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Investigating von Willebrand Factor Pathophysiology Using a Flow Chamber Model of von Willebrand Factor-platelet String Formation
Published on: August 14, 2017
The expression of vWF receptor on newborn platelets
1Department of Neonatology and Department of Clinical Laboratory Diagnostics, Medical University of Białystok, Białystok, Poland. awasiluk@amb.edu.pl
Insights
Newborns have fewer platelet GPIbalpha-IX complexes than adults, with males showing higher levels. Umbilical artery or vein collection did not impact these platelet receptor findings.
Area of Science:
- Hematology
- Neonatal Research
- Platelet Biology
Background:
- Platelets possess the GPIb-IX-V complex, with GPIbalpha serving as the von Willebrand factor (vWF) receptor.
- Platelet activation by thrombin leads to a reduction in functional GPIbalpha receptors.
Purpose of the Study:
- To quantify the surface expression of the platelet GPIbalpha-IX complex in healthy term newborns.
- To investigate potential differences in GPIbalpha-IX expression between sexes and umbilical vessels.
Main Methods:
- Flow cytometry was used to analyze CD42b expression on platelets from 51 healthy term newborns (21 females, 30 males).
- Blood samples were collected from both umbilical artery and vein immediately after birth.
- CD42b-PE antibody was utilized to detect the GPIbalpha-IX complex.
Main Results:
- No significant difference in CD42b expression was found between umbilical artery (19.37%) and vein (18.59%) samples.
- Male newborns exhibited a higher percentage of platelets expressing CD42b (20.58%) compared to female newborns (17.38%).
- Newborns (18.98%) showed lower CD42b expression than healthy adults (30.4%).
Conclusions:
- Neonatal sex influences GPIbalpha-IX complex expression, with males having higher levels.
- The specific umbilical vessel (artery or vein) does not affect the percentage of platelets expressing CD42b.
- Neonates display reduced platelet GPIbalpha-IX complex expression compared to adults.
Background:
Platelets contain a complex known as GPIb-IX-V. The receptor for vWF is located in GPIbalpha. The number of functional receptors decreases during thrombin activation of platelets. This study was performed to evaluate the percentage of platelets displaying the GPIbalpha -IX complex on their surface.
Material/Methods:
We studied 51 healthy term newborns (21 females and 30 males). Blood was collected from the umbilical artery and vein immediately after severance of the umbilical cord, using a Diatube TM CTAD Vacutainer System. The GPIbalpha-IX complex was tested with CD42b-PE antibody, using a EPICS XL flow cytometer.
Results:
Practically no differences were observed in the percentage of platelets demonstrating CD42b in venous blood (18.59%) and arterial blood (19.37%). The percentage of platelets bearing the CD42b molecule is higher in male newborns (20.58%) than female (17.38%). Healthy control adults demonstrated an increased percentage of CD42b on platelets (30.4%) in comparison to newborns (18.98%).
Conclusions:
The sex of neonates affects the tested complex: higher values were noted in males. The particular umbilical vessel (vein or artery) has no effect on the percentage of platelets bearing CD42b.
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