10 research outputs found
Heath-Jarrow-Morton-Musiela equation with linear volatility
The paper is concerned with the problem of existence of solutions for the Heath-Jarrow-Morton equation with linear volatility. Necessary conditions and sufficient conditions for the existence of weak solutions and strong solutions are provided. It is shown that the key role is played by the logarithmic growth conditions of the Laplace exponent.
Fibrinogen depletion after plasma-dilution: impairment of proteolytic resistance and reversal via clotting factor concentrates
Prothrombotic State in Asthma Is Related to Increased Levels of Inflammatory Cytokines, IL-6 and TNF alpha, in Peripheral Blood
Recently, we have reported that asthma is associated with enhanced plasma thrombin formation
and impaired fibrinolysis. The mechanisms underlying the prothrombotic state in this disease are
unknown. Our aim was to investigate whether prothrombotic alterations in asthmatics are associated
with inflammation.We studied 164 adult, white, stable asthmatics and 72 controls matched for age, sex,
body mass index (BMI), and smoking. Plasma tumor necrosis factor (), interleukin (IL)-6, and
serum periostin were evaluated using ELISAs, and their associations with thrombin generation, fibrinolytic
capacity, expressed as clot lysis time (CLT), and platelet markers were later analyzed. Asthma
was characterized by 62% higher plasma IL-6 and 35% higher (both, p < 0.0001). Inflammatory
cytokines were higher in sporadic and persistent asthmatics compared to controls, also after adjustment
for potential confounders. IL-6 was inversely related to the forced expiratory volume in 1 s/vital capacity
(FEV1/VC) spirometry index after correction for age, sex, and BMI. IL-6 and were associated
with C-reactive protein in asthmatics ( = 0.6 [95% CI, 0.54-0.67] and = 0.33 [95% CI, 0.25-0.41],
respectively) and controls ( = 0.43 [95% CI, 0.29-0.57] and = 0.33 [95% CI, 0.18-0.48], respectively).
In asthma, IL-6 and positively correlated with the endogenous thrombin potential
( = 0.35 [95% CI, 0.28-0.42] and \beta = 0.15 [95% CI, 0.07-0.23], respectively) but not with CLT or
platelet markers. However, predicted CLT in a multiple linear regression model. Periostin was not
associated with any hemostatic parameters. Enhanced thrombin generation is driven in asthma by a
systemic inflammatory state mediated by IL-6 and to a lesser extent , however, not periostin.
might contribute to impaired fibrinolysis
Impaired fibrinolysis and lower levels of plasma alpha(2)-macroglobulin are associated with an increased risk of severe asthma exacerbations
Abstract Recently we have reported that asthma is associated with enhanced plasma thrombin formation, impaired fibrinolysis and platelet activation. In the present study we investigated whether described prothrombotic blood alterations might predispose to thromboembolic events or asthma exacerbations. In 164 adult asthmatics we assessed clinical events during 3-year follow-up and analyzed their associations with measured at baseline prothrombotic blood parameters. Data were obtained from 157 (95.7%) of the asthma patients. We documented 198 severe asthma exacerbations (64/year), which occurred in 53 subjects (34%). These patients were older (p = 0.004), had worse asthma control (p = 0.02) and lower spirometry values (p = 0.01), at baseline. Interestingly, this subgroup had longer clot lysis time (CLT), as well as lower α2-macroglobulin (p = 0.038 and p = 0.04, respectively, after adjustment for potential confounders). Increased CLT and lower α2-macroglobulin were demonstrated as independent predictors of asthma exacerbation in multiple regression model. Moreover, we documented two episodes of deep vein thrombosis (1.3%), and eight acute coronary syndromes (5.1%). Patients who experienced thromboembolic events (n = 10, 6.4%, 2.1%/year) had lower α2-macroglobulin (p = 0.04), without differences in efficiency of fibrinolysis and thrombin generation. Impaired fibrinolysis and lower levels of α2-macroglobulin might predispose to a higher rate of asthma exacerbations, suggesting new links between disturbed hemostasis and asthma