Assessment of platelet‐derived thrombogenicity with the total thrombus‐formation analysis system in coronary artery disease patients receiving antiplatelet therapy

Essentials Total thrombus‐formation analysis system (T‐TAS) quantitatively measures platelet thrombus formation. We examined the utility of T‐TAS in patients with coronary artery disease. T‐TAS can discriminate different types of the antiplatelet therapy in the same measuring method. Genetic backgro...

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Veröffentlicht in:Journal of thrombosis and haemostasis 2016-04, Vol.14 (4), p.850-859
Hauptverfasser: Arima, Y., Kaikita, K., Ishii, M., Ito, M., Sueta, D., Oimatsu, Y., Sakamoto, K., Tsujita, K., Kojima, S., Nakagawa, K., Hokimoto, S., Ogawa, H.
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container_end_page 859
container_issue 4
container_start_page 850
container_title Journal of thrombosis and haemostasis
container_volume 14
creator Arima, Y.
Kaikita, K.
Ishii, M.
Ito, M.
Sueta, D.
Oimatsu, Y.
Sakamoto, K.
Tsujita, K.
Kojima, S.
Nakagawa, K.
Hokimoto, S.
Ogawa, H.
description Essentials Total thrombus‐formation analysis system (T‐TAS) quantitatively measures platelet thrombus formation. We examined the utility of T‐TAS in patients with coronary artery disease. T‐TAS can discriminate different types of the antiplatelet therapy in the same measuring method. Genetic background, cytochrome P‐450 2C19 genotypes, also influenced T‐TAS parameters. Summary Background Accurate evaluation of thrombogenicity helps to prevent thrombosis and excessive bleeding. The total thrombus‐formation analysis system (T‐TAS) was developed for quantitative analysis of platelet thrombus formation by the use of microchips with thrombogenic surfaces (collagen, platelet chip [PL‐chip]; collagen plus tissue factor, atherome chip [AR‐chip]). We examined the utility of the T‐TAS in the assessment of the efficacy of antiplatelet therapy in patients with coronary artery disease (CAD). Methods and Results In this cross‐sectional study, 372 consecutive patients admitted to the cardiovascular department were divided into three groups: patients not receiving any antiplatelet therapy (control, n = 56), patients receiving aspirin only (n = 69), and patients receiving aspirin and clopidogrel (n = 149). Blood samples were used for the T‐TAS to measure the platelet thrombus‐formation area under the curve (AUC) at various shear rates (1500 s−1 [PL18‐AUC10] and 2000 s−1 [PL24‐AUC10] for the PL‐chip; 300 s−1 [AR10‐AUC30] for the AR‐chip). The on‐clopidogrel platelet aggregation was measured by the use of P2Y12 reaction units (PRUs) with the VerifyNow system. The mean PL24‐AUC10 levels were 358 ± 111 (± standard deviation) (95% confidence interval [CI] 328.9–387.1) in the control group, 256 ± 108 (95% CI 230.5–281.5) in the aspirin group, and 113 ± 91 (95% CI 98.4–127.6) in the aspirin/clopidogrel group. In the aspirin/clopidogrel group, the PL24‐AUC10 was higher in poor metabolizers (PMs) with cytochrome P450 2C19(CYP2C19) polymorphisms (152 ± 112, 95% CI 103.4–200.6) than in the non‐PM group (87 ± 74, 95% CI 73.8–100.2). Conclusions Our findings suggest that the PL24‐AUC10 level measured by the T‐TAS is a potentially suitable index for the assessment of antiplatelet therapy in CAD patients.
