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Presented by Audrey Carlo and Cécile Hourquet // Special guest Marisa Ninivaggi, research project leader at Synapse research institute. Welcome to Ask Stago, the podcast dedicated to provide expert answers to your expert questions in haemostasis. In today episode, our expert Marisa Ninivaggi, research project leader at Synapse research institute, will explain us what is thrombin generation. As usual, don’t forget to send any question you may have to [email protected], we will be glad to answer to it. Literature sources: Castoldi E, Rosing J. Thrombin generation tests. Thromb Res. 2011 Feb;127 Suppl 3:S21-5. doi: 10.1016/S0049-3848(11)70007-X Baglin T. The measurement and application of thrombin generation. Br J Haematol. 2005 Sep;130(5):653-61. doi: 10.1111/j.1365-2141.2005.05612.x. Hemker HC, Béguin S. Thrombin generation in plasma: its assessment via the endogenous thrombin potential. Thromb Haemost. 1995 Jul;74(1):134-8. Erratum in: Thromb Haemost 1995 Nov;74(5):1388. Duarte RCF, Ferreira CN, Rios DRA, Reis HJD, Carvalho MDG. Thrombin generation assays for global evaluation of the hemostatic system: perspectives and limitations. Rev Bras Hematol Hemoter. 2017;39(3):259-265. doi:10.1016/j.bjhh.2017.03.009 Al Dieri R, de Laat B, Hemker HC. Thrombin generation: what have we learned? Blood Rev. 2012 Sep;26(5):197-203. doi: 10.1016/j.blre.2012.06.001. Hemker HC. Recollections on thrombin generation. J Thromb Haemost. 2008 Feb;6(2):219-26. doi: 10.1111/j.1538-7836.2007.02864.x. Macfarlane, R. & Biggs, R. (1953) A thrombin generation test; the application in haemophilia and thrombocytopenia. Journal of Clinical Pathology, 6, 3–8 de Laat‐Kremers, RMW, Ninivaggi, M, Devreese, KMJ, de Laat, B. Towards standardization of thrombin generation assays: Inventory of thrombin generation methods based on results of an International Society of Thrombosis and Haemostasis Scientific Standardization Committee survey. J Thromb Haemost. 2020; 18: 1893– 1899. https://doi.org/10.1111/jth.14863 Waters EK, Hilden I, Sørensen BB, Ezban M, Holm PK. Thrombin generation assay using factor XIa to measure factors VIII and IX and their glycoPEGylated derivatives is robust and sensitive. J Thromb Haemost. 2015 Nov;13(11):2041-52. doi: 10.1111/jth.13134.. Poitevin S, Cochery-Nouvellon E, Dupont A, Nguyen P. Monocyte IL-10 produced in response to lipopolysaccharide modulates thrombin generation by inhibiting tissue factor expression and release of active tissue factor-bound microparticles. Thromb Haemost. 2007 Apr;97(4):598-607. Tripodi A. Usefulness of Thrombin Generation. Hamostaseologie. 2020 Nov;40(4):509-514. doi: 10.1055/a-1200-0417. https://pubmed.ncbi.nlm.nih.gov/?term... accessed April 23, 2021 Marchetti M, Giaccherini C, Masci G, Verzeroli C, Russo L, Celio L, Sarmiento R, Gamba S, Tartari CJ, Diani E, Vignoli A, Malighetti P, Spinelli D, Kuderer NM, Nichetti F, Minelli M, Tondini C, Barni S, Giuliani F, Petrelli F, D'Alessio A, Gasparini G, Labianca R, Santoro A, De Braud F, Falanga A; HYPERCAN Investigators. Thrombin generation predicts early recurrence in breast cancer patients. J Thromb Haemost. 2020 Sep;18(9):2220-2231. doi: 10.1111/jth.14891 Gomez-Rosas P, Pesenti M, Verzeroli C et al Validation of the Role of Thrombin Generation Potential by a Fully Automated System in the Identification of Breast Cancer Patients at High Risk of Disease Recurrence · TH Open 2021; 05(01): e56-e65 DOI: 10.1055/s-0040-1722609 Metze M, Pfrepper C, Klöter T, Stöbe S, Siegemund R, Siegemund T, Edel E, Laüfs U, Petros S, Inhibition of thrombin generation 12 hours after intake of direct oral anticoagulant, Res Pract Thromb Haemost 2020 doi: 10.1002/rth2.12332 Douxfils J, Morimont L, Bouvy C. Oral Contraceptives and Venous Thromboembolism: Focus on Testing that May Enable Prediction and Assessment of the Risk. Semin Thromb Hemost. 2020 Nov;46(8):872-886. doi: 10.1055/s-0040-1714140. Zermatten MG, Bertaggia Calderara D, Aliotta A, Alberio L, Thrombin generation in a woman with heterozygous factor V Leiden and combined oral contraceptives: A case report Res Pract Thromb Haemost 2020 doi: 10.1002/rth2.12318 _________________________________________________________________________ Content is scientific and technical in nature. It is intended as an educational tool for laboratory professionals and topics discussed are not intended as recommendations or as commentary on appropriate clinical practice.