A reagent and kit for determining global coagulability and...

G - Physics – 01 – N

Patent

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G01N 33/86 (2006.01) C07K 4/00 (2006.01) C12Q 1/56 (2006.01)

Patent

CA 2427297

A reagent and kit are disclosed for determining if a patient is hypercoagulable, hypocoagulable or normal. The test involves providing a test sample from the patient and initiating coagulation in the sample in the presence of an activator, which is added to the sample in an amount which will result in intrinsic tenase-dependent fibrin. Then the formation of the intrinsic tenase-dependent fibrin polymerization is monitored over time so as to derive a time-dependent profile, with the results of the fibrin polymerization monitoring determining whether the patient is hypercoagulable, normal or hypocoagulable. The coagulation activator is added in an amount that triggers a thrombin explosion that is dependent on the propagation phase and amplification pathways. In this way, a single assay can assess the hemostatic potential of a sample.

L'invention concerne un réactif et un kit permettant de déterminer si un patient est hypercoagulable, hypocoagulable ou normal. Le test consiste à prélever un échantillon d'essai chez le patient et à initialiser la coagulation dans l'échantillon en présence d'un activateur, qui est ajouté à l'échantillon en une quantité permettant d'obtenir une fibrine intrinsèque associée à la ténase. La formation de la polymérisation de la fibrine intrinsèque associée à la ténase est surveillée sur une période de temps de manière à dériver un profil dépendant du temps, les résultats de la surveillance de la polymérisation de la fibrine permettant de déterminer si le patient est hypercoagulable, normal ou hypocoagulable. L'activateur de coagulation est ajouté en une quantité déclenchant une explosion de thrombine dépendant de la phase de propagation et des voies d'amplification. Une seule analyse peut ainsi permettre d'évaluer le potentiel hémostatique d'un échantillon.

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