Inhibition of agonist-induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopenia
MgSO4 is effective in preventing spontaneous in vitro platelet agglutination in anticoagulant-induced pseudothrombocytopenia (PTCP). In order to learn more about its potential as an in vitro anticoagulant, platelets from MgSO4-anticoagulated blood were stimulated by several differentially-acting ago...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
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Taylor & Francis Group
2020-07-01
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Series: | Platelets |
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Online Access: | http://dx.doi.org/10.1080/09537104.2019.1663804 |
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author | Steffen Mannuß Peter Schuff-Werner Katrin Dreißiger Christine Burstein |
author_facet | Steffen Mannuß Peter Schuff-Werner Katrin Dreißiger Christine Burstein |
author_sort | Steffen Mannuß |
collection | DOAJ |
description | MgSO4 is effective in preventing spontaneous in vitro platelet agglutination in anticoagulant-induced pseudothrombocytopenia (PTCP). In order to learn more about its potential as an in vitro anticoagulant, platelets from MgSO4-anticoagulated blood were stimulated by several differentially-acting agonists (ADP, ARA, TRAP, epinephrine, collagen and ristocetin). Platelet aggregation in blood samples from 11 and 17 volunteers was measured by light-transmission aggregometry (LTA) according to Born and impedance aggregometry (MultiplateTM), respectively. Agonist-induced platelet aggregation was markedly lower in MgSO4-anticoagulated samples when compared with citrate-anticoagulated samples (decrease of 95.75% (ristocetin), 69.02% (collagen) and 75.73% (epinephrine)) or hirudin-anticoagulated samples (decrease of 85.99% (ADP), 80.98% (ARA), 77.24% (ristocetin), 54.37% (collagen) and 50.14% (TRAP)). The anti-aggregatory effect of MgSO4 is dose-dependent and readily detectable at a concentration of 7.5 mmol/l. Analysis of the agonist signaling pathways suggest that MgSO4 interferes with the final step of platelet aggregation, namely the intracellular mobilization of Ca2+. |
first_indexed | 2024-03-12T00:26:37Z |
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id | doaj.art-d1aed488ab234f2d9835acb0be42d162 |
institution | Directory Open Access Journal |
issn | 0953-7104 1369-1635 |
language | English |
last_indexed | 2024-03-12T00:26:37Z |
publishDate | 2020-07-01 |
publisher | Taylor & Francis Group |
record_format | Article |
series | Platelets |
spelling | doaj.art-d1aed488ab234f2d9835acb0be42d1622023-09-15T10:32:02ZengTaylor & Francis GroupPlatelets0953-71041369-16352020-07-0131568068410.1080/09537104.2019.16638041663804Inhibition of agonist-induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopeniaSteffen Mannuß0Peter Schuff-Werner1Katrin Dreißiger2Christine Burstein3Rostock University Medical CenterRostock University Medical CenterRostock University Medical CenterRostock University Medical CenterMgSO4 is effective in preventing spontaneous in vitro platelet agglutination in anticoagulant-induced pseudothrombocytopenia (PTCP). In order to learn more about its potential as an in vitro anticoagulant, platelets from MgSO4-anticoagulated blood were stimulated by several differentially-acting agonists (ADP, ARA, TRAP, epinephrine, collagen and ristocetin). Platelet aggregation in blood samples from 11 and 17 volunteers was measured by light-transmission aggregometry (LTA) according to Born and impedance aggregometry (MultiplateTM), respectively. Agonist-induced platelet aggregation was markedly lower in MgSO4-anticoagulated samples when compared with citrate-anticoagulated samples (decrease of 95.75% (ristocetin), 69.02% (collagen) and 75.73% (epinephrine)) or hirudin-anticoagulated samples (decrease of 85.99% (ADP), 80.98% (ARA), 77.24% (ristocetin), 54.37% (collagen) and 50.14% (TRAP)). The anti-aggregatory effect of MgSO4 is dose-dependent and readily detectable at a concentration of 7.5 mmol/l. Analysis of the agonist signaling pathways suggest that MgSO4 interferes with the final step of platelet aggregation, namely the intracellular mobilization of Ca2+.http://dx.doi.org/10.1080/09537104.2019.1663804impedance aggregometrylight transmission aggregometry (lta)magnesium sulfate (mgso4)platelet function |
spellingShingle | Steffen Mannuß Peter Schuff-Werner Katrin Dreißiger Christine Burstein Inhibition of agonist-induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopenia Platelets impedance aggregometry light transmission aggregometry (lta) magnesium sulfate (mgso4) platelet function |
title | Inhibition of agonist-induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopenia |
title_full | Inhibition of agonist-induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopenia |
title_fullStr | Inhibition of agonist-induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopenia |
title_full_unstemmed | Inhibition of agonist-induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopenia |
title_short | Inhibition of agonist-induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopenia |
title_sort | inhibition of agonist induced platelet aggregation by magnesium sulfate warrants its use as an alternative in vitro anticoagulant in pseudothrombocytopenia |
topic | impedance aggregometry light transmission aggregometry (lta) magnesium sulfate (mgso4) platelet function |
url | http://dx.doi.org/10.1080/09537104.2019.1663804 |
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