Platelet populations and priming in hematological diseases

In healthy subjects and patients with hematological diseases, platelet populations can be distinguished with different response spectra in hemostatic and vascular processes. These populations partly overlap, and are less distinct than those of leukocytes. The platelet heterogeneity is linked to stru...

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Published inBlood reviews Vol. 31; no. 6; pp. 389 - 399
Main Authors Baaten, Constance C.F.M.J., ten Cate, Hugo, van der Meijden, Paola E.J., Heemskerk, Johan W.M.
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.11.2017
Subjects
Online AccessGet full text
ISSN0268-960X
1532-1681
1532-1681
DOI10.1016/j.blre.2017.07.004

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Abstract In healthy subjects and patients with hematological diseases, platelet populations can be distinguished with different response spectra in hemostatic and vascular processes. These populations partly overlap, and are less distinct than those of leukocytes. The platelet heterogeneity is linked to structural properties, and is enforced by inequalities in the environment. Contributing factors are variability between megakaryocytes, platelet ageing, and positive or negative priming of platelets during their time in circulation. Within a hemostatic plug or thrombus, platelet heterogeneity is enhanced by unequal exposure to agonists, with populations of contracted platelets in the thrombus core, discoid platelets at the thrombus surface, patches of ballooned and procoagulant platelets forming thrombin, and coated platelets binding fibrin. Several pathophysiological hematological conditions can positively or negatively prime the responsiveness of platelet populations. As a consequence, in vivo and in vitro markers of platelet activation can differ in thrombotic and hematological disorders.
AbstractList In healthy subjects and patients with hematological diseases, platelet populations can be distinguished with different response spectra in hemostatic and vascular processes. These populations partly overlap, and are less distinct than those of leukocytes. The platelet heterogeneity is linked to structural properties, and is enforced by inequalities in the environment. Contributing factors are variability between megakaryocytes, platelet ageing, and positive or negative priming of platelets during their time in circulation. Within a hemostatic plug or thrombus, platelet heterogeneity is enhanced by unequal exposure to agonists, with populations of contracted platelets in the thrombus core, discoid platelets at the thrombus surface, patches of ballooned and procoagulant platelets forming thrombin, and coated platelets binding fibrin. Several pathophysiological hematological conditions can positively or negatively prime the responsiveness of platelet populations. As a consequence, in vivo and in vitro markers of platelet activation can differ in thrombotic and hematological disorders.In healthy subjects and patients with hematological diseases, platelet populations can be distinguished with different response spectra in hemostatic and vascular processes. These populations partly overlap, and are less distinct than those of leukocytes. The platelet heterogeneity is linked to structural properties, and is enforced by inequalities in the environment. Contributing factors are variability between megakaryocytes, platelet ageing, and positive or negative priming of platelets during their time in circulation. Within a hemostatic plug or thrombus, platelet heterogeneity is enhanced by unequal exposure to agonists, with populations of contracted platelets in the thrombus core, discoid platelets at the thrombus surface, patches of ballooned and procoagulant platelets forming thrombin, and coated platelets binding fibrin. Several pathophysiological hematological conditions can positively or negatively prime the responsiveness of platelet populations. As a consequence, in vivo and in vitro markers of platelet activation can differ in thrombotic and hematological disorders.
In healthy subjects and patients with hematological diseases, platelet populations can be distinguished with different response spectra in hemostatic and vascular processes. These populations partly overlap, and are less distinct than those of leukocytes. The platelet heterogeneity is linked to structural properties, and is enforced by inequalities in the environment. Contributing factors are variability between megakaryocytes, platelet ageing, and positive or negative priming of platelets during their time in circulation. Within a hemostatic plug or thrombus, platelet heterogeneity is enhanced by unequal exposure to agonists, with populations of contracted platelets in the thrombus core, discoid platelets at the thrombus surface, patches of ballooned and procoagulant platelets forming thrombin, and coated platelets binding fibrin. Several pathophysiological hematological conditions can positively or negatively prime the responsiveness of platelet populations. As a consequence, in vivo and in vitro markers of platelet activation can differ in thrombotic and hematological disorders.
Author ten Cate, Hugo
Heemskerk, Johan W.M.
van der Meijden, Paola E.J.
Baaten, Constance C.F.M.J.
Author_xml – sequence: 1
  givenname: Constance C.F.M.J.
  surname: Baaten
  fullname: Baaten, Constance C.F.M.J.
  email: c.baaten@maastrichtuniversity.nl
  organization: Department of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
– sequence: 2
  givenname: Hugo
  surname: ten Cate
  fullname: ten Cate, Hugo
  email: h.tencate@maastrichtuniversity.nl
  organization: Department of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
– sequence: 3
  givenname: Paola E.J.
  surname: van der Meijden
  fullname: van der Meijden, Paola E.J.
  email: p.vandermeijden@maastrichtuniversity.nl
  organization: Department of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
– sequence: 4
  givenname: Johan W.M.
  surname: Heemskerk
  fullname: Heemskerk, Johan W.M.
  email: jwm.heemskerk@maastrichtuniversity.nl
  organization: Department of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands
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Issue 6
Keywords Platelet heterogeneity
Activation markers
Positive priming
Thrombus
Language English
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Snippet In healthy subjects and patients with hematological diseases, platelet populations can be distinguished with different response spectra in hemostatic and...
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SubjectTerms Activation markers
Animals
Apoptosis
Blood Coagulation
Blood Platelets - pathology
Cellular Senescence
Hematologic Diseases - blood
Hematologic Diseases - pathology
Hemorrhage - blood
Hemorrhage - pathology
Humans
Megakaryocytes - pathology
Platelet Activation
Platelet heterogeneity
Positive priming
Thrombosis - blood
Thrombosis - pathology
Thrombus
Title Platelet populations and priming in hematological diseases
URI https://www.clinicalkey.com/#!/content/1-s2.0-S0268960X17300462
https://dx.doi.org/10.1016/j.blre.2017.07.004
https://www.ncbi.nlm.nih.gov/pubmed/28756877
https://www.proquest.com/docview/1924899214
Volume 31
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