variants Associated With Indian APCR Contributing to Thrombotic Risk.
- Sharma A1, Bhakuni T2, Biswas A3, Ranjan R1, Kumar R1, Kishore K1, Mahapatra M1, Jairajpuri MA2, Saxena R1.
- Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis.Clin Appl Thromb Hemost.2017 Sep;23(6):596-600. doi: 10.1177/1076029615623376. Epub 2015 Dec 23.
- PMID 26699866
- Primary Thrombophilia in México XI: Activated Protein C Resistance Phenotypes are Multifactorial.
- Vallejo-Villalobos MF1,2, León-Peña A1,3,4, León-González M1,2,4, Núñez-Cortés AK1,3,4, Olivares-Gazca JC1,2,4, Valdés-Tapia P1, Garcés-Eisele J1,2, Ruiz-Argüelles A1,2,4, Ruiz-Argüelles GJ1,2,4,5.
- Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion.Indian J Hematol Blood Transfus.2017 Sep;33(3):375-379. doi: 10.1007/s12288-016-0767-7. Epub 2016 Dec 19.
- PMID 28824240
Japanese Journal
- Transcriptome Analysis of WIPK/SIPK-Suppressed Plants Reveals Induction by Wounding of Disease Resistance-Related Genes Prior to the Accumulation of Salicylic Acid
- Katou Shinpei,Asakura Nobuhide,Kojima Tomoya,Mitsuhara Ichiro,Seo Shigemi
- PLANT AND CELL PHYSIOLOGY 54(6), 1005-1015, 2013-06-00
- … Salicylic acid (SA) plays a key role in plant resistance to pathogens. … Accumulation of SA is induced by wounding in tobacco plants in which the expression of WIPK and SIPK, two mitogen-activated protein kinases, is suppressed. … SA accumulation started around 12 h after wounding and was inhibited by cycloheximide (CHX), a protein synthesis inhibitor. …
- NAID 120005312278
- Isolation, identification, and biological evaluation of Nrf2-ARE activator from the leaves of green perilla (Perilla frutescens var. crispa f. viridis)
- Izumi Yasuhiko,Matsumura Atsuko,Wakita Seiko,Akagi Ken-Ichi,Fukuda Hiroyuki,Kume Toshiaki,Irie Kazuhiro,Takada-Takatori Yuki,Sugimoto Hachiro,Hashimoto Tadashi,Akaike Akinori
- Free radical biology & medicine 53(4), 669-679, 2012-06-27
- … Inhibition of the p38 mitogen-activated protein kinase pathway abolished ARE activation, the induction of γ-GCS and NQO1, and the cytoprotective effect brought about by DDC. … Thus, this study demonstrated that DDC contained in green perilla enhanced cellular resistance to oxidative damage through activation of the Nrf2-ARE pathway. …
- NAID 120004462161
- Isolation and characterization of an asparagine-rich protein that regulates hypersensitive cell death-mediated resistance in Nicotiana plants
- Komori Daisuke,Nishihara Masahiro,Takahashi Akiko [他],GUPTA Meenu,YOSHIOKA Hirofumi,MIZUMOTO Hiroyuki,OHNISHI Kouhei,HIKICHI Yasufumi,KIBA Akinori
- Plant biotechnology 29(3), 293-300, 2012-06-25
- … We designated this protein NbARP (N. … benthamiana asparagine-rich protein). … Silencing of NbARP reduced induction of HR-cell death by Agrobacterium tumefaciens-mediated transient expression of HR elicitors and a constitutively active form of mitogen activated protein kinase kinase. …
- NAID 10030804810
Related Pictures
★リンクテーブル★
[★]
- 英
- activated protein C resistance
- 関
- 活性化プロテインC不応症
[★]
[★]
- 関
- activate、activated form、activation、turn on
[★]
- 関
- activated、activation、turn on
[★]
セシウム, caesium, cesium
[★]
カドミウム
- 関
- cadmium