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  • Dasi, Maria Angeles  (2)
  • Santos, Maria Teresa  (2)
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  • 1
    In: Blood, American Society of Hematology, Vol. 124, No. 21 ( 2014-12-06), p. 4171-4171
    Abstract: Activated platelets release a wide range of bioactive molecules including growth factors, cytokines, chemokines, coagulation factors etc., known to influence processes like haemostasis, thrombosis, inflammation, wound healing and angiogenesis. The interaction between activated platelets with intact erythrocytes (RBCs) increases dense (14C-serotonin) and alpha (β-thromboglobulin) platelet granule secretion (1, 2). Platelets have different sets of α-granules which are selectively released depending on the platelet agonist and signaling mechanism (3). Aims. to study a) if platelet-RBC interactions induce any differential regulation on the secretion of sets of platelet α-granules containing pro- or antiangiogenic compounds and b) the potential influence of aspirin on the release of these substances. Methods. Washed platelets alone (WP) or WP+RBCs from normal human subjects were incubated (10min, 37ºC) with aspirin (100µM) or solvent. Collagen (or its solvent) were added to samples, mixed (10 sec) and centrifuged (13,000xg, 1min) to obtain a cell-free releasate (1, 2). A semi-quantitative analysis of 43 pro- and anti-angiogenic substances in releasates was performed using antibody arrays (RayBiotech, Inc). In addition, the concentration of VEGF and ENA-78 (pro-angiogenics) and endostatin (anti-angiogenic) were quantified in the cell-free releasates by ELISA (R & D Systems) in 4 donors. Results. The array data demonstrated a striking selectivity in the effect of RBCs (hematocrit, 40%) for releasing the subset of α-granules containing pro-angiogenic substances. For instances, as compared to WP, RBCs increased the release of CXCL1 (7-fold), angiopoietin (30-fold) and MCP-1 (50-fold), while the release of anti-angiogenic substances such as TIMP-1 or endostatin were not modified by RBCs. Evaluating by ELISA the concentration of two angiogenic stimulators (VEGF and ENA-78) and of one anti-angiogenic compound, endostatin, we observed that RBCs increased the concentration of VEGF and ENA-78 in a hematocrit-dependent manner reaching a 18-fold and 10-fold increase, respectively with 40% hematocrit (p 〈 0.05), while the endostatin release was not increased by RBCs. In samples not stimulated (collagen-solvent) no differences were noted between WP and WP+RBCs. Incubation of samples with aspirin did not modify the release in samples of WP but drastically reduced the collagen-induced VEGF and ENA-78 release in the presence of RBCs ( 〉 95% inhibition) while aspirin had a scarce effect on endostatin release. Conclusions. Cell-cell contact between collagen-activated platelets and RBCs is an important determinant for the specific release of subsets of platelet α-granules containing angiogenesis stimulators, which may play a role in patients with cancer. The aspirin down-regulation of the enhancing effect of RBCs on release of pro-angiogenic substances may be a contributory factor of the beneficial effect of aspirin observed in some patients with cancer. 1.Santos MT et al J Clin Invest 1991;87:571-80; 2. Valles J et al. Blood 1991;78:154-62 ; 3. Italiano JE Blood 2008; 111:1227-33. Grant support: IIS Carlos III. Fondos FEDER PI13/00016; Red Cardiovascular [RD12/0042/0003] Disclosures No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2014
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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  • 2
    In: Blood, American Society of Hematology, Vol. 114, No. 22 ( 2009-11-20), p. 4208-4208
    Abstract: Abstract 4208 Severe congenital factor XIII (FXIII) deficiency is an autosomal recessive disease of with a low prevalence in the general population (3-5 cases per million), associated with generally severe hemorrhagic diathesis, where the presence of intracraneal hemorrhage (ICH) is much higher than in other coagulopathologies such as hemophilia A or B. However, the basic coagulation tests are normal, which could delay the diagnosis. We present three cases of severe congenital FXIII deficiency (not diagnosed when referred to our center) with severe hemorrhagic pathology. These patients had normal basic coagulation tests and did not have a family bleeding history. The table show the results. Table Patient 1 Patient 2 Patient 3 Date of birth 1959 1978 2006 Sex Female Female Female Age at diagnosis 15 years old 12 years old 18 months old Cause of patient remission Ankle hemarthrosis Seizures Subdural hematoma Subdural hematoma Prior hemorrhagic history -umbilical cord bleeding-frontal hematoma requiring surgical management at 12 months-bleeding with dentition -umbilical cord bleeding-hematoma in buttock requiring RBC transfusion for anemia.-hemarthrosis in both knees -umbilical cord bleeding-growing cephalohematoma until 3rd week of life-hematoma by venipuncture lasting 2-3 weeks at 6 months.-delayed healing-Subdural hematoma after minor trauma 3 days prior. basic coagulation tests (PT, APTT, TT, fibrinogen) Normal Normal Normal Level of functional FXIII 〈 1% 〈 5 % 〈 5 % Initial treatment Plasma Plasma FXIII concentrate Prophylaxis -Plasma: 2 Units every 6 weeks -FXIII concentrate every 4 weeks (since 1994) FXIII concentrate every 4 weeks FXIII concentrate every 3 weeks Evolution Major ICH at 30 years old. (had suspended prophylactic treatment in1989) Favorable evolution without consequences. Favorable evolution without consequences. COMMENTS Congenital Factor XIII deficiency, although infrequent, should be included in the differential diagnosis of hemorrhagic processes with normal coagulation tests, especially if triggered spontaneously or in a disproportionate manner (in quantity and/or duration). Bleeding of the umbilical cord in the first days or weeks after birth is characteristic of this deficiency (present in 80% of cases). The prophylactic administration of Factor XIII is fundamental due to the frequency of intracranial hemorrhaging. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2009
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
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