Increased platelet Fc receptor expression as a potential contributing cause of platelet hypersensitivity to collagen in diabetes mellitus

被引:44
作者
Calverley, DC
Hacker, MR
Loda, KA
Brass, E
Buchanan, TA
Tsao-Wei, DD
Groshen, S
机构
[1] Univ Colorado, Div Hematol, Denver, CO 80202 USA
[2] Univ Colorado, Mt States Reg Hemophilia & Thrombosis Ctr, Denver, CO 80202 USA
[3] Univ Colorado, Div Med Oncol, Denver, CO 80202 USA
[4] Univ So Calif, Sch Med, Div Hematol, Los Angeles, CA USA
[5] Univ So Calif, Sch Med, Div Endocrinol & Metab, Los Angeles, CA USA
[6] Univ So Calif, Sch Med, Dept Prevent Med, Los Angeles, CA 90033 USA
关键词
blood platelets; diabetes mellitus; cardiovascular disease; collagen; receptors; Fc;
D O I
10.1046/j.1365-2141.2003.04233.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Recent clinical and laboratory observations support a potential role for the platelet FcgammaRIIA receptor (FcR) in collagen-mediated platelet activation associated with arterial thrombosis. Stable age- and sex-independent variation in receptor expression exists. Flow cytometry showed that 100 diabetes patients had increased mean platelet FcR expression levels compared with 201 non-diabetes patients (P < 0.001). Aggregation studies following FcR cross-linking supported a receptor role in increased activation of diabetes platelets after collagen stimulation (P = 0.018). Immunoprecipitation of collagen-stimulated and FcR-crosslinked platelets demonstrated enhanced levels of tyrosine-phosphorylated Syk in diabetic platelets. Increased platelet FcR-mediated sensitivity to collagen may contribute to cardiovascular morbidity and mortality in diabetes.
引用
收藏
页码:139 / 142
页数:4
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