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Stachrom at 3

Manufactured by Diagnostica Stago
Sourced in France

The Stachrom AT III is a laboratory instrument designed to measure the activity of Antithrombin III (AT III) in human plasma samples. AT III is a key regulatory protein involved in the blood coagulation process. The Stachrom AT III provides a quantitative assessment of AT III levels, which is important for diagnosing and monitoring certain coagulation disorders.

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5 protocols using stachrom at 3

1

Coagulation Screening for Hereditary Thrombophilia

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The coagulation tests used to screen for HT were PC activity (Stachrom® Protein C, Diagnostica Stago, Asnières, France), PS free Ag (Liatest® Free Protein S, Diagnostica Stago), AT activity (Stachrom® AT III, Diagnostica Stago), and plasminogen activity (Stachrom® Plasminogen, Diagnostica Stago), per the international guidelines [19 (link)]. All coagulation tests were performed on the STA®-Evolution Coagulation Analyzer. Reference ranges were determined according to our institutional data. Whenever possible, coagulation tests were repeated 2 weeks after the discontinuation of anticoagulation therapy if results at the time of diagnosis showed low levels of multiple NAs or if tests with abnormal results were performed under anticoagulant use.
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2

Measurement of Plasma Coagulation Factors

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Plasma D dimer concentration was measured using an anti-human ELISA (Asserachrom® D-Di, Diagnostica Stago, Parsippany, NJ, USA), PAI-1 was measured using an ELISA (Rat PAI-1 Activity ELISA Kit, Catalog #RPAIKT, Molecular Innovations, Novi, MI, USA) configured to detect functional PAI-1 based on its binding to urokinase-coated microtiter plate wells, and antithrombin (AT) was measured using a chromogenic substrate kit (Stachrom® ATIII, Diagnostica Stago, Parsippany, NJ, USA) based on inhibition of bovine thrombin (anti-IIa assay).
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3

Coagulation Factor Measurement Protocol

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Antithrombin (AT) was measured by chromogenic assay (Stachrom AT III; Diagnostica Stago). Protein C (PC) was measured by clotting assay (Staclot C, Diagnostica Stago). Tissue factor pathway inhibitor (TFPI) was measured using ELISA (Diagnostica Stago).
All factors were expressed as percentages of the mean values in the healthy population. All assays were performed on STA-R Evolution (Diagnostica Stago, Parsipanny, NJ, USA).
Select factor levels (II, V, VII, VIII, IX, X, AT, PC and TFPI) were measured as described above on plasma of the 15 non-Amish controls. FXII and FXI were not measured in this subset as our mathematical model is based on tissue factor (TF) pathway of coagulation and hence measurements of these factors is not needed to run computational models of TF initiated thrombin generation. (Supplement 3, S3, Table S2).
Reference ranges were derived in-house from testing of 123 healthy control subjects and validated with reagent changes.
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4

Routine Coagulation Analyses in Citrated Plasma

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Routine coagulation analyses were performed in citrated plasma using a STA‐R Evolution® instrument and reagents from Diagnostica Stago (Asniéres, France). STA® SPA+ reagent was used for prothrombin time‐international normalized ratio (PT‐INR), and STA®‐PPT for activated partial thromboplastin time (APTT; Diagnostica Stago) and clot detection methods. The colorimetric kits STACHROM® protein C and STACHROM® ATIII (Diagnostica Stago) were used for analysis of protein C and anti‐thrombin III, respectively. The clot‐based test kit STACLOT® protein S (Diagnostica Stago) and the COATEST® APCTM Resistance V kit from Chromogenix (Bedford, MA, USA) were used for analysis of protein S and activated protein C (APC) resistance, respectively. FVIII, von Willebrand factor antigen and activity, lupus anti‐coagulant, anti‐cardiolipin IgG and IgM and anti‐beta2‐glycoprotein I IgG and IgM were estimated in blood samples from the C5D individual by routine analyses at the Department of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.
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5

Coagulation Factor Measurement Protocol

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Fibrinogen (Dade Thrombin reagent, Siemens, Marburg, Germany), factor VIII coagulant (FVIII:C) (Factor VIII deficient plasma, Siemens), protein S activity (Staclot Protein S, Diagnostica Stago), protein C anticolagulant activity (Cryocheck Clot C, Cryopep, Montpellier, France), and antithrombin (Stachrom AT III, Diagnostica Stago) were measured on a STA-R Analyser (Diagnostica Stago).
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