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Published on: January 28, 2020
Relationship Between Plasma Pentraxin 3 Concentration and Platelet Indices in Patients With Stable Coronary Artery
Ilona Korzonek-Szlacheta1, Aleksander Danikiewicz1, Janusz Szkodziński2
11 Department of Nutrition-Related Disease Prevention, Faculty of Public Health, Medical University of Silesia, Bytom, Poland.
Insights
Pentraxin 3 (PTX3) is linked to larger platelet size in coronary artery disease patients. Higher PTX3 levels correlate strongly with increased mean platelet volume (MPV) and platelet distribution width (PDW).
Area of Science:
- Cardiovascular Medicine
- Hematology
- Inflammation Research
Background:
- Pentraxin 3 (PTX3) is an acute-phase protein involved in inflammation.
- Limited research exists on the relationship between PTX3 and platelet activation markers.
Purpose of the Study:
- To investigate the association between plasma PTX3 levels and various platelet indices in patients with stable coronary artery disease (CAD).
Main Methods:
- Forty-nine stable CAD patients were categorized into two groups based on median PTX3 levels.
- Platelet indices including mean platelet volume (MPV), platelet distribution width (PDW), and others were analyzed.
- Statistical correlations between PTX3 and platelet indices were assessed.
Main Results:
- Patients with higher PTX3 concentrations exhibited significantly elevated MPV and PDW.
- Plasma PTX3 showed a strong positive correlation with MPV (r = .75) and PDW (r = .80).
- Thromboinflammatory biomarkers like platelet-to-lymphocyte ratio (PLR) and MPV-to-lymphocyte ratio (MPVLR) were also elevated in the high PTX3 group.
Conclusions:
- Plasma PTX3 levels are associated with larger platelet size, as indicated by increased MPV and PDW.
- PTX3 may play a role in platelet activation and thromboinflammation in CAD patients.
Abstract:
Few reports have analyzed the effect of pentraxin 3 (PTX3) on platelets and their activation. We explored the association between plasma PTX3 and platelet indices. Forty-nine patients with stable coronary artery disease (CAD) were enrolled. Based on median PTX3, the study population was divided into group 1 (n = 25; PTX3 ≤ 0.98 ng/mL) and group 2 (n = 24; PTX3 > 0.98 ng/mL). Platelet indices investigated included mean platelet volume (MPV), platelet distribution width (PDW), platelets and large cell ratio (P-LCR), MPV to platelet count ratio (MPV/PC), platelet to lymphocyte ratio (PLR), and MPV to lymphocyte ratio (MPVLR). Patients with lower PTX3 had a higher lymphocyte count. Platelet count was similar in both groups. Notwithstanding, patients with higher PTX3 concentrations had elevated MPV (8.3 vs 10.0 fL; P < .001) and PDW (9.4 vs 12.4 fL; P < .001). However, the MPV/PC ratio was similar in both groups. Thromboinflammatory biomarkers (PLR, MPVLR) were also elevated in group 2. Pentraxin 3showed a strong, positive correlation with MPV ( r = .75, P < .01) and PDW ( r = .80, P < .01), and weak to moderate correlation with MPVLR. In conclusion, PTX3 is associated with larger platelet size as assessed by platelet volume indices. There is a strong correlation between plasma PTX3 level and MPV and PDW.
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