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Deficiency of P-selectin in a patient with grey platelet syndrome.

Abstract
Patient B.G. is a 29-yr-old female with a lifelong bleeding disorder characterized clinically by a highly increased bleeding time, menorrhagias, long-lasting bleeding after cuts and tooth extractions and large post-traumatic haematomas. Her coagulation tests were within normal range, platelet count was 140,000-160,000 per microliters, but platelet function was impaired as demonstrated by the absence of collagen-induced aggregation, although no abnormalities were detected in aggregation response to ADP and ristocetin. Morphologically her platelets were characterized by gigantic size-average profile area was about 2.5 times higher than that of control donors, and severe deficiency of alpha-granules-only 16% of their number in control donors. These features taken together indicated the diagnosis of grey platelet syndrome. As has been shown by quantitative immunoblotting, patient's platelets contained small amounts of alpha-granule membrane protein P-selectin-about 15% of that in control donors. The content of plasma membrane glycoproteins IIb-IIIa and Ib was not reduced, suggesting the specific deficiency of alpha-granule membrane protein. Thus, B.G. is the second patient described in the literature (see also Lages et al, J Clin Invest 1991: 87: 919-929) with combined deficiency of alpha-granules and P-selectin.
AuthorsA V Mazurov, D V Vinogradov, S G Khaspekova, A V Krushinsky, L V Gerdeva, S A Vasiliev
JournalEuropean journal of haematology (Eur J Haematol) Vol. 57 Issue 1 Pg. 38-41 (Jul 1996) ISSN: 0902-4441 [Print] England
PMID8698129 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • P-Selectin
  • Platelet Glycoprotein GPIIb-IIIa Complex
  • Platelet Membrane Glycoproteins
  • Ristocetin
  • Adenosine Diphosphate
Topics
  • Adenosine Diphosphate (pharmacology)
  • Adult
  • Bleeding Time
  • Blood Platelet Disorders (blood, pathology)
  • Blood Platelets (chemistry, ultrastructure)
  • Cytoplasmic Granules (ultrastructure)
  • Female
  • Humans
  • Microscopy, Electron
  • P-Selectin (analysis)
  • Platelet Aggregation (drug effects)
  • Platelet Glycoprotein GPIIb-IIIa Complex (analysis)
  • Platelet Membrane Glycoproteins (deficiency)
  • Ristocetin (pharmacology)
  • Syndrome

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