Platelet characteristics in patients with essential thrombocytosis

Background Essential thrombocytosis (ET) is a myeloproliferative disorder characterized by an increased platelet count. ET is associated with an increased risk of thrombosis, and procoagulant features of the disease may include an increased number of reactive reticulated platelets and an increased a...

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Veröffentlicht in:Cytometry. Part B, Clinical cytometry Clinical cytometry, 2018-11, Vol.94 (6), p.918-927
Hauptverfasser: Pedersen, Oliver Heidmann, Larsen, Mads Lamm, Grove, Erik Lerkevang, van Kooten Niekerk, Peter Buur, Bønløkke, Søren, Nissen, Peter H., Kristensen, Steen Dalby, Hvas, Anne‐Mette
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container_end_page 927
container_issue 6
container_start_page 918
container_title Cytometry. Part B, Clinical cytometry
container_volume 94
creator Pedersen, Oliver Heidmann
Larsen, Mads Lamm
Grove, Erik Lerkevang
van Kooten Niekerk, Peter Buur
Bønløkke, Søren
Nissen, Peter H.
Kristensen, Steen Dalby
Hvas, Anne‐Mette
description Background Essential thrombocytosis (ET) is a myeloproliferative disorder characterized by an increased platelet count. ET is associated with an increased risk of thrombosis, and procoagulant features of the disease may include an increased number of reactive reticulated platelets and an increased aggregation potential. We aimed to explore the association between platelet count, platelet turnover, and platelet aggregation in patients with ET. Methods We included 24 ET patients who discontinued antiplatelet therapy prior to blood sampling. Reticulated platelets were assessed as immature platelet count (IPC) and immature platelet fraction by automated flow cytometry (Sysmex XE‐5000). Platelet aggregation was investigated by impedance aggregometry (Multiplate® Analyzer) and aggregation potential by flow cytometry (NAVIOS). Results Our results showed that ET patients had increased IPC compared to healthy individuals (median 12.3 vs. median 6.9, P 
doi_str_mv 10.1002/cyto.b.21642
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ET is associated with an increased risk of thrombosis, and procoagulant features of the disease may include an increased number of reactive reticulated platelets and an increased aggregation potential. We aimed to explore the association between platelet count, platelet turnover, and platelet aggregation in patients with ET. Methods We included 24 ET patients who discontinued antiplatelet therapy prior to blood sampling. Reticulated platelets were assessed as immature platelet count (IPC) and immature platelet fraction by automated flow cytometry (Sysmex XE‐5000). Platelet aggregation was investigated by impedance aggregometry (Multiplate® Analyzer) and aggregation potential by flow cytometry (NAVIOS). Results Our results showed that ET patients had increased IPC compared to healthy individuals (median 12.3 vs. median 6.9, P &lt; 0.0001). Furthermore, a positive correlation between platelet count and impedance aggregation was demonstrated using arachidonic acid (r = 0.48, P = 0.02), thrombin‐receptor‐activating‐peptide (r = 0.46, P = 0.03) and adenosine diphosphate (r = 0.56, P = 0.007) as agonists. Finally, an increased aggregation potential was demonstrated in ET patients compared to healthy individuals. Conclusions The study showed that ET patients compared to healthy individuals have an increased amount of reticulated platelets and increased aggregation potential. These findings might in part explain the increased thromboembolic risk in patients with ET. © 2018 International Clinical Cytometry Society</description><identifier>ISSN: 1552-4949</identifier><identifier>EISSN: 1552-4957</identifier><identifier>DOI: 10.1002/cyto.b.21642</identifier><identifier>PMID: 29790256</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adenosine ; Adenosine diphosphate ; Agglomeration ; Antiplatelet therapy ; Arachidonic acid ; essential thrombocytosis ; Flow cytometry ; Impedance ; Myeloproliferative diseases ; Patients ; Platelet aggregation ; platelet function testing ; Platelets ; Thrombin ; Thrombocytosis ; Thromboembolism ; Thrombosis</subject><ispartof>Cytometry. 