Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2009-3-2
pubmed:abstractText
Patients with essential thrombocythemia (ET) have an increased frequency of thrombosis, but the relationship of both thrombosis and JAK2 V617F allele burden with platelet turnover, acquired activated protein C resistance (aAPCR), and levels of coagulation factors and soluble markers of platelet, and endothelial activation is not well known. In 53 ET patients (26 with a history of thrombosis), reticulated platelets (RP) percentage, aAPCR, platelet tissue factor (TF) expression, and plasma levels of TF, coagulation factors, soluble P-selectin (sP-selectin), soluble CD40 ligand (sCD40L), von Willebrand factor antigen (VWF:Ag), soluble thrombomodulin (sTM), D-dimer and prothrombin fragment 1 + 2 were compared with those in matched healthy individuals and correlated with thrombosis occurrence and JAK2 mutational load. ET patients with thrombosis had significantly higher values for RP percentage, aAPCR, and levels of factors V and VIII, VWF:Ag, sP-selectin, and sCD40L than patients without thrombosis and controls. At multivariate study, RP percentage, factor V levels, and aAPCR were independently associated with an increased risk of thrombosis. Patients with JAK2 mutation had significantly lower levels of free protein S (PS) and higher levels of TF, sP-selectin, sCD40L, VWF:Ag, and sTM than those with wild-type allele. A mutant allele dosage effect (>or= 12%) was observed for TF, sP-selectin, sCD40L, VWF:Ag, and PS levels. These results support a role for platelet turnover, factor V, and aAPCR in the thrombosis of ET as well as the association between JAK2 V617F allele burden and either decreased free PS or increased TF and soluble markers of platelet and endothelial activation.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
1096-8652
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
84
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
102-8
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:19105233-Activated Protein C Resistance, pubmed-meshheading:19105233-Adult, pubmed-meshheading:19105233-Aged, pubmed-meshheading:19105233-Aged, 80 and over, pubmed-meshheading:19105233-Alleles, pubmed-meshheading:19105233-Amino Acid Substitution, pubmed-meshheading:19105233-Biological Markers, pubmed-meshheading:19105233-Blood Coagulation Factors, pubmed-meshheading:19105233-Blood Platelets, pubmed-meshheading:19105233-Endothelium, Vascular, pubmed-meshheading:19105233-Erythromelalgia, pubmed-meshheading:19105233-Female, pubmed-meshheading:19105233-Humans, pubmed-meshheading:19105233-Intermittent Claudication, pubmed-meshheading:19105233-Janus Kinase 2, pubmed-meshheading:19105233-Male, pubmed-meshheading:19105233-Middle Aged, pubmed-meshheading:19105233-Mutation, Missense, pubmed-meshheading:19105233-Myocardial Infarction, pubmed-meshheading:19105233-Platelet Activation, pubmed-meshheading:19105233-Point Mutation, pubmed-meshheading:19105233-Stroke, pubmed-meshheading:19105233-Thrombocythemia, Essential, pubmed-meshheading:19105233-Thrombophilia, pubmed-meshheading:19105233-Thrombosis
pubmed:year
2009
pubmed:articleTitle
Platelet turnover, coagulation factors, and soluble markers of platelet and endothelial activation in essential thrombocythemia: relationship with thrombosis occurrence and JAK2 V617F allele burden.
pubmed:affiliation
Hematology Department, Hospital Clínic, IDIBAPS, University of Barcelona, Barcelona, Spain.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't