Craveri A, Lanfredini M, Citella C, Barbesti S, Braconaro F, Marzocchi B, Colombo L
II Divisione di Medicina Generale, Università di Milano.
Minerva Med. 1987 Dec 15;78(23):1739-43.
Platelets play an essential role in the pathogenesis of atherosclerosis; by impedance method we valued in whole blood platelet aggregation induced by collagen in 40 healthy subjects and in 40 type II and type IV hyperlipemic subjects. Meanwhile by radioimmunoassay we dosed thromboxane B2, a stable product of thromboxane A2, released by platelets during activation, in 7 healthy subjects and 25 hyperlipemic subjects. The statistical investigation put in evidence that at higher plasmatic levels of cholesterol, triglycerides and LDL correspond a greater platelet sensitivity to the aggregating agent, while the opposite happens to higher levels of HDL. The dosage of thromboxane B2 put in evidence a moderate increase in hyperlipemic as to healthy subjects, probably pointing to a state of platelet activity.
血小板在动脉粥样硬化的发病机制中起着至关重要的作用;我们采用阻抗法对40名健康受试者以及40名II型和IV型高脂血症受试者的全血中胶原蛋白诱导的血小板聚集进行了评估。同时,我们采用放射免疫分析法对7名健康受试者和25名高脂血症受试者体内血小板激活时释放的血栓素A2的稳定产物血栓素B2进行了定量分析。统计调查表明,血浆中胆固醇、甘油三酯和低密度脂蛋白水平越高,血小板对聚集剂的敏感性就越高,而高密度脂蛋白水平升高时情况则相反。血栓素B2的定量分析表明,与健康受试者相比,高脂血症患者体内的血栓素B2有适度增加,这可能表明存在血小板活性状态。