Summary.The endotoxin shock response of Beagle dogs, characterized by profound hypotension and progressive fatal disseminated intravascular coagulation (DIC) was compared in anaesthetized normal dogs and in dogs previously decomplemented with purified cobra venom factor. The hypotension and the early thrombocytopenia were abolished in the decomplemented group, while the subsequent DIC was greatly ameliorated. Factor VII was apparently activated in decomplemented dogs but consumed in normal dogs. An observation as yet to be defined in relation to the shock syndrome was that dog platelets lost their collagen aggregation throughout the period of total decomplementation. It is suggested that complement activation is a major requirement for the full expression of fatally progressive DIC in endotoxin shock and that the activation of the coagulation system occurs, at least in part, via the extrinsic pathway.
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