Increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor.

Idiopathic Pulmonary Fibrosis (IPF) is a progressive, incurable fibrotic interstitial lung disease with a prognosis worse than many cancers. Its pathogenesis is poorly understood. Activated platelets can release pro-fibrotic mediators that have the potential to contribute to lung fibrosis. We determ...

Full description

Bibliographic Details
Main Authors: Michael G Crooks, Ahmed Fahim, Khalid M Naseem, Alyn H Morice, Simon P Hart
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4206466?pdf=render
_version_ 1828387284082229248
author Michael G Crooks
Ahmed Fahim
Khalid M Naseem
Alyn H Morice
Simon P Hart
author_facet Michael G Crooks
Ahmed Fahim
Khalid M Naseem
Alyn H Morice
Simon P Hart
author_sort Michael G Crooks
collection DOAJ
description Idiopathic Pulmonary Fibrosis (IPF) is a progressive, incurable fibrotic interstitial lung disease with a prognosis worse than many cancers. Its pathogenesis is poorly understood. Activated platelets can release pro-fibrotic mediators that have the potential to contribute to lung fibrosis. We determine platelet reactivity in subjects with IPF compared to age-matched controls.Whole blood flow cytometry was used to measure platelet-monocyte aggregate formation, platelet P-selectin expression and platelet fibrinogen binding at basal levels and following stimulation with platelet agonists. A plasma swap approach was used to assess the effect of IPF plasma on control platelets.Subjects with IPF showed greater platelet reactivity than controls. Platelet P-selectin expression was significantly greater in IPF patients than controls following stimulation with 0.1 µM ADP (1.9% positive ±0.5 (mean ± SEM) versus 0.7%±0.1; p = 0.03), 1 µM ADP (9.8%±1.3 versus 3.3%±0.8; p<0.01) and 10 µM ADP (41.3%±4.2 versus 22.5%±2.6; p<0.01). Platelet fibrinogen binding was also increased, and platelet activation resulted in increased platelet-monocyte aggregate formation in IPF patients. Re-suspension of control platelets in plasma taken from subjects with IPF resulted in increased platelet activation compared to control plasma.IPF patients exhibit increased platelet reactivity compared with controls. This hyperactivity may result from the plasma environment since control platelets exhibit increased activation when exposed to IPF plasma.
first_indexed 2024-12-10T05:51:32Z
format Article
id doaj.art-c8a6ad66bdf8487bbf26b17c5a97a3cd
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-10T05:51:32Z
publishDate 2014-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-c8a6ad66bdf8487bbf26b17c5a97a3cd2022-12-22T02:00:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01910e11134710.1371/journal.pone.0111347Increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor.Michael G CrooksAhmed FahimKhalid M NaseemAlyn H MoriceSimon P HartIdiopathic Pulmonary Fibrosis (IPF) is a progressive, incurable fibrotic interstitial lung disease with a prognosis worse than many cancers. Its pathogenesis is poorly understood. Activated platelets can release pro-fibrotic mediators that have the potential to contribute to lung fibrosis. We determine platelet reactivity in subjects with IPF compared to age-matched controls.Whole blood flow cytometry was used to measure platelet-monocyte aggregate formation, platelet P-selectin expression and platelet fibrinogen binding at basal levels and following stimulation with platelet agonists. A plasma swap approach was used to assess the effect of IPF plasma on control platelets.Subjects with IPF showed greater platelet reactivity than controls. Platelet P-selectin expression was significantly greater in IPF patients than controls following stimulation with 0.1 µM ADP (1.9% positive ±0.5 (mean ± SEM) versus 0.7%±0.1; p = 0.03), 1 µM ADP (9.8%±1.3 versus 3.3%±0.8; p<0.01) and 10 µM ADP (41.3%±4.2 versus 22.5%±2.6; p<0.01). Platelet fibrinogen binding was also increased, and platelet activation resulted in increased platelet-monocyte aggregate formation in IPF patients. Re-suspension of control platelets in plasma taken from subjects with IPF resulted in increased platelet activation compared to control plasma.IPF patients exhibit increased platelet reactivity compared with controls. This hyperactivity may result from the plasma environment since control platelets exhibit increased activation when exposed to IPF plasma.http://europepmc.org/articles/PMC4206466?pdf=render
spellingShingle Michael G Crooks
Ahmed Fahim
Khalid M Naseem
Alyn H Morice
Simon P Hart
Increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor.
PLoS ONE
title Increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor.
title_full Increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor.
title_fullStr Increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor.
title_full_unstemmed Increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor.
title_short Increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor.
title_sort increased platelet reactivity in idiopathic pulmonary fibrosis is mediated by a plasma factor
url http://europepmc.org/articles/PMC4206466?pdf=render
work_keys_str_mv AT michaelgcrooks increasedplateletreactivityinidiopathicpulmonaryfibrosisismediatedbyaplasmafactor
AT ahmedfahim increasedplateletreactivityinidiopathicpulmonaryfibrosisismediatedbyaplasmafactor
AT khalidmnaseem increasedplateletreactivityinidiopathicpulmonaryfibrosisismediatedbyaplasmafactor
AT alynhmorice increasedplateletreactivityinidiopathicpulmonaryfibrosisismediatedbyaplasmafactor
AT simonphart increasedplateletreactivityinidiopathicpulmonaryfibrosisismediatedbyaplasmafactor