Pihusch, R. and Wegner, H. and Salat, C. and Pihusch, M. and Holler, E. and Kolb, H. J. and Hiller, E. (2002) Low cytometric findings in platelets of patients following allogeneic hematopoietic stem cell transplantation. BONE MARROW TRANSPLANTATION, 30 (6). pp. 381-387. ISSN 0268-3369
Full text not available from this repository.Abstract
Following allogeneic hematopoietic stem cell transplantation (HSCT) patients may have an increased bleeding tendency in spite of a normal platelet count. Moreover, an association between chronic graft-versus-host disease (cGVHD) and a thrombophilic state has been observed. Platelet receptors and granules from 27 patients following HSCT (13 without cGVHD, 14 with cGVHD) were evaluated by flow cytometric analysis and compared to 62 healthy controls. Platelets from HSCT patients stained weakly with mepacrine indicating a reduced content of dense bodies, whereas no significant degranulation reaction of alpha granules and lysosomes was detectable. In addition, a lower surface expression of GP Ia/IIa was observed, indicating an acquired thrombocytopathy. The surface receptors are activated in HSCT patients, which could be seen by the lower surface expression of GP Ib internalized during the activation process and elevated levels of LIBS-1 and PAC-1 antibody binding. Patients with cGVHD had a seven-fold increased ratio of microparticles. This study demonstrates platelet receptor and granule defects in patients following HSCT. The key role of platelets in HSCT-associated hemostatic disorders is underscored by the high levels of circulating microparticles in cGvHD patients which might explain the thrombophilic state in these patients.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | HEPARIN-INDUCED THROMBOCYTOPENIA; BONE-MARROW TRANSPLANTATION; STORAGE POOL DISEASE; SURFACE P-SELECTIN; IB-IX COMPLEXES; GLYCOPROTEIN-IB; APLASTIC-ANEMIA; ELEVATED LEVELS; MICROPARTICLES; FLOW; platelets; graft-versus-host reaction; storage pool disease; microparticles |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 06 Oct 2021 15:22 |
| Last Modified: | 06 Oct 2021 15:22 |
| URI: | https://pred.uni-regensburg.de/id/eprint/39894 |
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