doi_str_mv 10.1111/jth.13256
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We examined the utility of T‐TAS in patients with coronary artery disease. T‐TAS can discriminate different types of the antiplatelet therapy in the same measuring method. Genetic background, cytochrome P‐450 2C19 genotypes, also influenced T‐TAS parameters. Summary Background Accurate evaluation of thrombogenicity helps to prevent thrombosis and excessive bleeding. The total thrombus‐formation analysis system (T‐TAS) was developed for quantitative analysis of platelet thrombus formation by the use of microchips with thrombogenic surfaces (collagen, platelet chip [PL‐chip]; collagen plus tissue factor, atherome chip [AR‐chip]). We examined the utility of the T‐TAS in the assessment of the efficacy of antiplatelet therapy in patients with coronary artery disease (CAD). Methods and Results In this cross‐sectional study, 372 consecutive patients admitted to the cardiovascular department were divided into three groups: patients not receiving any antiplatelet therapy (control, n = 56), patients receiving aspirin only (n = 69), and patients receiving aspirin and clopidogrel (n = 149). Blood samples were used for the T‐TAS to measure the platelet thrombus‐formation area under the curve (AUC) at various shear rates (1500 s−1 [PL18‐AUC10] and 2000 s−1 [PL24‐AUC10] for the PL‐chip; 300 s−1 [AR10‐AUC30] for the AR‐chip). The on‐clopidogrel platelet aggregation was measured by the use of P2Y12 reaction units (PRUs) with the VerifyNow system. The mean PL24‐AUC10 levels were 358 ± 111 (± standard deviation) (95% confidence interval [CI] 328.9–387.1) in the control group, 256 ± 108 (95% CI 230.5–281.5) in the aspirin group, and 113 ± 91 (95% CI 98.4–127.6) in the aspirin/clopidogrel group. In the aspirin/clopidogrel group, the PL24‐AUC10 was higher in poor metabolizers (PMs) with cytochrome P450 2C19(CYP2C19) polymorphisms (152 ± 112, 95% CI 103.4–200.6) than in the non‐PM group (87 ± 74, 95% CI 73.8–100.2). Conclusions Our findings suggest that the PL24‐AUC10 level measured by the T‐TAS is a potentially suitable index for the assessment of antiplatelet therapy in CAD patients.</description><identifier>ISSN: 1538-7933</identifier><identifier>ISSN: 1538-7836</identifier><identifier>EISSN: 1538-7836</identifier><identifier>DOI: 10.1111/jth.13256</identifier><identifier>PMID: 26773298</identifier><language>eng</language><publisher>England: Elsevier Limited</publisher><subject>Aged ; antiplatelet therapy ; Area Under Curve ; Aspirin - administration &amp; dosage ; Blood Platelets - drug effects ; clopidogrel ; Coronary Artery Disease - blood ; Coronary Artery Disease - drug therapy ; Cross-Sectional Studies ; CYP2C19 ; Cytochrome P-450 CYP2C19 - genetics ; Electrocardiography ; Female ; Genotype ; Humans ; Male ; Middle Aged ; new device ; percutaneous coronary intervention ; Phenotype ; Platelet Aggregation ; Platelet Aggregation Inhibitors - blood ; Platelet Aggregation Inhibitors - therapeutic use ; Platelet Function Tests ; Polymorphism, Genetic ; Thrombosis - blood ; Thrombosis - drug therapy ; Thrombosis - genetics ; Ticlopidine - administration &amp; dosage ; Ticlopidine - analogs &amp; derivatives</subject><ispartof>Journal of thrombosis and haemostasis, 2016-04, Vol.14 (4), p.850-859</ispartof><rights>2016 International Society on Thrombosis and Haemostasis</rights><rights>2016 International Society on Thrombosis and Haemostasis.</rights><rights>Copyright © 2016 International Society on Thrombosis and Haemostasis</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3886-9f0e8c56709a257fc8822f2c2f5a29525e751922916716a97bfaf24ad93505b03</citedby><cites>FETCH-LOGICAL-c3886-9f0e8c56709a257fc8822f2c2f5a29525e751922916716a97bfaf24ad93505b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26773298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arima, Y.