Concise reports
Inactivation of antithrombin III in synovial fluid from patients
with rheumatoid arthritis
a Department of
Rheumatology, Royal Hampshire County Hospital, Winchester, b Inflammation Research Group, St
Bartholomew's and the Royal London School of Medicine and Dentistry,
London, c Department of Rheumatology,
Christchurch Hospital, Christchurch
Correspondence to: Dr H W Jones, Clinical Rheumatology Unit, Guy's Hospital, London SE1 9RT.
Accepted for publication 21 January 1998
OBJECTIVE
To investigate the thrombin inhibitory
capacity of antithrombin III in the inflamed human joint.
METHODS
Thrombin inhibitory capacity was measured,
using a kinetic spectophotometric method, in matched plasma and
synovial fluid samples of patients with rheumatoid arthritis (n=22) and
osteoarthritis (n=16), together with normal control plasma samples
(n=13). In the same samples, the concentration of antithrombin III was
also determined by the method of radial immunodiffusion. The
combination of these measurements allowed the calculation of the
specific thrombin inhibitory capacity of these samples.
RESULTS
An increased concentration of antithrombin
III in rheumatoid compared with osteoarthritic synovial fluid was noted
(p<0.05). However, there was a significant depression in the specific
activity of antithrombin III in rheumatoid synovial fluid when compared with matched plasma samples (p<0.001) or with osteoarthritic synovial fluid (p<0.05).
CONCLUSION
In rheumatoid synovial fluid the
thrombin inhibitory capacity of antithrombin III is disproportionately
depressed relative to the concentration of antithrombin III, indicating
the inactivation of antithrombin III in the rheumatoid joint.
© 1998 by Annals of the Rheumatic Diseases
This article has been cited by other articles:
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Braat, E A M, Jie, A F H, Ronday, H K, Beekman, B, Rijken, D C
(2000). Urokinase-mediated fibrinolysis in the synovial fluid of rheumatoid arthritis patients may be affected by the inactivation of single chain urokinase type plasminogen activator by thrombin. Ann Rheum Dis
59: 315-318
[Abstract] [Full Text]
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