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Part B, Clinical cytometry</title><addtitle>Cytometry B Clin Cytom</addtitle><description>Background Essential thrombocytosis (ET) is a myeloproliferative disorder characterized by an increased platelet count. ET is associated with an increased risk of thrombosis, and procoagulant features of the disease may include an increased number of reactive reticulated platelets and an increased aggregation potential. We aimed to explore the association between platelet count, platelet turnover, and platelet aggregation in patients with ET. Methods We included 24 ET patients who discontinued antiplatelet therapy prior to blood sampling. Reticulated platelets were assessed as immature platelet count (IPC) and immature platelet fraction by automated flow cytometry (Sysmex XE‐5000). Platelet aggregation was investigated by impedance aggregometry (Multiplate® Analyzer) and aggregation potential by flow cytometry (NAVIOS). Results Our results showed that ET patients had increased IPC compared to healthy individuals (median 12.3 vs. median 6.9, P &lt; 0.0001). Furthermore, a positive correlation between platelet count and impedance aggregation was demonstrated using arachidonic acid (r = 0.48, P = 0.02), thrombin‐receptor‐activating‐peptide (r = 0.46, P = 0.03) and adenosine diphosphate (r = 0.56, P = 0.007) as agonists. Finally, an increased aggregation potential was demonstrated in ET patients compared to healthy individuals. Conclusions The study showed that ET patients compared to healthy individuals have an increased amount of reticulated platelets and increased aggregation potential. These findings might in part explain the increased thromboembolic risk in patients with ET. © 2018 International Clinical Cytometry Society</description><subject>Adenosine</subject><subject>Adenosine diphosphate</subject><subject>Agglomeration</subject><subject>Antiplatelet therapy</subject><subject>Arachidonic acid</subject><subject>essential thrombocytosis</subject><subject>Flow cytometry</subject><subject>Impedance</subject><subject>Myeloproliferative diseases</subject><subject>Patients</subject><subject>Platelet aggregation</subject><subject>platelet function testing</subject><subject>Platelets</subject><subject>Thrombin</subject><subject>Thrombocytosis</subject><subject>Thromboembolism</subject><subject>Thrombosis</subject><issn>1552-4949</issn><issn>1552-4957</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kL1PwzAQxS0EoqWwMaNILAyk-DOJR1rxJVUqQxmYLMe5qK7SpNiuqv73uLR0YGC6O91P7949hK4JHhKM6YPZhm5YDinJOD1BfSIETbkU-emx57KHLrxfYMwEz_Jz1KMyl5iKrI9G740O0EBIzFw7bQI464M1PrFtstLBQht8srFhnoD3cbC6ScLcdcuy21321l-is1o3Hq4OdYA-np9m49d0Mn15Gz9OUsMxpalhuWZ5VUE0nWEOBCTLIa6MpJmkFQNWlExjXZU11CYjeaFlXQnJC1ILwdkA3e11V677WoMPamm9gabRLXRrryjmjOTxqyKit3_QRbd2bXSnKBGs4IJiFqn7PWVc572DWq2cXWq3VQSrXbZq96Eq1U-2Eb85iK7LJVRH-DfMCPA9sLENbP8VU-PP2XS01_0Gw_uFxg</recordid><startdate>201811</startdate><enddate>201811</enddate><creator>Pedersen, Oliver Heidmann</creator><creator>Larsen, Mads Lamm</creator><creator>Grove, Erik Lerkevang</creator><creator>van Kooten Niekerk, Peter Buur</creator><creator>Bønløkke, Søren</creator><creator>Nissen, Peter H.</creator><creator>Kristensen, Steen Dalby</creator><creator>Hvas, Anne‐Mette</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7437-270X</orcidid></search><sort><creationdate>201811</creationdate><title>Platelet characteristics in patients with essential thrombocytosis</title><author>Pedersen, Oliver Heidmann ; Larsen, Mads Lamm ; Grove, Erik Lerkevang ; van Kooten Niekerk, Peter Buur ; Bønløkke, Søren ; Nissen, Peter H. ; Kristensen, Steen Dalby ; Hvas, Anne‐Mette</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4022-c37a37dde002604e1e937e402c92692d3e38b3a0adbfefc6178a9fd59481f5543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adenosine</topic><topic>Adenosine