Popov Viola Maria, Matei Christien Oktaviani, Omer Meilin, Onisai Minodora, Matei Mircea Bogdan, Savopol Tudor, Bumbea Horia, Moisescu Mihaela G
Hematology Department, Colentina Clinical Hospital 19-21 Stefan cel Mare Road, Bucharest 020125, Romania.
Biophysics and Cellular Biotechnology Department, Carol Davila University of Medicine and Pharmacy 8 Eroii Sanitari Boulevard, Bucharest 050474, Romania.
Am J Blood Res. 2020 Dec 15;10(6):311-319. eCollection 2020.
Patients with chronic lymphocytic leukemia (CLL) treated with Ibrutinib often present hemorrhagic complications. Platelets dysfunction is well documented by aggregometry and flow cytometry, but the mechanisms by which Ibrutinib treatment influences the platelets status is yet to be evaluated. The aim of this study is to identify platelet membrane parameters in chronic lymphocytic leukemia (CLL) that could be altered by Ibrutinib administration. In this paper we propose a set of fluorescence measurements of the following parameters: membrane fluidity, resting membrane potential, and reactive oxygen species production of platelets suspensions obtained from CLL patients treated or not with Ibrutinib as markers for platelets status in this pathological situation. Platelets from CLL patients treated with Ibrutinib have higher membrane fluidity, lower resting membrane potential and higher level of reactive oxygen species production compared to the untreated CLL patients. These patients are also presenting higher membrane fluidity and lower resting membrane potential compared to healthy volunteers.
接受依鲁替尼治疗的慢性淋巴细胞白血病(CLL)患者常出现出血并发症。血小板功能障碍通过凝集测定法和流式细胞术得到了充分记录,但依鲁替尼治疗影响血小板状态的机制尚待评估。本研究的目的是确定慢性淋巴细胞白血病(CLL)中可能因依鲁替尼给药而改变的血小板膜参数。在本文中,我们提出了一组对以下参数的荧光测量:膜流动性、静息膜电位以及从接受或未接受依鲁替尼治疗的CLL患者获得的血小板悬液中活性氧的产生,以此作为这种病理情况下血小板状态的标志物。与未接受治疗的CLL患者相比,接受依鲁替尼治疗的CLL患者的血小板具有更高的膜流动性、更低的静息膜电位和更高水平的活性氧产生。与健康志愿者相比,这些患者还表现出更高的膜流动性和更低的静息膜电位。
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