Clinical characteristics, plasma ADAMTS13 activity, inhibitors of TTP patients, and sensitivity of WT ADAMTS13 and novel variants to the inhibition by patient plasma
Patient no. . | Age, y . | Sex . | Platelet count, × 109/L . | Hemato-crit, % . | LDH, U/L . | Creatinine, mg/dL . | CNS, signs and symptoms . | ADAMTS13 activity by rF-vWF73, % . | Plasma anti-ADAMTS13 inhibitors . | Plasma anti-ADAMTS13IgG, U/mL . | Sensitivity to patient plasma inhibition . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
WT . | M1 . | M2 . | M3 . | M4 . | M5 . | |||||||||||
1 | 44 | Female | 15 | 23 | 695 | 1.1 | Yes | < 5 | + | 84.2 | ++ | ++ | ++ | + | − | − |
2 | 56 | Female | 19 | 29 | 654 | 1.1 | Yes | < 5 | + | 35.4 | ++ | ++ | ++ | + | + | + |
3 | 45 | Female | 88 | 28 | 995 | 0.7 | Yes | < 5 | + | 81.9 | ++ | ++ | ++ | − | − | − |
4 | 52 | Female | 52 | 20 | 866 | 1.1 | Yes | < 5 | + | 132.0 | ++ | ++ | ++ | − | − | − |
5 | 79 | Female | 7 | 27 | 1660 | 1.4 | Yes | < 5 | + | 118.0 | ++ | ++ | ++ | + | − | − |
6 | 34 | Male | 15 | 23 | 2703 | 0.9 | Yes | < 5 | + | 127.5 | ++ | ++ | ++ | + | − | − |
7 | 34 | Male | 0 | 33 | 859 | 1.9 | No | < 5 | + | 162.0 | ++ | ++ | ++ | − | − | − |
8 | 23 | Female | 11 | 18 | 3412 | 0.8 | Yes | < 5 | + | 132.0 | ++ | ++ | ++ | − | − | − |
9 | 42 | Female | 23 | 17 | 3259 | 0.8 | Yes | < 5 | + | 168.0 | ++ | ++ | ++ | − | − | − |
10 | 21 | Female | 9 | 13 | 1489 | 1.5 | Yes | < 5 | + | 72.0 | ++ | ++ | ++ | + | + | + |
11 | 61 | Female | 33 | 28 | 511 | 0.8 | Yes | < 5 | + | 221.0 | ++ | ++ | ++ | − | − | − |
12 | 42 | Male | 16 | 24 | 6517 | 1.2 | No | < 5 | + | 147.2 | ++ | ++ | ++ | + | − | − |
N = 12 | 43* | 15.5* | 23.5* | 1242* | 1.1* | (83.3) | (100) | (100) | (100) | (100) | (100) | (100) | (50) | (17) | (17) |
Patient no. . | Age, y . | Sex . | Platelet count, × 109/L . | Hemato-crit, % . | LDH, U/L . | Creatinine, mg/dL . | CNS, signs and symptoms . | ADAMTS13 activity by rF-vWF73, % . | Plasma anti-ADAMTS13 inhibitors . | Plasma anti-ADAMTS13IgG, U/mL . | Sensitivity to patient plasma inhibition . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
WT . | M1 . | M2 . | M3 . | M4 . | M5 . | |||||||||||
1 | 44 | Female | 15 | 23 | 695 | 1.1 | Yes | < 5 | + | 84.2 | ++ | ++ | ++ | + | − | − |
2 | 56 | Female | 19 | 29 | 654 | 1.1 | Yes | < 5 | + | 35.4 | ++ | ++ | ++ | + | + | + |
3 | 45 | Female | 88 | 28 | 995 | 0.7 | Yes | < 5 | + | 81.9 | ++ | ++ | ++ | − | − | − |
4 | 52 | Female | 52 | 20 | 866 | 1.1 | Yes | < 5 | + | 132.0 | ++ | ++ | ++ | − | − | − |
5 | 79 | Female | 7 | 27 | 1660 | 1.4 | Yes | < 5 | + | 118.0 | ++ | ++ | ++ | + | − | − |
6 | 34 | Male | 15 | 23 | 2703 | 0.9 | Yes | < 5 | + | 127.5 | ++ | ++ | ++ | + | − | − |
7 | 34 | Male | 0 | 33 | 859 | 1.9 | No | < 5 | + | 162.0 | ++ | ++ | ++ | − | − | − |
8 | 23 | Female | 11 | 18 | 3412 | 0.8 | Yes | < 5 | + | 132.0 | ++ | ++ | ++ | − | − | − |
9 | 42 | Female | 23 | 17 | 3259 | 0.8 | Yes | < 5 | + | 168.0 | ++ | ++ | ++ | − | − | − |
10 | 21 | Female | 9 | 13 | 1489 | 1.5 | Yes | < 5 | + | 72.0 | ++ | ++ | ++ | + | + | + |
11 | 61 | Female | 33 | 28 | 511 | 0.8 | Yes | < 5 | + | 221.0 | ++ | ++ | ++ | − | − | − |
12 | 42 | Male | 16 | 24 | 6517 | 1.2 | No | < 5 | + | 147.2 | ++ | ++ | ++ | + | − | − |
N = 12 | 43* | 15.5* | 23.5* | 1242* | 1.1* | (83.3) | (100) | (100) | (100) | (100) | (100) | (100) | (50) | (17) | (17) |
Values in parentheses indicate positive rates in percentages.
LDH indicates lactate dehydrogenase; −, negative inhibition (< 10% reduction in activity); +, mild inhibition (10%-30% reduction in activity); ++, moderate inhibition (30%-50% reduction in activity); and +++, strong inhibition (> 50% reduction in activity) after 50:50 mixing with patient plasma.
Median values.