Activity › Forums › Discussion › What do we know about congenital deficiency of Protein C?
Tagged: mutation, Protein C deficiency, thrombophilia
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Y Soun.
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2024-11-03 at 8:34 am #4016
What do we know about congenital deficiency of Protein C?
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2024-11-03 at 2:26 pm #4018
Protein C deficiency is a rare genetic trait that predisposes to thrombotic disease. It was first described in 1981. The disease belongs to a group of genetic disorders known as thrombophilias. Protein C deficiency is associated with an increased incidence of venous thromboembolism (relative risk 8–10), whereas no association with arterial thrombotic disease has been found.
Here is a complete description:
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2024-11-03 at 2:37 pm #4019
Protein C deficiency is a rare but serious condition that can be congenital or acquired. Patients with this condition have a higher propensity to develop disseminated intravascular coagulation or venous thromboembolism, and these may comprise the initial presentation of the disease.
This activity reviews the presentation, evaluation, and management of protein C deficiency and highlights the role of the interprofessional team in managing patients with this condition:
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2024-11-03 at 5:13 pm #4020
Protein C (encoded by the PROC gene on chromosome 2) is a vitamin K-dependent plasma glycoprotein that is a key component of the anticoagulant system. Protein C is cleaved to its activated form, ‘activated protein C (APC), on endothelial cells by the thrombin-thrombomodulin complex and then acts as a serine protease to degrade the activated forms of coagulation factors V and VIII. Protein S, also a vitamin K-dependent plasma protein, functions as a cofactor to activated protein C.
Heterozygous protein C deficiency is characterized by recurrent venous thrombosis. However, many adults with heterozygous disease may be asymptomatic.
Homozygous or compound heterozygous PROC mutations is a thrombotic condition that can manifest as a severe neonatal disorder or as a milder disorder with late-onset thrombophilia.
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