The impact of night-shift work on platelet function in healthy medical staff

[Abstract] : [Objectives] : Rotating shift work has been reported to increase the risk of cardiovascular diseases. Vascular endothelial dysfunction and platelet activation are among the leading causes of thrombus formation in patients with myocardial infarction or stroke. Endothelial function has be...

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Veröffentlicht in:Journal of Occupational Health 2018-07, Vol.60 (4), p.324-332
Hauptverfasser: Nakao, Tomoko, Yasumoto, Atsushi, Tokuoka, Suzumi, Kita, Yoshihiro, Kawahara, Takuya, Daimon, Masao, Yatomi, Yutaka
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container_end_page 332
container_issue 4
container_start_page 324
container_title Journal of Occupational Health
container_volume 60
creator Nakao, Tomoko
Yasumoto, Atsushi
Tokuoka, Suzumi
Kita, Yoshihiro
Kawahara, Takuya
Daimon, Masao
Yatomi, Yutaka
description [Abstract] : [Objectives] : Rotating shift work has been reported to increase the risk of cardiovascular diseases. Vascular endothelial dysfunction and platelet activation are among the leading causes of thrombus formation in patients with myocardial infarction or stroke. Endothelial function has been shown to be impaired immediately after night-shift work ; however, it is not known whether platelets are also activated. The aim of this study was to investigate the acute impact of night-shift work on platelet function. [Methods] : This observational study included 11 healthy medical staff members (seven women, median age 32 years) . We examined each subject's platelet aggregation rates and the serum concentrations of eicosanoid mediators after night-shift work and on dayshift work without preceding night-shift work (baseline) . [Results] : Platelet aggregation did not differ from baseline levels after night-shift work. However, serum cyclooxygenase (COX)-metabolized eicosanoid mediators, particularly thromboxane (Tx) B2 (a stable metabolite of TxA2 and the most important marker of platelet activation) , were significantly higher after the night-shift than at baseline (median 65.3 vs 180.4 ng/ml) . [Conclusions] : Although platelet aggregation did not increase, there was an increase in serum COX-metabolized eicosanoid mediators such as TxB2 in healthy medical staff after nightshift work. This platelet hypersensitivity may be one of the mechanisms underlying the significant association between night-shift work and adverse cardiovascular outcomes.
doi_str_mv 10.1539/joh.2018-0027-FS
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Vascular endothelial dysfunction and platelet activation are among the leading causes of thrombus formation in patients with myocardial infarction or stroke. Endothelial function has been shown to be impaired immediately after night-shift work ; however, it is not known whether platelets are also activated. The aim of this study was to investigate the acute impact of night-shift work on platelet function. [Methods] : This observational study included 11 healthy medical staff members (seven women, median age 32 years) . We examined each subject's platelet aggregation rates and the serum concentrations of eicosanoid mediators after night-shift work and on dayshift work without preceding night-shift work (baseline) . [Results] : Platelet aggregation did not differ from baseline levels after night-shift work. However, serum cyclooxygenase (COX)-metabolized eicosanoid mediators, particularly thromboxane (Tx) B2 (a stable metabolite of TxA2 and the most important marker of platelet activation) , were significantly higher after the night-shift than at baseline (median 65.3 vs 180.4 ng/ml) . [Conclusions] : Although platelet aggregation did not increase, there was an increase in serum COX-metabolized eicosanoid mediators such as TxB2 in healthy medical staff after nightshift work. 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Vascular endothelial dysfunction and platelet activation are among the leading causes of thrombus formation in patients with myocardial infarction or stroke. Endothelial function has been shown to be impaired immediately after night-shift work ; however, it is not known whether platelets are also activated. The aim of this study was to investigate the acute impact of night-shift work on platelet function. [Methods] : This observational study included 11 healthy medical staff members (seven women, median age 32 years) . We examined each subject's platelet aggregation rates and the serum concentrations of eicosanoid mediators after night-shift work and on dayshift work without preceding night-shift work (baseline) . [Results] : Platelet aggregation did not differ from baseline levels after night-shift work. 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Vascular endothelial dysfunction and platelet activation are among the leading causes of thrombus formation in patients with myocardial infarction or stroke. Endothelial function has been shown to be impaired immediately after night-shift work ; however, it is not known whether platelets are also activated. The aim of this study was to investigate the acute impact of night-shift work on platelet function. [Methods] : This observational study included 11 healthy medical staff members (seven women, median age 32 years) . We examined each subject's platelet aggregation rates and the serum concentrations of eicosanoid mediators after night-shift work and on dayshift work without preceding night-shift work (baseline) . [Results] : Platelet aggregation did not differ from baseline levels after night-shift work. However, serum cyclooxygenase (COX)-metabolized eicosanoid mediators, particularly thromboxane (Tx) B2 (a stable metabolite of TxA2 and the most important marker of platelet activation) , were significantly higher after the night-shift than at baseline (median 65.3 vs 180.4 ng/ml) . [Conclusions] : Although platelet aggregation did not increase, there was an increase in serum COX-metabolized eicosanoid mediators such as TxB2 in healthy medical staff after nightshift work. This platelet hypersensitivity may be one of the mechanisms underlying the significant association between night-shift work and adverse cardiovascular outcomes.</abstract><cop>Japan</cop><pub>JAPAN SOCIETY FOR OCCUPATIONAL HEALTH</pub><pmid>29669967</pmid><doi>10.1539/joh.2018-0027-FS</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1719-4297</orcidid><oa>free_for_read</oa></addata></record>
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source Oxford Journals Open Access Collection; J-STAGE Free; MEDLINE; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Activation
Adult
Agglomeration
Blood Platelets - physiology
Cardiovascular diseases
Cerebral infarction
Cyclooxygenase
Eicosanoids
Female
Field Study
Health risks
Healthy Volunteers
Heart diseases
Humans
Hypersensitivity
Male
Medical personnel
Medical Staff, Hospital
Myocardial infarction
Night
Occupational health
Platelet Activation
Platelet Aggregation
Platelets
Prostaglandin endoperoxide synthase
Shift work
Shift Work Schedule
Sleep deprivation
Thrombosis
Thromboxane B2
Thromboxane B2 - blood
Working conditions
title The impact of night-shift work on platelet function in healthy medical staff
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