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The Overall Hemostatic Potential (OHP) Assay

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Hemostasis and Thrombosis

Part of the book series: Methods in Molecular Biology ((MIMB,volume 1646))

Abstract

The principle of the overall hemostatic potential (OHP) assay is the generation of a fibrin time curve by optical density readings, which represent the balance between fibrin generation, triggered by thrombin or tissue factor, and fibrinolysis, triggered by tissue plasminogen activator (tPA). OHP measures the integrated effect of procoagulant, anticoagulant, and fibrinolytic factors, and OHP assay parameters provide a means of quantifying both the coagulation and fibrinolytic potential of platelet poor plasma. In particular, the OHP assay can be used to evaluate hypercoagulable states and abnormalities of fibrinolysis which are not well defined by assays which are routinely available in the coagulation laboratory. OHP is a technically simple assay, with potential for application in the routine laboratory at minimal cost.

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References

  1. He S, Bremme K, Blomback M (1999) A laboratory method for determination of overall haemostatic potential in plasma. I. Method design and preliminary results. Thromb Res 96:145–156

    Article  CAS  PubMed  Google Scholar 

  2. He S, Antovic A, Blomback M (2001) A simple and rapid laboratory method for determination of haemostasis potential in plasma. II. Modifications for use in routine laboratories and research work. Thromb Res 103:355–361

    Article  CAS  PubMed  Google Scholar 

  3. He S, Zhu K, Skeppholm M, Vedin J, Svensson J, Egberg N, Blomback M, Wallen H (2007) A global assay of haemostasis which uses recombinant tissue factor and tissue-type plasminogen activator to measure the rate of fibrin formation and fibrin degradation in plasma. Thromb Haemost 98:871–882

    CAS  PubMed  Google Scholar 

  4. Curnow JL, Morel-Kopp MC, Roddie C, Aboud M, Ward CM (2007) Reduced fibrinolysis and increased fibrin generation can be detected in hypercoagulable patients using the overall hemostatic potential assay. J Thromb Haemost 5:528–534

    Article  CAS  PubMed  Google Scholar 

  5. Curnow JL (2010) Evaluation of the overall haemostatic potential assay for the diagnosis and management of hypercoagulable states. Dissertation, University of Sydney

    Google Scholar 

  6. Antovic A, Blomback M, Sten-linder M, Petrini P, Holmstrom M, He S (2005) Identifying hypocoagulable states with a modified global assay of overall haemostasis potential in plasma. Blood Coagul Fibrinolysis 16:585–596

    Article  CAS  PubMed  Google Scholar 

  7. Reddel C, Curnow J, Voitl J, Rosenov A, Pennings G, Morel-Kopp MC, Brieger D (2013) Detection of hypofibrinolysis in stable coronary artery disease using the overall haemostatic potential assay. Thromb Res 131:457–462

    Article  CAS  PubMed  Google Scholar 

  8. Edelman JJ, Reddel C, Kritharides L, Bannon P, Fraser J, Curnow J, Vallely M (2013) Natural history of hypercoagulability in patients undergoing coronary revascularization and effect of preoperative myocardial infarction. J Thorac Cardiovasc Surg 148(2):536–543

    Article  PubMed  Google Scholar 

  9. White A, Edelman JJ, Lott N, Bannon P, Curnow JL, Balogh Z (2014) Characterisation of the hypercoagulable state following severe orthopaedic trauma. J Trauma Acute Care Surg 77(2):231–237

    Article  PubMed  Google Scholar 

  10. Chow V, Reddel C, Pennings G, Chung T, Ng ACC, Curnow K, Kritharides L (2015) Persistent global hypercoagulability in long-term survivors of acute pulmonary embolism. Blood Coagul Fibrinolysis 26(5):537–544

    Article  CAS  PubMed  Google Scholar 

  11. Chow V, Reddel C, Pennings G, Scott E, Pasqualone T, Ng ACC, Yeoh T, Curnow J, Kritharides L (2015) Global hypercoagulability in patients with schizophrenia receiving long-term antipsychotic therapy. Schizophr Res 162:175–182

    Article  PubMed  Google Scholar 

  12. McEwan B, Phillips C, Morel-Kopp MC, Yee B, Sulllivan D, Ward CM, Tofler G, Grunstein R (2012) Diurnal changes in levels of firbin generation are not altered by continuous positive airway pressure (CPAP) in obstructive sleep apnoea (OSA). Thromb Haemost 108(4):701–709

    Article  Google Scholar 

  13. Dengate A, Morel-Kopp MC, Beatty JA, Barrs V, Braddock JA, Churcher RK, Wilson BJ, Ward CM (2016) Differentiation between dogs with thrombosis and normal dogs using the overall hemostasis potential assay. J Vet Emerg Crit Care 26(3):446–452

    Article  Google Scholar 

  14. Reddel C, Allen JD, Ehteda A, Taylor R, Chen VMY, Curnow JL, Kritharides L, Robertson G (2016) Increased thrombin generation in a mouse model of cancer cachexia is partially interleukin-6 dependent. J Thrombosis Haemost 15:477–486

    Article  Google Scholar 

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Acknowledgements

I would like to thank Professor Christopher M. Ward and Dr. Marie-Christine Morel-Kopp for PhD thesis supervision and advice during assay development and optimization at the Northern Blood Research Centre, Sydney NSW, Australia. I also thank Dr. Caroline Reddel for assistance with further assay modification and application in a mouse model, at Vascular Biology Group, ANZAC Research Institute, Sydney NSW, Australia.

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Correspondence to Jennifer Curnow .

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Curnow, J. (2017). The Overall Hemostatic Potential (OHP) Assay. In: Favaloro, E., Lippi, G. (eds) Hemostasis and Thrombosis. Methods in Molecular Biology, vol 1646. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-7196-1_38

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  • DOI: https://doi.org/10.1007/978-1-4939-7196-1_38

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-7194-7

  • Online ISBN: 978-1-4939-7196-1

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