</creatorcontrib><creatorcontrib>Kaikita, K.</creatorcontrib><creatorcontrib>Ishii, M.</creatorcontrib><creatorcontrib>Ito, M.</creatorcontrib><creatorcontrib>Sueta, D.</creatorcontrib><creatorcontrib>Oimatsu, Y.</creatorcontrib><creatorcontrib>Sakamoto, K.</creatorcontrib><creatorcontrib>Tsujita, K.</creatorcontrib><creatorcontrib>Kojima, S.</creatorcontrib><creatorcontrib>Nakagawa, K.</creatorcontrib><creatorcontrib>Hokimoto, S.</creatorcontrib><creatorcontrib>Ogawa, H.</creatorcontrib><title>Assessment of platelet‐derived thrombogenicity with the total thrombus‐formation analysis system in coronary artery disease patients receiving antiplatelet therapy</title><title>Journal of thrombosis and haemostasis</title><addtitle>J Thromb Haemost</addtitle><description>Essentials Total thrombus‐formation analysis system (T‐TAS) quantitatively measures platelet thrombus formation. We examined the utility of T‐TAS in patients with coronary artery disease. T‐TAS can discriminate different types of the antiplatelet therapy in the same measuring method. Genetic background, cytochrome P‐450 2C19 genotypes, also influenced T‐TAS parameters. Summary Background Accurate evaluation of thrombogenicity helps to prevent thrombosis and excessive bleeding. The total thrombus‐formation analysis system (T‐TAS) was developed for quantitative analysis of platelet thrombus formation by the use of microchips with thrombogenic surfaces (collagen, platelet chip [PL‐chip]; collagen plus tissue factor, atherome chip [AR‐chip]). We examined the utility of the T‐TAS in the assessment of the efficacy of antiplatelet therapy in patients with coronary artery disease (CAD). Methods and Results In this cross‐sectional study, 372 consecutive patients admitted to the cardiovascular department were divided into three groups: patients not receiving any antiplatelet therapy (control, n = 56), patients receiving aspirin only (n = 69), and patients receiving aspirin and clopidogrel (n = 149). Blood samples were used for the T‐TAS to measure the platelet thrombus‐formation area under the curve (AUC) at various shear rates (1500 s−1 [PL18‐AUC10] and 2000 s−1 [PL24‐AUC10] for the PL‐chip; 300 s−1 [AR10‐AUC30] for the AR‐chip). The on‐clopidogrel platelet aggregation was measured by the use of P2Y12 reaction units (PRUs) with the VerifyNow system. The mean PL24‐AUC10 levels were 358 ± 111 (± standard deviation) (95% confidence interval [CI] 328.9–387.1) in the control group, 256 ± 108 (95% CI 230.5–281.5) in the aspirin group, and 113 ± 91 (95% CI 98.4–127.6) in the aspirin/clopidogrel group. In the aspirin/clopidogrel group, the PL24‐AUC10 was higher in poor metabolizers (PMs) with cytochrome P450 2C19(CYP2C19) polymorphisms (152 ± 112, 95% CI 103.4–200.6) than in the non‐PM group (87 ± 74, 95% CI 73.8–100.2). Conclusions Our findings suggest that the PL24‐AUC10 level measured by the T‐TAS is a potentially suitable index for the assessment of antiplatelet therapy in CAD patients.</description><subject>Aged</subject><subject>antiplatelet therapy</subject><subject>Area Under Curve</subject><subject>Aspirin - administration &amp; dosage</subject><subject>Blood Platelets - drug effects</subject><subject>clopidogrel</subject><subject>Coronary Artery Disease - blood</subject><subject>Coronary Artery Disease - drug therapy</subject><subject>Cross-Sectional Studies</subject><subject>CYP2C19</subject><subject>Cytochrome P-450 CYP2C19 - genetics</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Genotype</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>new device</subject><subject>percutaneous coronary intervention</subject><subject>Phenotype</subject><subject>Platelet Aggregation</subject><subject>Platelet Aggregation Inhibitors - blood</subject><subject>Platelet