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27 protocols using enzygnost tat micro

1

Coagulation and Fibrinolysis Biomarkers Assay

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Fibrinogen, coagulation factors V and VIII (FV and FVIII), vWF:Ag, protein S and C activities, and D-dimer were measured using the BCS XP system (Siemens). Thrombin-antithrombin III complex (TAT), plasmin-α2-antiplasmin complex (PAP), tissue-type plasminogen activator (tPA) were all determined by ELISA assays (ASSERACHROM t-PA kit, Diagnostica Stago, S.A.S., France, Enzygnost PAP micro, and Enzygnost TAT micro, Siemens). Thrombin activatable fibrinolysis inhibitor (TAFI) was determined for protein content by ELISA (Imuclone Total TAFI ELISA, Sekisui Diagnostics LLC, USA) and for TAFI activity by kinetic assay (Sekisui Diagnostics GmbH, Germany). Plasminogen activator inhibitor levels (PAI-1) were determined by ELISA and measured both complexed and free PAI-1 (Zymutest PAI-1 Antigen, Hyphen BioMed, France).
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2

Platelet Function and Coagulation Markers

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Platelet function was assessed on platelet rich plasma (PRP) by LTA on an 8-channel aggregometer (TA-8V, SD Medical, Heillecourt, France) using adenosine diphosphate (ADP) 5 µmol/L and 20 µmol/L (Sigma, St Louis, MO, USA), Horm collagen 1 µg/mL (Nycomed, Linz, Austria) or arachidonic acid (AA) 1 mmol/L (BioData Corps, Horsham, PA) [19 (link),20 (link)].
Thrombin-antithrombin complexes (TAT) and prothrombin fragments F1+2 (F1+2) were quantified in citrated plasma samples using Enzygnost TAT micro and Enzygnostat F1+2 kits (Siemens Healthcare Diagnostics Products, Marburg, Germany), respectively, according to the manufacturer instructions [16 (link)].
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3

Coagulation Markers in Plasma

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Blood was drawn from the IVC and platelet poor plasma was prepared for determination of TAT, D-Dimer and fibrinogen levels. Commercially available assay kits were used to assess levels of TAT (Enzygnost TAT micro, Siemens, Marburg, Germany) and D-Dimer (Asserachrom D-Di, Diagnostica Stago, Parsippany, NJ, USA). Fibrinogen levels were detected by ELISA as previously described [24 (link)].
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4

Evaluation of Coagulation and Fibrinolysis Markers

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After collection, BALFs were immediately put on ice and then centrifuged for 10 min at 900 ×g at 4 °C. The supernatant was aliquoted and stored at − 80 °C until assays were performed. The levels of prothrombin fragment 1 + 2 (F1 + 2), thrombin–antithrombin complex (TATc), soluble TF (sTF) antigen, plasminogen activator inhibitor 1 (PAI‐1) and tissue‐type plasminogen activator (t‐PA) were measured with specific enzyme immunoassays, according to the manufacturers’ instructions (F1 + 2, Enzygnost F1 + 2 [Siemens, Marburg, Germany]; TATc, Enzygnost TAT micro [Siemens]; sTF, Imubind Tissue Factor ELISA [Sekisui Diagnostics, Stamford, CT, USA]; PAI‐1 activity, Technozym PAI‐1 Actibind ELISA [Technoclone, Vienna, Austria]; PAI‐1 antigen, Quantikine Human Total Serpin E1/PAI‐1 Immunoassay [R&D Systems, Minneapolis, MN, USA]; and t‐PA antigen and activity, Technozym t‐PA Combi Actibind ELISA [Technoclone]). The F1 + 2, TATc and sTF assays are sensitive to detect even low values in plasma and BALF of healthy volunteers as previously described 22, 23, 24. The lower limits of quantification were 20 pmol L−1 for F1 + 2, 2 μg L−1 for TATc, 0.05 ng mL−1 for sTF, 0.49 IU mL−1 for PAI‐1 activity, 0.313 ng mL−1 for PAI‐1 antigen, 0.05 IU mL−1 for t‐PA activity and 0.1 ng mL−1 for t‐PA antigen). Fibrinogen was measured with the Clauss method in an accredited routine laboratory.
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5

