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Platelet function and interferon alpha-2a treatment in essential thrombocythaemia.

Abstract
The effects of interferon (IFN) alpha-2a treatment on platelet function were evaluated in 20 patients affected by essential thrombocythaemia (ET). Baseline data documented the well-known abnormalities of in vitro platelet aggregation and the constant presence of a delta-storage pool deficiency. The therapy in all patients reduced the platelet count, and in the majority of them caused a partial improvement of in vitro platelet aggregation. Although the mean intraplatelet ADP level improved during treatment, it always remained below the normal range documenting persistence of the delta-storage pool deficiency. The plasma beta-TG levels, which initially were high, significantly decreased during treatment, but the beta-TG ratio and the platelet beta-TG values always remained within the normal range--this suggests an absence of platelet activation either before or during therapy. Our results demonstrate that, despite significantly reducing the platelet count, IFN alpha-2a treatment only partially corrects the qualitative platelet abnormalities in ET.
AuthorsL Catani, L Gugliotta, M L Cascione, M Mattioli Belmonte, N Vianelli, A R Belardinelli, S Tura
JournalEuropean journal of haematology (Eur J Haematol) Vol. 46 Issue 3 Pg. 158-62 (Mar 1991) ISSN: 0902-4441 [Print] England
PMID1826272 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Interferon Type I
  • beta-Thromboglobulin
  • Platelet Factor 4
  • Adenosine Diphosphate
  • Adenosine Triphosphate
  • Collagen
  • Epinephrine
Topics
  • Adenosine Diphosphate (analysis, pharmacology)
  • Adenosine Triphosphate (analysis)
  • Adolescent
  • Adult
  • Aged
  • Blood Platelets (chemistry, drug effects)
  • Collagen (pharmacology)
  • Epinephrine (pharmacology)
  • Female
  • Humans
  • Interferon Type I (pharmacology)
  • Male
  • Middle Aged
  • Platelet Aggregation (drug effects)
  • Platelet Count (drug effects)
  • Platelet Factor 4 (analysis)
  • Platelet Storage Pool Deficiency (drug therapy)
  • Thrombocythemia, Essential (drug therapy)
  • beta-Thromboglobulin (analysis)

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