Aggregation Inhibitors - therapeutic use</subject><subject>Platelet Function Tests</subject><subject>Polymorphism, Genetic</subject><subject>Thrombosis - blood</subject><subject>Thrombosis - drug therapy</subject><subject>Thrombosis - genetics</subject><subject>Ticlopidine - administration &amp; dosage</subject><subject>Ticlopidine - analogs &amp; derivatives</subject><issn>1538-7933</issn><issn>1538-7836</issn><issn>1538-7836</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1OHDEQha0oKBDIIheILGWVxYB_8N8SIRISIWUD65anu8x41N3uuDyg3uUIuQX34iQxzEx28aas8lev_PQI-cjZKa_nbF1Wp1wKpd-QI66kXRgr9dv93Ul5SN4jrhnjTgn2jhwKbYwUzh6RpwtEQBxgLDQFOvW-QA_l-fefDnJ8gI6WVU7DMt3DGNtYZvoYy6o2gZZUfL973mCdCCkPvsQ0Uj_6fsaIFGcsMNA40jblNPo8U58L1NJFBI9ApzpRlyPN0EJ8iON9nS5x_5GXTdlP8wk5CL5H-LCrx-Tu69Xt5fXi5ue375cXN4tWWqsXLjCwrdKGOS-UCa21QgTRiqC8qOYVGMWdEI5rw7V3Zhl8EOe-c1IxtWTymHze6k45_doAlmadNrnawYYbyxjTWpxX6suWanNCzBCaKcehums4a14iaWokzWsklf20U9wsB-j-kfsMKnC2BR5jD_P_lZoft9dbyb9O0pxr</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Arima, Y.</creator><creator>Kaikita, K.</creator><creator>Ishii, M.</creator><creator>Ito, M.</creator><creator>Sueta, D.</creator><creator>Oimatsu, Y.</creator><creator>Sakamoto, K.</creator><creator>Tsujita, K.</creator><creator>Kojima, S.</creator><creator>Nakagawa, K.</creator><creator>Hokimoto, S.</creator><creator>Ogawa, H.</creator><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>201604</creationdate><title>Assessment of platelet‐derived thrombogenicity with the total thrombus‐formation analysis system in coronary artery disease patients receiving antiplatelet therapy</title><author>Arima, Y. ; Kaikita, K. ; Ishii, M. ; Ito, M. ; Sueta, D. ; Oimatsu, Y. ; Sakamoto, K. ; Tsujita, K. ; Kojima, S. ; Nakagawa, K. ; Hokimoto, S. ; Ogawa, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3886-9f0e8c56709a257fc8822f2c2f5a29525e751922916716a97bfaf24ad93505b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>antiplatelet therapy</topic><topic>Area Under Curve</topic><topic>Aspirin - administration &amp; dosage</topic><topic>Blood Platelets - drug effects</topic><topic>clopidogrel</topic><topic>Coronary Artery Disease - blood</topic><topic>Coronary Artery Disease - drug therapy</topic><topic>Cross-Sectional Studies</topic><topic>CYP2C19</topic><topic>Cytochrome P-450 CYP2C19 - genetics</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Genotype</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>new device</topic><topic>percutaneous coronary intervention</topic><topic>Phenotype</topic><topic>Platelet Aggregation</topic><topic>Platelet Aggregation Inhibitors - blood</topic><topic>Platelet Aggregation Inhibitors - therapeutic use</topic><topic>Platelet Function Tests</topic><topic>Polymorphism, Genetic</topic><topic>Thrombosis - blood</topic><topic>Thrombosis - drug therapy</topic><topic>Thrombosis - genetics</topic><topic>Ticlopidine - administration &amp; dosage</topic><topic>Ticlopidine - analogs &amp; derivatives</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arima, Y.</creatorcontrib><creatorcontrib>Kaikita, K.</creatorcontrib><creatorcontrib>Ishii, M.</creatorcontrib><creatorcontrib>Ito, M.</creatorcontrib><creatorcontrib>Sueta, D.</creatorcontrib><creatorcontrib>Oimatsu, Y.</creatorcontrib><creatorcontrib>Sakamoto, K.</creatorcontrib><creatorcontrib>Tsujita, K.</creatorcontrib><creatorcontrib>Kojima, S.</creatorcontrib><creatorcontrib>Nakagawa, K.</creatorcontrib><creatorcontrib>Hokimoto, S.</creatorcontrib><creatorcontrib>Ogawa, H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Journal of thrombosis and haemostasis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arima, Y.</au><au>Kaikita, K.</au><au>Ishii, M.</au><au>Ito, M.</au><au>Sueta, D.</au><au>Oimatsu, Y.</au><au>Sakamoto, K.</au><au>Tsujita, K.</au><au>Kojima, S.