Morphometric and Nanomechanical Features of Platelets from Women with Early Pregnancy Loss Provide New Evidence of the Impact of Inherited Thrombophilia

Pregnancy is associated with hypercoagulation states and increased thrombotic risk, especially in women with thrombophilia. We combine atomic force microscopy (AFM) and flow cytometry to examine the morphology and nanomechanics of platelets derived from women with early pregnancy loss (EPL) and cont...

Full description

Bibliographic Details
Main Authors: Tonya Andreeva, Regina Komsa-Penkova, Ariana Langari, Sashka Krumova, Georgi Golemanov, Galya B. Georgieva, Stefka G. Taneva, Ina Giosheva, Nikolina Mihaylova, Andrey Tchorbanov, Svetla Todinova
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/15/7778
_version_ 1797525583172730880
author Tonya Andreeva
Regina Komsa-Penkova
Ariana Langari
Sashka Krumova
Georgi Golemanov
Galya B. Georgieva
Stefka G. Taneva
Ina Giosheva
Nikolina Mihaylova
Andrey Tchorbanov
Svetla Todinova
author_facet Tonya Andreeva
Regina Komsa-Penkova
Ariana Langari
Sashka Krumova
Georgi Golemanov
Galya B. Georgieva
Stefka G. Taneva
Ina Giosheva
Nikolina Mihaylova
Andrey Tchorbanov
Svetla Todinova
author_sort Tonya Andreeva
collection DOAJ
description Pregnancy is associated with hypercoagulation states and increased thrombotic risk, especially in women with thrombophilia. We combine atomic force microscopy (AFM) and flow cytometry to examine the morphology and nanomechanics of platelets derived from women with early pregnancy loss (EPL) and control pregnant (CP) and non-pregnant (CNP) women. Both control groups exhibit similar morphometric parameters (height and surface roughness) and membrane stiffness of platelets. EPL patients’ platelets, on the other hand, are more activated than the control groups, with prominent cytoskeletal rearrangement. In particular, reduced membrane roughness (22.9 ± 6 nm vs. 39.1 ± 8 nm) (<i>p</i> < 0.05) and height (692 ± 128 nm vs. 1090 ± 131 nm) (<i>p</i> < 0.05), strong alteration in the membrane Young modulus, increased production of platelets’ microparticles, and higher expression of procoagulant surface markers, as well as increased occurrence of thrombophilia (<i>FVL</i>, <i>FII20210A</i>, <i>PLA1/A2</i>, <i>MTHFR</i> <i>C677T</i> or 4G/5G <i>PAI-1</i>) polymorphisms were found. We suggest that the carriage of thrombophilic mutations triggers structural and nanomechanical abnormalities in platelets, resulting in their increased activation. The activation state of platelets can be well characterized by AFM, and the morphometric and nanomechanical characteristics might serve as a new criterion for evaluation of the cause of miscarriage and offer the prospect of an innovative approach serving for diagnostic purposes.
first_indexed 2024-03-10T09:15:55Z
format Article
id doaj.art-6d0cc8e37560469f9825351a8ab3708e
institution Directory Open Access Journal
issn 1661-6596
1422-0067
language English
last_indexed 2024-03-10T09:15:55Z
publishDate 2021-07-01
publisher MDPI AG
record_format Article
series International Journal of Molecular Sciences
spelling doaj.art-6d0cc8e37560469f9825351a8ab3708e2023-11-22T05:38:12ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-07-012215777810.3390/ijms22157778Morphometric and Nanomechanical Features of Platelets from Women with Early Pregnancy Loss Provide New Evidence of the Impact of Inherited ThrombophiliaTonya Andreeva0Regina Komsa-Penkova1Ariana Langari2Sashka Krumova3Georgi Golemanov4Galya B. Georgieva5Stefka G. Taneva6Ina Giosheva7Nikolina Mihaylova8Andrey Tchorbanov9Svetla Todinova10Institute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, Acad. Georgi Bonchev, Str. Bl. 21, 1113 Sofia, BulgariaDepartment of Biochemistry, Medical University, 1 St. Kliment Ohridski Str., 5800 Pleven, BulgariaInstitute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, Acad. Georgi Bonchev, Str. Bl. 21, 1113 Sofia, BulgariaInstitute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, Acad. Georgi Bonchev, Str. Bl. 21, 1113 Sofia, BulgariaDepartment of Biochemistry, Medical University, 1 St. Kliment Ohridski Str., 5800 Pleven, BulgariaDepartment of Biochemistry, Medical University, 1 St. Kliment Ohridski Str., 5800 Pleven, BulgariaInstitute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, Acad. Georgi Bonchev, Str. Bl. 21, 1113 Sofia, BulgariaInstitute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, Acad. Georgi Bonchev, Str. Bl. 21, 1113 Sofia, BulgariaStefan Angelov Institute of Microbiology, Bulgarian Academy of