Plasma glycocalicin. An aid in the classification of thrombocytopenic disorders.
Plasma glycocalicin. An aid in the classification of thrombocytopenic disorders.
复制标题
血浆糖运载蛋白。
DOI:
10.1056/nejm198710223171701
复制
发表时间:
1987
期刊:
影响因子:
--
通讯作者:
Coller,BS
中科院分区:
文献类型:
--
作者:
Steinberg,MH;Kelton,JG;Coller,BS
In some patients with thrombocytopenia, it is difficult to determine whether the condition is caused by underproduction of platelets (reduced numbers of megakaryocytes) or an increase in the rate of their destruction (normal or increased numbers of megakaryocytes). A noninvasive test to help distinguish between these two categories of thrombocytopenia would be useful.We related the plasma concentration of glycocalicin, a fragment of the platelet-membrane glycoprotein lb, to the mechanism of thrombocytopenia by evaluating bone marrow megakaryocyte content and measuring platelet life span. Plasma glycocalicin was measured with a monoclonal antibody to the glycocalicin component of platelet glycoprotein lb.The mean (±SD) plasma concentration of glycocalicin in 34 healthy controls was 87±20 percent of the level in pooled normal plasma (range, 52 to 127 percent). All of eight patients with aplastic anemia or amegakaryocytic thrombocytopenia confirmed by examining bone marrow (in all patients) and by determining the life span of autologous platelets (in six patients) had glycocalicin levels significantly below the normal range (5 to 27 percent). In contrast, each of 25 patients with thrombocytopenia thought to be caused by a reduction in platelet life span, whose bone marrow contained normal or increased numbers of megakaryocytes, had glycocalicin levels that fell within or above the normal range (48 to 261 percent). There was no overlap of values between the two patient populations.These studies indicate that the measurement of plasma glycocalicin may be a useful adjunct in classifying thrombocytopenic disorders. (N Engl J Med 1987; 317:1037–42.)
影响因子:
2.9
作者:
SNYDER, EL;MOROFF, G;HEATON, A
通讯作者:
HEATON, A
DOI:
10.1172/jci111273
发表时间:
1984
期刊:
The Journal of clinical investigation
影响因子:
--
作者:
Coller,BS;Kalomiris,E;Steinberg,M;Scudder,LE
通讯作者:
Scudder,LE
DOI:
10.1016/0005-2736(80)90102-9
发表时间:
1980
期刊:
Biochimica et biophysica acta
影响因子:
--
作者:
N. Solum;I. Hagen;C. Filion;Torun Stabaek
通讯作者:
Torun Stabaek