Comprehensive Assessment of Coagulation and Inflammatory Markers

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Leucocyte, haemoglobin and platelet counts were obtained on EDTA anticoagulated blood. For coagulation assays, blood (four parts) was collected in tubes containing 3.8% sodium citrate (one part). Fibrinogen levels were rapidly measured by standard procedures. Immunoassay methods were used to determine quantitative thrombin–antithrombin complexes (TAT) (Enzygnost® TAT micro, Siemens, Munich, Germany). Fibrin monomer (Liatest FM® Stago, Asnières, France) was performed by immunoturbidimetric assay. The quantitative determination of vWF antigen (Ag) was measured by turbidimetric assay (vWF Ag® Reagent, Siemens, Nederland) (n = 70–100%).
TNFα and interleukin-6 (Il-6) were measured in serum. Plasma levels were detected by ELISA method with porcine anti-TNFα antibodies (Quantikine® Porcine TNFα, R&D Systems, USA) and anti-Il-6 antibodies (Quantikine® Porcine Il-6, R&D Systems, USA).
Blood and urinary creatinine levels (Cobas® 8000 modular analyser, Roche Diagnostics, Switzerland) were measured at each time except T30. We computed creatinine clearance, a surrogate marker of GFR, with standard formula [creatinine clearance (CrCl) = (creatinine urinary concentration × rate of urine formation)/Creatinine plasma concentration]. Diuresis, a marker of both GFR and tubular function, was measured at each time except T30.
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6

Coagulation and Hemolysis Evaluation of CVCs

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Induction of coagulation was assessed by applying measures for platelet counts, TAT, and fibrin deposition. Whole‐blood count was measured in EDTA anticoagulated blood according to the standard procedure for clinical evaluation of blood in the Clinical Chemistry Department at Karolinska University Hospital.
TAT was measured in plasma collected from citrated blood, using a commercially available ELISA kit (Enzygnost® TAT micro, Siemens AG, Muenchen, Germany), following the instructions provided by the manufacturer.
The endpoint product of the coagulation cascade is a fibrin clot. After blood incubation in the loops, tested CVCs were washed with saline (0.9%) and stained with a suspension of hematoxylin (0.1%) at room temperature for 30 min. Fibrin deposition on CVCs was evaluated visually before and after staining.
The hemolysis assay was performed using a QuantiChrome TM Hemoglobin assay kit (Bioassay Systems, Hayward, USA) to estimate the release of hemoglobin to plasma due to possible damage of red blood cells (RBCs) caused by tested materials.
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7

Quantification of Canine Plasma TAT Complexes

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Citrated plasma samples were thawed for 15 minutes at 37°C and gently mixed before the concentration of TAT complexes was determined with a sandwich enzyme immunoassay (Enzygnost®TAT micro, Siemens Healthcare Diagnostics) previously validated for canine plasma [27 (link)], according to the manufacturer’s protocol. Plasma samples had been thawed once previously. The standards included in the Enzygnost®TAT micro kit ranged from 2.0 to 60 µg/L. In samples with values above the highest standard, the software extrapolated the concentration of TAT, and the absolute values above 60 µg/L should therefore be interpreted with caution.
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8

Activation Markers Evaluation of Abdominal Swabs

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The influence of the two different abdominal swab materials on the activation of the complement system, blood clotting, activation of platelets, and activation of neutrophils was evaluated by the detection of different activation markers using ELISAs, which were performed according to the manufacturer’s instructions. For this purpose, the shock frozen plasmas were used. The following activation markers were measured: terminal complement complex (sC5b-9) (MicroVue™ Complement, Quidel, Osteomedical GmbH, Sissach, Switzerland) in EDTA plasma, thrombin–antithrombin III complex (TAT) (Enzygnost® TAT micro, Siemens Healthcare, Erlangen, Germany) and the polymorphonuclear (PMN)-elastase (PMN-elastase ELISA, demeditec, Kiel, Germany) in citrated plasma, β-thromboglobulin (β-TG) (Asserachrom® β-TG, Diagnostica Stago, Düsseldorf, Germany) in CTAD plasma.
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9

Plasma D-dimer and TAT Complexes Analysis

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Plasma concentrations of D-dimer were established using a Sysmex® CA-7000 System Automated Coagulation Analyzer with reagents obtained from Siemens Healthcare Diagnostics (Marburg, Germany). D-dimer measurements were performed using the INNOVANCE® D-dimer assay [Reference range: < 550 ng/mL]. TAT complexes were quantified by a commercially available immunoassay (Enzygnost® TAT Micro, Siemens Healthcare Diagnostics, Marburg, Germany) [Reference range: 2.0–4.2 ng/mL].
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10

Coagulation Marker Quantification Protocol

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Plasma concentrations of fibrinogen and D-dimer were established using a Sysmex CA-7000 System Automated Coagulation Analyser with reagents obtained from Siemens Healthcare Diagnostics (Marburg, Germany). Fibrinogen was measured according to the Clauss method (intra-assay and inter-assay CVs: 10%)14 (link) and D-dimer levels were determined by the INNOVANCE D-dimer assay (intra-assay and inter-assay CVs: 10%). Thrombin–antithrombin (TAT) complexes were quantified by a commercially available immunoassay (Enzygnost TAT Micro, Siemens Healthcare Diagnostics, Marburg, Germany) (intra-assay and inter-assay CVs: 6% and 10%).
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