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Assaying for Inorganic Polyphosphate in Bacteria
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Published on: January 21, 2019

Polyphosphate as a general procoagulant agent.

S A Smith1, J H Morrissey

  • 1Department of Internal Medicine, College of Medicine, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA. sasmith6@uiuc.edu

Journal of Thrombosis and Haemostasis : JTH
|July 31, 2008
PubMed
Summary
This summary is machine-generated.

Polyphosphate, released by platelets, accelerates blood clotting. This study shows polyphosphate can reverse anticoagulant effects and aid bleeding treatment in hemophilia patients.

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Area of Science:

  • Biochemistry
  • Hematology
  • Hemostasis

Background:

  • Polyphosphate is secreted by activated platelets.
  • Polyphosphate accelerates blood clotting by triggering the contact pathway and promoting Factor V activation.

Purpose of the Study:

  • To investigate the procoagulant effects of polyphosphate in hemophilia and in the presence of anticoagulants.
  • To determine if polyphosphate can reverse the effects of anticoagulant drugs.

Main Methods:

  • Assessed polyphosphate's effect on clotting time in hemophilia A and B plasmas.
  • Evaluated polyphosphate's impact on clotting dynamics in whole blood with various anticoagulants using thromboelastography.
  • Investigated polyphosphate's mechanism of action by studying its effect on Factor V activation.

Main Results:

  • Polyphosphate significantly shortened clotting times in hemophilia A and B plasmas.
  • Polyphosphate reversed the anticoagulant effects of heparin, enoxaparin, argatroban, and rivaroxaban, normalizing clotting dynamics.
  • Polyphosphate antagonizes anticoagulant effects by accelerating Factor V activation.

Conclusions:

  • Polyphosphate demonstrates potential for reversing anticoagulation.
  • Polyphosphate may be beneficial in treating bleeding episodes in hemophilia patients.