APC resistance

Activated Protein C Resistance

An inherited (autosomal dominant) or acquired defect in the anticoagulant response to activated protein C, resulting in an increased risk of thrombosis.
Clinical findings Increased risk of deep vein thrombosis (DVT), venous thrombosis; it is responsible for 20% to 50% of DVT.
Pathogenesis Protein C, a key regulator of coagulation, circulates in an inactivated form and is activated by the binding of thrombin to thrombomodulin receptors on vascular endothelial cells; once activated, protein C lyses coagulation factors Va and VIIIa. Activated protein C resistance is caused by a failure of protein C to cleave Factor Va and/or Factor VIIIa.

APC resistance

Activated protein C resistance, see there.

APC resistance

Abbrev. for activated protein C resistance, an abnormal tendency to blood clotting caused by a mutation in the gene for blood clotting factor V. This mutation is known as the FACTOR V LEIDEN MUTATION. APC resistance is the commonest cause of inherited THROMBOPHILIA.