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[Resistance to activated protein C, so-called APC resistance: the first two cases in Slovakia]
J Hudecek1, J Ivánková, P Kubisz
1Klinika hematológie a transfuziológie MFN Martin.
Insights
Activated protein C (APC) resistance, a common cause of thrombophilia linked to factor V, requires a newly identified cofactor besides protein S. This study reports the first diagnosed cases of APC resistance in Slovakia.
Area of Science:
- Biochemistry
- Hematology
- Genetics
Background:
- The anticoagulant function of activated protein C (APC) is crucial for hemostasis.
- Protein S is a known cofactor for APC, but another essential cofactor has been identified.
Observation:
- Deficiency of this newly detected cofactor leads to APC resistance.
- APC resistance is strongly associated with the factor V molecule.
- This defect is recognized as the most prevalent cause of thrombophilia.
Findings:
- Two patients diagnosed with APC resistance are presented.
- These represent the first documented cases of APC resistance in Slovakia.
Implications:
- Understanding APC resistance is vital for diagnosing and managing thrombophilia.
- Identification of APC resistance in Slovakia expands the geographical scope of this condition.
- Further research into the novel cofactor may reveal new therapeutic targets for thrombotic disorders.
Abstract:
For the anticoagulant action of activated protein C (APC) in addition to protein S another newly detected cofactor is essential. Its deficiency is described as APC-resistance. This defect which is closely associated with the molecule of the factor V seems to be the most frequent cause of thrombophilia. The authors describe two patients where APC-resistance was diagnosed for the first time in Slovakia.
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