title: A study of the cation- and pH-dependent stability of factors V and VIII in plasma.
abstract: The in vitro lability of factors V and VIII in plasma has been studied. In agreement with previous reports, an increase in anticoagulant concentration renders both factors more labile (cation-deficient decay), as does an increase in the pH above 7.3 (alkaline-decay). Calcium appears to be the plasma cation which protects factors V and VIII against in vitro loss of activity. The protection obtained by the addition of other divalent cations depended on the type of plasma used. When resin-EDTA plasma was made cation free by dialysis at 4 degrees C and then incubated at 37 degrees C, the rapid loss of factors V and VIII activity could be prevented by prior addition of strontium, manganese and magnesium. In oxalate plasma, nickel, manganese, cadmium and strontium were effective. The alkaline decay of both factors V and VIII is irreversible. Partial reversibility of the cation-deficient decay was demonstrated for factor V, but not for factor VIII. The temperature coefficient for both the cation-deficient and alkaline decay is 2-3, suggesting an enzymatic rather than a physical reaction. There was no evidence to implicate thrombin, plasmin or trypsin since inhibitors of these enzymes failed to modify either type of decay.
authors.affiliation: Department of Medicine, New York University, School of Medicine, USA.
authors.forename: H J
authors.initials: HJ
authors.lastname: Weiss
mesh_terms: D002412:Cations; D004355:Drug Stability; D004492:Edetic Acid; D005165:Factor V / Q000737:chemistry* / Q000302:isolation & purification; D005169:Factor VIII / Q000737:chemistry* / Q000302:isolation & purification; D006801:Humans; D006863:Hydrogen-Ion Concentration; D010949:Plasma / Q000737:chemistry; D013816:Thermodynamics
chemical_list: D002412:Cations; D005165:Factor V; D005169:Factor VIII; D004492:Edetic Acid