Clinical significance of the ratio between the alpha 2 plasmin inhibitor-plasmin complex and the thrombin-antithrombin complex in advanced non-small cell lung cancer

Med Oncol. 2011 Mar;28(1):351-6. doi: 10.1007/s12032-010-9454-y. Epub 2010 Mar 19.

Abstract

The aims of this study are to: (a) confirm the prognostic significance of the procoagulant molecules D dimer, thrombin-antithrombin complex (TAT), and plasmin-α2-plasmin inhibitor complex (PIC); (b) to evaluate hemostatic activation in patients with advanced non-small cell lung cancer (NSCLC); and (c) to delineate the relationships between markers of hemostasis and other clinical characteristics. In this study, a low PIC/TAT ratio and poor PS were significant independent negative prognostic factors for survival in patients with advanced NSCLC. The PIC/TAT ratio may become a surrogate marker for treatment with anticoagulants in the future.

MeSH terms

  • Adenocarcinoma / blood
  • Adenocarcinoma / mortality
  • Adenocarcinoma / therapy
  • Adult
  • Aged
  • Aged, 80 and over
  • Antithrombin III / metabolism*
  • Biomarkers, Tumor / blood*
  • Blood Coagulation
  • Carcinoma, Non-Small-Cell Lung / blood*
  • Carcinoma, Non-Small-Cell Lung / mortality
  • Carcinoma, Non-Small-Cell Lung / therapy
  • Carcinoma, Squamous Cell / blood
  • Carcinoma, Squamous Cell / mortality
  • Carcinoma, Squamous Cell / therapy
  • Female
  • Fibrinolysin / metabolism*
  • Humans
  • Lung Neoplasms / blood*
  • Lung Neoplasms / mortality
  • Lung Neoplasms / therapy
  • Male
  • Middle Aged
  • Peptide Hydrolases / metabolism*
  • Prognosis
  • Survival Rate
  • alpha-2-Antiplasmin / metabolism*

Substances

  • Biomarkers, Tumor
  • alpha-2-Antiplasmin
  • antithrombin III-protease complex
  • plasmin-plasmin inhibitor complex
  • Antithrombin III
  • Peptide Hydrolases
  • Fibrinolysin