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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2006-8-31
pubmed:abstractText
Lupus anticoagulants (LA) prolong in vitro phospholipid-dependent coagulation tests, but are associated with thromboembolic disease (TE). However, a subgroup of individuals with LA has no TE, and it is therefore desirable to distinguish those at risk for TE from those without. Whether platelets have a primary role in the development of TE is not clear yet. We determined platelet autoantibodies to identify a specific platelet target which is associated with platelet activation in 97 patients with a long history of detectable LA, 65 patients with TE (LA/TE+), and 32 individuals without TE (LA/TE-). Thrombocytopenia was more common in the LA/TE- than in the LA/TE+ group (P < 0.05). Both groups had platelet antibodies, but the frequency of antibodies was lower in LA/TE+ than LA/TE- patients (P < 0.01), who had higher antibody titres against glycoprotein IIb/IIIa and glycoprotein Ib/IX (P < 0.05). Also, their platelets were more activated, as determined by PAC-1 binding (P < 0.01). These differences were also noted if patients with arterial thrombosis were evaluated separately. These findings in LA/TE- individuals were similar to those in patients with chronic autoimmune thrombocytopenia. However, there was no autoantibody target identifiable to distinguish between LA/TE- from LA-TE+ individuals. We therefore conclude that the presence of platelet antibodies, even if associated with platelet activation, is not sufficient to dispose LA patients to thromboembolic disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0961-2033
pubmed:author
pubmed:issnType
Print
pubmed:volume
15
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
507-14
pubmed:meshHeading
pubmed-meshheading:16942003-Adolescent, pubmed-meshheading:16942003-Adult, pubmed-meshheading:16942003-Aged, pubmed-meshheading:16942003-Antiphospholipid Syndrome, pubmed-meshheading:16942003-Autoantibodies, pubmed-meshheading:16942003-Blood Coagulation Tests, pubmed-meshheading:16942003-Blood Platelets, pubmed-meshheading:16942003-Child, pubmed-meshheading:16942003-Female, pubmed-meshheading:16942003-Humans, pubmed-meshheading:16942003-Lupus Coagulation Inhibitor, pubmed-meshheading:16942003-Middle Aged, pubmed-meshheading:16942003-Platelet Activation, pubmed-meshheading:16942003-Platelet Membrane Glycoproteins, pubmed-meshheading:16942003-Random Allocation, pubmed-meshheading:16942003-Thrombocytopenia, pubmed-meshheading:16942003-Thromboembolism, pubmed-meshheading:16942003-beta 2-Glycoprotein I
pubmed:year
2006
pubmed:articleTitle
Specificities of platelet autoantibodies and platelet activation in lupus anticoagulant patients: a relation to their history of thromboembolic disease.
pubmed:affiliation
Clinic for Blood Group Serology, Medical University of Vienna, Austria.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't