Heintz B, Femers C, Maurin N, Kierdorf H, Brilon C, Wienert V
Medizinische Klinik II des Klinikums der RWTH Aachen.
Klin Wochenschr. 1989 Dec 4;67(23):1194-8. doi: 10.1007/BF01716206.
Correlation between postthrombotic syndrome, ADP-induced aggregation and intracellular calcium concentration. This study presents a comparison of the ADP-induced platelet aggregation and free cytosolic platelet calcium concentration between patients with postthrombotic syndrome and healthy volunteers. The half maximal effective dose of the platelet aggregation induced by ADP was significantly decreased in postthrombotic syndrome (p less than 0.005). The mean values were 0.42 mumol/l in postthrombotic syndrome (n = 22) and 1.00 mumol/l in normal controls (n = 25). The free intracellular calcium concentration was slightly but significantly diminished in patients compared with healthy volunteers. In both groups there was seen a remarkable interindividual spread of platelet calcium concentrations. There was seen no significant correlation between cytosolic calcium concentration of platelets and the half maximal effective dose of ADP-induction. Therefore the considerable enhanced aggregability in postthrombotic syndrome cannot explained with altered cytosolic calcium content of platelets.
血栓形成后综合征、ADP诱导的聚集与细胞内钙浓度之间的相关性。本研究比较了血栓形成后综合征患者与健康志愿者之间ADP诱导的血小板聚集和血小板游离胞质钙浓度。血栓形成后综合征中ADP诱导的血小板聚集的半数最大效应剂量显著降低(p小于0.005)。血栓形成后综合征组(n = 22)的平均值为0.42 μmol/l,正常对照组(n = 25)为1.00 μmol/l。与健康志愿者相比,患者的细胞内游离钙浓度略有但显著降低。两组中均观察到血小板钙浓度存在显著的个体间差异。血小板胞质钙浓度与ADP诱导的半数最大效应剂量之间未观察到显著相关性。因此,血栓形成后综合征中显著增强的聚集性不能用血小板胞质钙含量的改变来解释。