Sciences, Acad. Georgi Bonchev, Str. Bl. 26, 1113 Sofia, BulgariaStefan Angelov Institute of Microbiology, Bulgarian Academy of Sciences, Acad. Georgi Bonchev, Str. Bl. 26, 1113 Sofia, BulgariaInstitute of Biophysics and Biomedical Engineering, Bulgarian Academy of Sciences, Acad. Georgi Bonchev, Str. Bl. 21, 1113 Sofia, BulgariaPregnancy is associated with hypercoagulation states and increased thrombotic risk, especially in women with thrombophilia. We combine atomic force microscopy (AFM) and flow cytometry to examine the morphology and nanomechanics of platelets derived from women with early pregnancy loss (EPL) and control pregnant (CP) and non-pregnant (CNP) women. Both control groups exhibit similar morphometric parameters (height and surface roughness) and membrane stiffness of platelets. EPL patients’ platelets, on the other hand, are more activated than the control groups, with prominent cytoskeletal rearrangement. In particular, reduced membrane roughness (22.9 ± 6 nm vs. 39.1 ± 8 nm) (<i>p</i> < 0.05) and height (692 ± 128 nm vs. 1090 ± 131 nm) (<i>p</i> < 0.05), strong alteration in the membrane Young modulus, increased production of platelets’ microparticles, and higher expression of procoagulant surface markers, as well as increased occurrence of thrombophilia (<i>FVL</i>, <i>FII20210A</i>, <i>PLA1/A2</i>, <i>MTHFR</i> <i>C677T</i> or 4G/5G <i>PAI-1</i>) polymorphisms were found. We suggest that the carriage of thrombophilic mutations triggers structural and nanomechanical abnormalities in platelets, resulting in their increased activation. The activation state of platelets can be well characterized by AFM, and the morphometric and nanomechanical characteristics might serve as a new criterion for evaluation of the cause of miscarriage and offer the prospect of an innovative approach serving for diagnostic purposes.https://www.mdpi.com/1422-0067/22/15/7778plateletsearly pregnancy lossatomic force microscopypolymorphisms in thrombophilia genesflow cytometry
spellingShingle Tonya Andreeva
Regina Komsa-Penkova
Ariana Langari
Sashka Krumova
Georgi Golemanov
Galya B. Georgieva
Stefka G. Taneva
Ina Giosheva
Nikolina Mihaylova
Andrey Tchorbanov
Svetla Todinova
Morphometric and Nanomechanical Features of Platelets from Women with Early Pregnancy Loss Provide New Evidence of the Impact of Inherited Thrombophilia
International Journal of Molecular Sciences
platelets
early pregnancy loss
atomic force microscopy
polymorphisms in thrombophilia genes
flow cytometry
title Morphometric and Nanomechanical Features of Platelets from Women with Early Pregnancy Loss Provide New Evidence of the Impact of Inherited Thrombophilia
title_full Morphometric and Nanomechanical Features of Platelets from Women with Early Pregnancy Loss Provide New Evidence of the Impact of Inherited Thrombophilia
title_fullStr Morphometric and Nanomechanical Features of Platelets from Women with Early Pregnancy Loss Provide New Evidence of the Impact of Inherited Thrombophilia
title_full_unstemmed Morphometric and Nanomechanical Features of Platelets from Women with Early Pregnancy Loss Provide New Evidence of the Impact of Inherited Thrombophilia
title_short Morphometric and Nanomechanical Features of Platelets from Women with Early Pregnancy Loss Provide New Evidence of the Impact of Inherited Thrombophilia
title_sort morphometric and nanomechanical features of platelets from women with early pregnancy loss provide new evidence of the impact of inherited thrombophilia
topic platelets
early pregnancy loss
atomic force microscopy
polymorphisms in thrombophilia genes
flow cytometry
url https://www.mdpi.com/1422-0067/22/15/7778
work_keys_str_mv AT tonyaandreeva morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT reginakomsapenkova morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT arianalangari morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT sashkakrumova morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT georgigolemanov morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT galyabgeorgieva morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT stefkagtaneva morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT inagiosheva morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT nikolinamihaylova morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT andreytchorbanov morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia
AT svetlatodinova morphometricandnanomechanicalfeaturesofplateletsfromwomenwithearlypregnancylossprovidenewevidenceoftheimpactofinheritedthrombophilia