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Methylprednisolone induces activation of the contact system in a dose-dependent manner. An in vitro study
Authors:Olav Roeise    Jan H. Nuijens    C. Erik Hack    Bonno N. Bouma    Jan O. Stadaas  Ansgar O. Aasen
Affiliation:

a Department of Surgery and Institute for Experimental Medical Research, Ullevaal Hospital, University of Oslo, Norway

b Central Laboratory of the Netherlands Red Cross Blood Transfusion Service and Laboratory for Experimental and Clinical Immunology, University Hospital Utrecht, Utrecht, The Netherlands

c Univers-ity of Amsterdam, Amsterdam and Department of Hematology, University Hospital Utrecht, Utrecht, The Netherlands

Abstract:The effect of methylprednisolone sodium succinate (MP) on the contact system of plasma was studied in human citrated pool plasma. Contact activation was demonstrated by the presence of plasma kallikrein (KK) activity and activated Hageman factor (FXIIa) and/or KK in complex with Cl inhibitor (Clinh), detected by chromogenic peptide substrates or radio immunoassays, using monoclonal antibodies directed to neodeterminants exposed on complexed Clinh, respectively.

When plasma and different doses of MP were incubated for a period of 24 hours, the highest dose of MP (10 mg/ml) gave rapid and marked increases in KK activities and concentrations of Clinh complexes. MP at 5 mg/ml plasma also induced activation of the contact system, although this activation was less pronounced. Even the lower dose of MP (1 mg/ml), which is equivalent to doses used in humans, increased plasma concentrations of KK-Clinh complexes.

In conclusion, this study shows that MP in a dose-dependent way activates the contact system of plasma.

Keywords:Author Keywords: Prekallikrein   kallikrein   high molecular weight kininogen   factor XII   factor XIIa-Cl-inhibitor and kallikrein-Cl-inhibitor complexes   methylprednisolone   in vitro
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