Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis Patients
One of the causes of cerebral venous sinus thrombosis (CVST) is platelet hyperactivity. Adhesion and secretion are the beginning of platelet activation, which is indicated by a change in the Platelet-selectin (P-selectin) level. The end result of platelet activation is platelet aggregation. However,...
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Universitas Padjajaran
2023-09-01
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Series: | Majalah Kedokteran Bandung |
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Online Access: | https://journal.fk.unpad.ac.id/index.php/mkb/article/view/2777 |
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author | Rahmawati Nurmin Leni Lismayanti Tiene Rostini Agnes Rengga Indrati Lisda Amalia |
author_facet | Rahmawati Nurmin Leni Lismayanti Tiene Rostini Agnes Rengga Indrati Lisda Amalia |
author_sort | Rahmawati Nurmin |
collection | DOAJ |
description | One of the causes of cerebral venous sinus thrombosis (CVST) is platelet hyperactivity. Adhesion and secretion are the beginning of platelet activation, which is indicated by a change in the Platelet-selectin (P-selectin) level. The end result of platelet activation is platelet aggregation. However, it is unknown whether the beginning of platelet activation ends with platelet aggregation. This study aimed to discover the correlation between P-selectin level and platelet aggregation in CVST. This study used a cross-sectional escriptive observational correlative approach. Subjects were the CVST outpatients visiting the Neurology Department of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, from July to September 2021. A total of 49 subjects met the inclusion and exclusion criteria. This study used citrate plasma samples for platelet aggregation and serum for P-selectin assessment. Platelet aggregation were assessed using the light transmission platelet aggregation method while P-selectin was assessed using Enzyme-linked immunosorbent assay (ELISA). Platelet aggregation median was 10.6% (range 0.2–82.4%), which reflected normoaggregation. Platelet hyperaggregation were seen in 9 samples (8.4%). Median of P-selectin was 2.4 ng/mL (range 0.1–10.1 ng/mL) which were normal. High P-selectin level was observed in 16 (32.7%) with 4/16 (25%) experiencing platelet hyperaggregation. Statistical analysis showed a weak negative correlation between P-selectin and platelet aggregation (r=-0.012; p=0.467). In conclusion, no correlation is seen between P-selectin and platelet aggregation, which may be due to the fact that platelets are influenced by many factors that are not examined in this study. |
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language | English |
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publishDate | 2023-09-01 |
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spelling | doaj.art-65e058dc3105428eadd6a26ae81b31b32024-03-14T03:35:45ZengUniversitas PadjajaranMajalah Kedokteran Bandung0126-074X2338-62232023-09-0155319119610.15395/mkb.v55n3.27771609Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis PatientsRahmawati Nurmin0Leni Lismayanti1Tiene Rostini2Agnes Rengga Indrati3Lisda Amalia4Departmentof Clinical Pathology, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartmentof Clinical Pathology, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartmentof Clinical Pathology, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartmentof Clinical Pathology, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungDepartment of Neurology, Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital BandungOne of the causes of cerebral venous sinus thrombosis (CVST) is platelet hyperactivity. Adhesion and secretion are the beginning of platelet activation, which is indicated by a change in the Platelet-selectin (P-selectin) level. The end result of platelet activation is platelet aggregation. However, it is unknown whether the beginning of platelet activation ends with platelet aggregation. This study aimed to discover the correlation between P-selectin level and platelet aggregation in CVST. This study used a cross-sectional escriptive observational correlative approach. Subjects were the CVST outpatients visiting the Neurology Department of Dr. Hasan Sadikin General Hospital, Bandung, Indonesia, from July to September 2021. A total of 49 subjects met the inclusion and exclusion criteria. This study used citrate plasma samples for platelet aggregation and serum for P-selectin assessment. Platelet aggregation were assessed using the light transmission platelet aggregation method while P-selectin was assessed using Enzyme-linked immunosorbent assay (ELISA). Platelet aggregation median was 10.6% (range 0.2–82.4%), which reflected normoaggregation. Platelet hyperaggregation were seen in 9 samples (8.4%). Median of P-selectin was 2.4 ng/mL (range 0.1–10.1 ng/mL) which were normal. High P-selectin level was observed in 16 (32.7%) with 4/16 (25%) experiencing platelet hyperaggregation. Statistical analysis showed a weak negative correlation between P-selectin and platelet aggregation (r=-0.012; p=0.467). In conclusion, no correlation is seen between P-selectin and platelet aggregation, which may be due to the fact that platelets are influenced by many factors that are not examined in this study.https://journal.fk.unpad.ac.id/index.php/mkb/article/view/2777adenosine diphosphate (adp), cerebral venous sinus thrombosis (cvst), platelet aggregation, platelet-selectin (p-selectin) |
spellingShingle | Rahmawati Nurmin Leni Lismayanti Tiene Rostini Agnes Rengga Indrati Lisda Amalia Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis Patients Majalah Kedokteran Bandung adenosine diphosphate (adp), cerebral venous sinus thrombosis (cvst), platelet aggregation, platelet-selectin (p-selectin) |
title | Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis Patients |
title_full | Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis Patients |
title_fullStr | Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis Patients |
title_full_unstemmed | Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis Patients |
title_short | Correlation Between P-Selectin Level and Platelet Aggregation in Cerebral Venous Sinus Thrombosis Patients |
title_sort | correlation between p selectin level and platelet aggregation in cerebral venous sinus thrombosis patients |
topic | adenosine diphosphate (adp), cerebral venous sinus thrombosis (cvst), platelet aggregation, platelet-selectin (p-selectin) |
url | https://journal.fk.unpad.ac.id/index.php/mkb/article/view/2777 |
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