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Publication : Heparin cofactor II-thrombin complex in MPS I: a biomarker of MPS disease.

First Author  Randall DR Year  2006
Journal  Mol Genet Metab Volume  88
Issue  3 Pages  235-43
PubMed ID  16497528 Mgi Jnum  J:110431
Mgi Id  MGI:3640225 Doi  10.1016/j.ymgme.2006.01.005
Citation  Randall DR, et al. (2006) Heparin cofactor II-thrombin complex in MPS I: A biomarker of MPS disease. Mol Genet Metab 88(3):235-43
abstractText  The mucopolysaccharidoses are a clinically heterogeneous group of lysosomal storage disorders presenting with broad multi-system disease and a continuous range of phenotypes. Currently, there are no objective biomarkers of MPS disease that clearly reflect disease severity or therapeutic responsiveness. Using proteomic studies in the murine MPS I model, we have identified the formation of the heparin cofactor II-thrombin (HCII-T) complex, a well-known serine protease inhibitor (serpin)-serine protease complex, as an informative biomarker for MPS I. MPS I patients showed a range of serum HCII-T concentrations from 46,000-208,600pM, whereas the control values varied from 115.1-398.0pM. HCII-T complex was also elevated in plasma from MPS I patients and mice. The degree of HCII-T complex formation appears to correlate with disease severity and is responsive to therapy. In addition to its role as a biomarker, the discovery of increased serpin-serine protease complex formation provides a valuable insight into possible pathophysiological mechanisms of MPS disease.
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