#Antithrombin
Spannendes Kongress-Detailwissen:

Wenn man unter laufender Heparintherapie den Antithrombin-Spiegel misst, ist der falsch-niedrig.

Wussten viele im Saal nicht, meine Wenigkeit eingeschlossen.
#dgai2026
September 18, 2026 at 12:49 PM
here are some fun peptides that you should not inject: protein C inhibitor. Antithrombin three inhibitor. The list continues.
March 5, 2026 at 3:41 PM
cosign this 😁

four-factor PCC had clotting factors & *also* endogenous anticoagulants (protein C & S, antithrombin III)

that’s why PCC doesn’t cause as much thrombosis: it’s rebuilding the coagulation cascade rather than purely functioning as a pro-thrombotic

(& Adnexanet alfa price is insane)
Time to Ditch Andexanet Alfa?
-ANNEXA-1: No mortality benefit, incr VTE
-Real world data: Rech 2025 (PMID:40700941) no improved outcomes, 9% incr VTE w/ andexanet alfa (NNH = 11)

Mounting evidence that andexanet offers no benefit while increasing complications

youtube.com/shorts/7DGcv...
#EMIMCC
Andexanet Alfa + Thrombembolism #emergencymedicine #criticalcare
YouTube video by EMSwami
youtube.com
September 17, 2025 at 2:11 PM
🩺 This study provides insights into severe inherited antithrombin deficiency, focusing on homozygous Budapest 3 variant cases, which present with very low antithrombin activity (<20%) and recurrent venous thromboembolism (VTE).
www.jthjournal.org/article/S153...
April 21, 2025 at 2:44 AM
Jesus Antithrombin Christ.
December 20, 2025 at 6:25 PM
Eher bei Heparin intravenös.

Man misst das Antithrombin z.B. dann, wenn Heparin nicht den gewünschten Effekt hat.

Heparin wirkt ja streng genommen nicht selbst, sondern indirekt darüber, dass es das Antithrombin quasi "boostert".
September 18, 2026 at 4:00 PM
Excited to see that our new paper is out! We apply LC-FOX to probe the structure of antithrombin III bound to unfractionated heparin. It's got everything:

--RPF-guided modeling!
--LC-FOX of dynamic complexes!
--the first reported attempt at RPF of individual glycoforms!

Congrats to Ajay and team!
Multidose Inline Size-Exclusion Chromatography–Flash Oxidation for Structural Analysis of Dynamic Protein–Ligand Interactions of Antithrombin III and Unfractionated Heparin
Hydroxyl radical protein footprinting (HRPF) is a well-established technique used to analyze the binding sites and conformational alterations of proteins. Inline LC-flash oxidation can efficiently cap...
pubs.acs.org
February 26, 2026 at 2:05 AM
Check out our 🆕️ case report about Danaparoid failure in #HIT due to acquired antithrombin deficiency
⚠️ AT deficiency lowers danaparoid anti-Xa activity and clinical efficacy
👉 authors.elsevier.com/a/1ka90BEfCy...
February 11, 2025 at 7:43 AM
July 23, 2026 at 8:49 PM
3/ Decreased coagulation factor production, thrombocytopenia, & increased fibrinolysis heighten bleeding risk. Yet, reduced protein C, protein S, & antithrombin, plus vWF accumulation, tilt the balance toward thrombosis. This isn't captured in INR and Plt counts.
December 7, 2024 at 7:44 PM
I understand that the FDA decision on Fitusiran is expected on March 28th, 2025. Fitusiran is an si-RNA against antithrombin and is said to "rebalance" hemostasis in hemophilia A and B.
January 6, 2025 at 5:18 PM
Antithrombin in #ECMO? AT monitoring/supplementation when using heparin anticoagulation has strong pharmacologic rationale... but any differences in mortality or hemostatic outcomes?
🩸 systematic review with meta-analysis
🔗 bit.ly/4pmRz0L
November 21, 2025 at 5:00 PM
Progestin also has effects on coagulation and these depend on the generation of progestin used.

3rd gen (desogestrel) have 2-3x risk compared to 2nd gen (levonorgestrel) with the greatest differences seen in changes in FVIII, antithrombin and APC resistance.

