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Does smoking affect thrombocytopoiesis and platelet activation in women and men?
A M Butkiewicz1, I Kemona-Chetnik, V Dymicka-Piekarska
1Department of Clinical Laboratory Diagnostics, Medical University of Białystok ul. Waszyngtona 15A, 15-274 Białystok, Poland. annabutkiewicz@wp.pl
Insights
Women smokers exhibit heightened platelet activation compared to non-smokers, suggesting greater sensitivity to smoking. Male smokers showed no significant platelet parameter changes, indicating lower sensitivity.
Area of Science:
- Cardiovascular Research
- Hematology
- Toxicology
Background:
- Smoking is a major risk factor for cardiac ischemia.
- Smoking-induced changes in platelet count, morphology, and activation increase cardiovascular risk.
Purpose of the Study:
- To investigate sex-specific differences in platelet parameters among healthy smokers.
- To assess the impact of smoking on platelet count, mean platelet volume, platelet activation markers, and reticulated platelets in relation to sex.
Main Methods:
- Study included healthy male and female subjects, with 49% of men and 27% of women being smokers.
- Platelet parameters analyzed included platelet count (PLT), mean platelet volume (MPV), percentage of large platelets (L(PLT)), beta-thromboglobulin, soluble P-selectin (sP-selectin), thrombopoietin, percentage of reticulated platelets (RP), and absolute reticulated platelet count.
Main Results:
- Smoking women showed significantly lower platelet counts, higher percentages of reticulated platelets, and elevated sP-selectin concentrations compared to non-smoking women.
- No significant differences in platelet parameters were observed in male smokers compared to non-smokers.
- Parameters unaffected by smoking in either sex included MPV, L(PLT), thrombopoietin, absolute RP count, and beta-thromboglobulin.
Conclusions:
- Women appear to be more susceptible to the pro-thrombotic effects of smoking than men.
- The observed platelet changes in women suggest enhanced platelet activation and a potentially higher risk of cardiovascular events.
- Platelets in male smokers demonstrated resilience to smoking-induced alterations in the studied parameters.
Purpose:
Smoking is a significant risk factor of cardiac ischaemia. Changes in platelet count, morphology and platelet activation enhance the risk.
Material And Methods:
The objective of the study was to assess platelet parameters in smoking healthy subjects with reference to sex. In the group of women, 27% were smokers, in the group of men--49%. All the subjects were tested for platelet count (PLT), mean platelet volume (MPV), percentage of large platelets (L(PLT)), concentrations of beta-thromboglobulin, sP-selectin (soluble) and thrombopoietin, percentage of reticulated platelets (RP) and absolute count of reticulated platelet.
Results:
Lower platelet count (237.00 +/- 39.52 vs 258.34 +/- 40.81 x 10(9)/l, p = 0.0002), higher percentage of reticulated platelets (1.39 +/- 0 .66 vs 1.04 +/- 0.35%, p = 0.04) and higher concentration of sP-selectin (52.66 +/- 18.54 vs 43.94 +/- 17.14 ng/ml, p = 0.03) were observed only in the group of smoking women, compared to non-smokers. In neither of the sexes smoking had an effect on the following parameters: mean platelet volume, percentage of large platelets, concentration of thrombopoietin, absolute count of reticulated platelet and concentration of beta1 -thromboglobulin.
Conclusions:
The results allow the hypothesis that women are more sensitive to smoking than men. Platelets in male smokers are less sensitive to smoking--the study showed no significant changes in the parameters.
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