PMID- 19954724 OWN - NLM STAT- MEDLINE DCOM- 20100223 LR - 20190608 IS - 0301-0430 (Print) IS - 0301-0430 (Linking) VI - 72 IP - 6 DP - 2009 Dec TI - Altered fibrinolytic activities in gastric cancer and uremic patients after intervention. PG - 468-72 AB - INTRODUCTION: Although thromboembolism is the most recognized cause of death in cancer and uremic patients following tumorectomy or hemodialysis, respectively, little data exist concerning its etiologies and treatments in post-intervention settings. In this study, we determined the post-intervention fibrinolytic activities to exploit their implications in gastric cancer and uremic patients. MATERIALS AND METHODS: A small-scale case-control study with totally 56 cases aimed to compare the difference of the post-intervention fibrinolytic activities of two hypercoagulable groups of gastric cancer and uremic patients versus healthy controls was conducted. In-house functional assays for plasma plasminogen (Pg) and plasminogen activators (PA) activities were employed. RESULTS: As compared to the control, both variable-stratified patient groups disclosed reduced Pg activities, synonyms at the "hypofibrinolytic" state, suggesting that the alleged post-intervention hypercoagulability of the two patient groups could be rationalized by the hypofibrinolysis mechanism. On the other hand, cancer patients showed elevated PA activity, concomitantly implicating that there was associated fibrinolytic consumption. Moreover, the altered PA activity could be ascribed to tumor metastasis according to literature review. CONCLUSIONS: Our data suggested that the PA/Pg fibrinolytic activities were altered in gastric cancer and uremic patients post-interventionally. Measurement of the post-intervention fibrinolytic activities could be useful in projection of some potential risks. FAU - Chen, J-S AU - Chen JS AD - Divisions of Nephrology, Tri-Service General Hospital, Taipei, Taiwan. FAU - Chan, D-C AU - Chan DC FAU - Chung, M-J AU - Chung MJ FAU - Chang, L-C AU - Chang LC FAU - Yang, V C AU - Yang VC LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Clin Nephrol JT - Clinical nephrology JID - 0364441 RN - 9001-91-6 (Plasminogen) RN - EC 3.4.21.- (Plasminogen Activators) SB - IM MH - Female MH - Fibrinolysis/*physiology MH - Follow-Up Studies MH - Gastrectomy/*adverse effects MH - Humans MH - Male MH - Middle Aged MH - Plasminogen/metabolism MH - Plasminogen Activators/blood MH - Renal Dialysis/*adverse effects MH - Retrospective Studies MH - Stomach Neoplasms/*blood/therapy MH - Thrombosis/blood/*etiology MH - Uremia/*blood/therapy EDAT- 2009/12/04 06:00 MHDA- 2010/02/24 06:00 CRDT- 2009/12/04 06:00 PHST- 2009/12/04 06:00 [entrez] PHST- 2009/12/04 06:00 [pubmed] PHST- 2010/02/24 06:00 [medline] AID - 6796 [pii] AID - 10.5414/cnp72468 [doi] PST - ppublish SO - Clin Nephrol. 2009 Dec;72(6):468-72. doi: 10.5414/cnp72468.