</au><au>Nakagawa, K.</au><au>Hokimoto, S.</au><au>Ogawa, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of platelet‐derived thrombogenicity with the total thrombus‐formation analysis system in coronary artery disease patients receiving antiplatelet therapy</atitle><jtitle>Journal of thrombosis and haemostasis</jtitle><addtitle>J Thromb Haemost</addtitle><date>2016-04</date><risdate>2016</risdate><volume>14</volume><issue>4</issue><spage>850</spage><epage>859</epage><pages>850-859</pages><issn>1538-7933</issn><issn>1538-7836</issn><eissn>1538-7836</eissn><abstract>Essentials Total thrombus‐formation analysis system (T‐TAS) quantitatively measures platelet thrombus formation. We examined the utility of T‐TAS in patients with coronary artery disease. T‐TAS can discriminate different types of the antiplatelet therapy in the same measuring method. Genetic background, cytochrome P‐450 2C19 genotypes, also influenced T‐TAS parameters. Summary Background Accurate evaluation of thrombogenicity helps to prevent thrombosis and excessive bleeding. The total thrombus‐formation analysis system (T‐TAS) was developed for quantitative analysis of platelet thrombus formation by the use of microchips with thrombogenic surfaces (collagen, platelet chip [PL‐chip]; collagen plus tissue factor, atherome chip [AR‐chip]). We examined the utility of the T‐TAS in the assessment of the efficacy of antiplatelet therapy in patients with coronary artery disease (CAD). Methods and Results In this cross‐sectional study, 372 consecutive patients admitted to the cardiovascular department were divided into three groups: patients not receiving any antiplatelet therapy (control, n = 56), patients receiving aspirin only (n = 69), and patients receiving aspirin and clopidogrel (n = 149). Blood samples were used for the T‐TAS to measure the platelet thrombus‐formation area under the curve (AUC) at various shear rates (1500 s−1 [PL18‐AUC10] and 2000 s−1 [PL24‐AUC10] for the PL‐chip; 300 s−1 [AR10‐AUC30] for the AR‐chip). The on‐clopidogrel platelet aggregation was measured by the use of P2Y12 reaction units (PRUs) with the VerifyNow system. The mean PL24‐AUC10 levels were 358 ± 111 (± standard deviation) (95% confidence interval [CI] 328.9–387.1) in the control group, 256 ± 108 (95% CI 230.5–281.5) in the aspirin group, and 113 ± 91 (95% CI 98.4–127.6) in the aspirin/clopidogrel group. In the aspirin/clopidogrel group, the PL24‐AUC10 was higher in poor metabolizers (PMs) with cytochrome P450 2C19(CYP2C19) polymorphisms (152 ± 112, 95% CI 103.4–200.6) than in the non‐PM group (87 ± 74, 95% CI 73.8–100.2). Conclusions Our findings suggest that the PL24‐AUC10 level measured by the T‐TAS is a potentially suitable index for the assessment of antiplatelet therapy in CAD patients.</abstract><cop>England</cop><pub>Elsevier Limited</pub><pmid>26773298</pmid><doi>10.1111/jth.13256</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
antiplatelet therapy
Area Under Curve
Aspirin - administration & dosage
Blood Platelets - drug effects
clopidogrel
Coronary Artery Disease - blood
Coronary Artery Disease - drug therapy
Cross-Sectional Studies
CYP2C19
Cytochrome P-450 CYP2C19 - genetics
Electrocardiography
Female
Genotype
Humans
Male
Middle Aged
new device
percutaneous coronary intervention
Phenotype
Platelet Aggregation
Platelet Aggregation Inhibitors - blood
Platelet Aggregation Inhibitors - therapeutic use
Platelet Function Tests
Polymorphism, Genetic
Thrombosis - blood
Thrombosis - drug therapy
Thrombosis - genetics
Ticlopidine - administration & dosage
Ticlopidine - analogs & derivatives
title Assessment of platelet‐derived thrombogenicity with the total thrombus‐formation analysis system in coronary artery disease patients receiving antiplatelet therapy
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