CPR-Total (TAFI and Activated TAFI) Levels in Plasma/Serum of Hemophiliacs

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Abstract
Arginine carboxypeptidase (CPR) is a single‐chain plasma protein generated during coagulation from a precursor (proCPR). proCPR is the same molecule as thrombin activable fibrinolysis inhibitor (TAFI), which retards fibrin clot lysis in vitro and most likely modulates fibrinolysis in vivo. In this study, the amount of CPR‐total, which includes proCPR (TAFI) and CPR (activated TAFI), in hemophiliac patients was evaluated using a newly developed enzyme linked immunosorbent assay (ELISA). The amount of CPR‐total in plasma or serum of most of the hemophiliac patients was in the range of healthy individuals. There was no significant difference in hemophiliac patients with or without HIV‐1 infection. However, two out of the 74 hemophiliac patients showed a significantly high level. The upregulation of CPR‐total might contribute to compensate for inefficient coagulation in some hemophiliac individuals.