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Clinical evaluation of protein C: a comparative review of antigenic and functional assays
1Laboratory Service, Denver VA Medical Center, CO 80220.
Insights
Protein C (PC) deficiency can cause serious blood clots. This review details laboratory tests for diagnosing PC deficiency, aiding clinical laboratories in accurate assessment.
Area of Science:
- Clinical Biochemistry
- Hematology
- Diagnostic Laboratory Medicine
Background:
- Thromboembolic disease is a significant complication of protein C (PC) deficiency.
- PC deficiency is an increasingly recognized cause of hereditary thrombotic disease.
- Accurate laboratory evaluation of PC is crucial for diagnosing this deficiency.
Purpose of the Study:
- To review various clinical assays for protein C (PC) antigenic and activity levels.
- To discuss the attributes and diagnostic value of different PC assay types.
- To provide guidance for laboratories implementing PC assays.
Main Methods:
- Review of existing literature on protein C (PC) assays.
- Description of clinical antigenic assays for PC.
- Description of protein C (PC) activity assays.
Main Results:
- Different types of PC assays possess distinct attributes.
- Specific assays are valuable for diagnosing acquired and hereditary PC deficiencies.
- The review covers both antigenic and activity-based PC testing methods.
Conclusions:
- Laboratory evaluation of protein C (PC) is essential for diagnosis.
- Understanding assay attributes aids in selecting appropriate diagnostic methods.
- This review serves as a guide for laboratories establishing PC testing protocols.
Abstract:
Thromboembolic disease is a major complication of protein C (PC) deficiency, which is among the increasing number of recognized causes of hereditary thrombotic disease. The laboratory evaluation of PC is of the utmost importance in the accurate diagnosis of this deficiency. In this review, we describe the various types of clinical antigenic and activity assays of PC. The attributes of each type of assay are discussed, as well as the value of each assay in diagnosing the various acquired and hereditary deficiencies of PC. This basic review is intended for laboratories planning to institute PC assays.
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