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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1996-3-25
pubmed:abstractText
We report the detection of activated GP IIb-IIIa complexes on platelets of patients undergoing thrombolytic therapy after acute myocardial infarction. Protocols were established for the monoclonal antibodies (mAbs): VH10, anti-P-selectin, a marker of platelet secretion; 9F9 and F26, two anti-RIBS (receptor-induced binding sites) mAbs specific for fibrinogen (Fg) bound to the GP IIb-IIIa receptor. Of ten patients studied: two were treated with streptokinase, four with APSAC (anisoylated plasminogen-streptokinase activator complex), and three with rt-PA. Platelets were tested on at least five occasions in the week following therapy. The percentage of platelets positive with 9F9 was often high, and reached a maximum within three days. By this time, plasma Fg levels, which fell during fibrinolysis, had begun to return to normal. Levels of activated platelets had fallen to baseline after 7 days. PAC-1, a mAb which binds directly to the activated GP IIb-IIIa complex, confirmed the results with 9F9, but F26 was a less sensitive probe. Binding of the anti-P-selectin mAb (VH10) was low, showing that little secretion had occurred. A concentration-dependent inhibition of 9F9 binding by RGDW peptide, a competitive inhibitor for Fg on GP IIb-IIIa, confirmed that Fg (or epitope-containing degradation products) were being located by the antibody. The activation of GP IIb-IIIa occurred despite the patients receiving aspirin and heparin. Thus platelets of some fibrinolytic patients have an increased tendency for surface activation within the first 72 h after treatment, a finding which would be compatible with an increased thrombotic tendency.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0957-5235
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
395-410
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:8589205-Adult, pubmed-meshheading:8589205-Aged, pubmed-meshheading:8589205-Amino Acid Sequence, pubmed-meshheading:8589205-Anistreplase, pubmed-meshheading:8589205-Antibodies, Monoclonal, pubmed-meshheading:8589205-Blood Platelets, pubmed-meshheading:8589205-Female, pubmed-meshheading:8589205-Flow Cytometry, pubmed-meshheading:8589205-Humans, pubmed-meshheading:8589205-Kinetics, pubmed-meshheading:8589205-Male, pubmed-meshheading:8589205-Middle Aged, pubmed-meshheading:8589205-Molecular Sequence Data, pubmed-meshheading:8589205-Myocardial Infarction, pubmed-meshheading:8589205-Platelet Activation, pubmed-meshheading:8589205-Platelet Count, pubmed-meshheading:8589205-Platelet Membrane Glycoproteins, pubmed-meshheading:8589205-Recombinant Proteins, pubmed-meshheading:8589205-Streptokinase, pubmed-meshheading:8589205-Thrombolytic Therapy, pubmed-meshheading:8589205-Tissue Plasminogen Activator
pubmed:year
1995
pubmed:articleTitle
Flow cytometry reveals activated GP IIb-IIIa complexes on platelets from patients undergoing thrombolytic therapy after acute myocardial infarction.
pubmed:affiliation
Unité de Recherche Associée 1464 Centre National de la Recherche Scientifique, Institut Fédératif de Recherche Coeur-Vaisseaux-Thrombose, Hôpital Cardiologique, Pessac, France.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't