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Published on: April 6, 2017
Colchicine as a Modulator of Platelet Function: A Systematic Review
Caroline J Reddel1, Gabrielle J Pennings1, Vivien M Chen1,2
1ANZAC Research Institute, University of Sydney, Concord Repatriation General Hospital, Sydney, Australia.
Colchicine, an anti-inflammatory drug, impacts platelet function, potentially contributing to its cardiovascular benefits. Further clinical research is needed to confirm these effects on platelet biology in vivo.
Area of Science:
- Cardiovascular Pharmacology
- Hematology
- Inflammation Research
Background:
- Colchicine is an anti-inflammatory agent used for conditions involving inflammasome activation.
- It is known to prevent coronary and cerebrovascular events.
- Previous studies suggest colchicine directly affects platelets, but this area needs current investigation.
Purpose of the Study:
- To critically review the effects of colchicine on platelet biology.
- To assess both in vitro and in vivo data on colchicine's impact on platelets.
Main Methods:
- Systematic review of Embase, Medline, and PubMed databases.
- Included studies tested platelets after colchicine incubation or reported clinical effects on platelet function.
- Excluded reviews and conference abstracts; focused on English-language papers.
Main Results:
- Colchicine inhibits platelet aggregation, clotting, degranulation, and extracellular vesicle formation in vitro, often at supraphysiological concentrations.
- Physiological colchicine concentrations inhibit collagen- and calcium ionophore-induced platelet aggregation and signaling.
- Limited in vivo studies exist regarding colchicine's effects on platelets.
Conclusions:
- The interaction between colchicine and platelets may contribute to its cardiovascular protective effects.
- High-quality clinical research is urgently needed to validate the in vivo impact of colchicine on platelet function.
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