diphosphate</topic><topic>Agglomeration</topic><topic>Antiplatelet therapy</topic><topic>Arachidonic acid</topic><topic>essential thrombocytosis</topic><topic>Flow cytometry</topic><topic>Impedance</topic><topic>Myeloproliferative diseases</topic><topic>Patients</topic><topic>Platelet aggregation</topic><topic>platelet function testing</topic><topic>Platelets</topic><topic>Thrombin</topic><topic>Thrombocytosis</topic><topic>Thromboembolism</topic><topic>Thrombosis</topic><toplevel>online_resources</toplevel><creatorcontrib>Pedersen, Oliver Heidmann</creatorcontrib><creatorcontrib>Larsen, Mads Lamm</creatorcontrib><creatorcontrib>Grove, Erik Lerkevang</creatorcontrib><creatorcontrib>van Kooten Niekerk, Peter Buur</creatorcontrib><creatorcontrib>Bønløkke, Søren</creatorcontrib><creatorcontrib>Nissen, Peter H.</creatorcontrib><creatorcontrib>Kristensen, Steen Dalby</creatorcontrib><creatorcontrib>Hvas, Anne‐Mette</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Cytometry. Part B, Clinical cytometry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pedersen, Oliver Heidmann</au><au>Larsen, Mads Lamm</au><au>Grove, Erik Lerkevang</au><au>van Kooten Niekerk, Peter Buur</au><au>Bønløkke, Søren</au><au>Nissen, Peter H.</au><au>Kristensen, Steen Dalby</au><au>Hvas, Anne‐Mette</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Platelet characteristics in patients with essential thrombocytosis</atitle><jtitle>Cytometry. Part B, Clinical cytometry</jtitle><addtitle>Cytometry B Clin Cytom</addtitle><date>2018-11</date><risdate>2018</risdate><volume>94</volume><issue>6</issue><spage>918</spage><epage>927</epage><pages>918-927</pages><issn>1552-4949</issn><eissn>1552-4957</eissn><abstract>Background Essential thrombocytosis (ET) is a myeloproliferative disorder characterized by an increased platelet count. ET is associated with an increased risk of thrombosis, and procoagulant features of the disease may include an increased number of reactive reticulated platelets and an increased aggregation potential. We aimed to explore the association between platelet count, platelet turnover, and platelet aggregation in patients with ET. Methods We included 24 ET patients who discontinued antiplatelet therapy prior to blood sampling. Reticulated platelets were assessed as immature platelet count (IPC) and immature platelet fraction by automated flow cytometry (Sysmex XE‐5000). Platelet aggregation was investigated by impedance aggregometry (Multiplate® Analyzer) and aggregation potential by flow cytometry (NAVIOS). Results Our results showed that ET patients had increased IPC compared to healthy individuals (median 12.3 vs. median 6.9, P &lt; 0.0001). Furthermore, a positive correlation between platelet count and impedance aggregation was demonstrated using arachidonic acid (r = 0.48, P = 0.02), thrombin‐receptor‐activating‐peptide (r = 0.46, P = 0.03) and adenosine diphosphate (r = 0.56, P = 0.007) as agonists. Finally, an increased aggregation potential was demonstrated in ET patients compared to healthy individuals. Conclusions The study showed that ET patients compared to healthy individuals have an increased amount of reticulated platelets and increased aggregation potential. These findings might in part explain the increased thromboembolic risk in patients with ET. © 2018 International Clinical Cytometry Society</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29790256</pmid><doi>10.1002/cyto.b.21642</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-7437-270X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adenosine
Adenosine diphosphate
Agglomeration
Antiplatelet therapy
Arachidonic acid
essential thrombocytosis
Flow cytometry
Impedance
Myeloproliferative diseases
Patients
Platelet aggregation
platelet function testing
Platelets
Thrombin
Thrombocytosis
Thromboembolism
Thrombosis
title Platelet characteristics in patients with essential thrombocytosis
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