10/n
a woman says alright good to know in front of a smoking sign
Alt: a woman says alright good to know in front of a smoking sign
media.tenor.com
November 12, 2024 at 1:48 AM
This is why I yell at everyone for wanting to supplement antithrombin (most of the time)
November 20, 2024 at 6:33 PM
We were very lucky to have Dr Caroline Dix on the pod this week to talk about CVST and antithrombin deficiency! A fantastic chat about some big and often scary topics in haem. Available wherever you get your podcasts #hemesky #cvst #antithrombin

www.bloodyminded.com.au/allepisodes/...
Episode 73 - What a Headache | CVST & Antithrombin Deficiency with Dr Caroline Dix — Bloody Minded
We’ve had one difficult coagulation topic yes, but what about second difficult coagulation topic? We are joined by the fantastic Dr Caroline Dix today to take us through not one but TWO challenging ...
www.bloodyminded.com.au
December 16, 2025 at 9:37 PM
Protein C, S, & Antithrombin are also ⬇️.

TFPI (made in endothelial cells) is ⬆️ but its activity is ⬇️ due to ⬇️protein S which functions as a cofactor.

3. Fibrinolysis (clot breakdown)

All pro & antifibrinolytic proteins are made by the liver except TPA & PAI-1.
5/n
a cartoon of a liver with the words liver is working slowly
Alt: a cartoon of a liver with the words liver is working slowly
media.tenor.com
November 13, 2024 at 8:11 PM
mitama this unfractionated heparin has potential side effects such as: heparin induced thrombocytopenia and osteoporosis but you know what? the plus side is it's safe for to use on pregnant people in need of antithrombin III enhancer
March 17, 2026 at 4:31 AM
A new case study in @thrombosis-update.bsky.social
on hereditary antithrombin deficiency (HATD) in pregnancy shows antithrombin clearance increases in the first and third trimesters, peaking around delivery.
Read more here:
www.sciencedirect.com/science/arti...
@lucynortcd.bsky.social #TruJournal
May 26, 2025 at 8:47 PM
🇫🇷 Proposals from the @sfthemostase.bsky.social on managing pregnancy in women with inherited antithrombin deficiency now out in @thjournal.bsky.social

➡️ Practical guidance on anticoagulation, AT concentrates & peripartum care.

www.thieme-connect.de/products/ejo...

@hopitalpompidou.bsky.social
Thieme E-Books & E-Journals -
www.thieme-connect.de
July 28, 2025 at 12:21 PM
📣 How to Manage Venous #Thromboembolism Risk during #Pregnancy in Patients with Inherited Antithrombin Deficiency? ⬇️

📌 Mauge and colleagues from the French Society of Thrombosis and Haemostasis (SFTH) report a review and suggestions

Read more: 👉 www.thieme-connect.de/products/ejo...

#HemeSky
July 28, 2025 at 7:59 AM
Happy to announce some new work from my lab led by my students Xiaojing Li and Tianliang Fang, just published in Advanced Functional Materials safely unlocking the anti-cancer properties of heparin for PD-1 co-therapy leading to 99% tumor regression in vivo (🐭).

🧪#medsky

1/7
Anticoagulation‐Silent Heparin Nanoparticles Enable Innate Immune Activation and Non‐T‐Cell Synergy With Checkpoint Blockade
Anticoagulation-silent heparin-folate nanoparticles (HF NPs) sterically mask the antithrombin-binding pentasaccharide while preserving VEGF-neutralizing capacity, enabling safe high-dose administrati...
advanced.onlinelibrary.wiley.com
July 14, 2026 at 7:40 AM
Antithrombin III binds to Syndecan-4 protein, inhibiting SARS-CoV-2 cellular entry

www.thailandmedical.news/news/antithr...
Antithrombin III binds to Syndecan-4 protein, inhibiting SARS-CoV-2 cellular entry - Thailand Medical News
www.thailandmedical.news
July 10, 2024 at 1:32 AM
🍃 🧪 Fitusiran, an Antithrombin Small Interfering RNA (siRNA), Effective in Treatment of Hemophilia

Fitusiran (FDA-approved) reduces levels of antithrombin, which stops blood clots, allowing clotting factors to work in hemophilia, where deficiency of clotting factors leads to bleeding
November 1, 2025 at 1:10 PM
#Medsky🧪 #pedsky #IDSky #icu In this observational study of pediatric sepsis patients, first 24-hour #coagulation data in those who did not-survive to 28 days, vs. survivors showed an associated prior lower level of antithrombin in nonsurvivors.
February 22, 2025 at 2:27 PM
1/ I want to give a simple example of inherent bias in medical systems to show why studying diverse populations is essential to patient safety. Let's talk about the drug heparin and protein called antithrombin (aka AT, aka AT3).
February 12, 2025 at 1:10 AM