Platelet transfusion for cancer secondary thrombocytopenia: Platelet and cancer cell interaction

Chemoradiotherapy and autoimmune disorder often lead to secondary thrombocytopenia in cancer patients, and thus, platelet transfusion is needed to stop or prevent bleeding. However, the effect of platelet transfusion remains controversial for the lack of agreement on transfusion strategies. Before b...

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Main Authors: Juan Wang, Pan Zhou, Yunwei Han, Hongwei Zhang
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:Translational Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1936523321000140
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author Juan Wang
Pan Zhou
Yunwei Han
Hongwei Zhang
author_facet Juan Wang
Pan Zhou
Yunwei Han
Hongwei Zhang
author_sort Juan Wang
collection DOAJ
description Chemoradiotherapy and autoimmune disorder often lead to secondary thrombocytopenia in cancer patients, and thus, platelet transfusion is needed to stop or prevent bleeding. However, the effect of platelet transfusion remains controversial for the lack of agreement on transfusion strategies. Before being transfused, platelets are stored in blood banks, and their activation is usually stimulated. Increasing evidence shows activated platelets may promote metastasis and the proliferation of cancer cells, while cancer cells also induce platelet activation. Such a vicious cycle of interaction between activated platelets and cancer cells is harmful for the prognosis of cancer patients, which results in an increased tumor recurrence rate and decreased five-year survival rate. Therefore, it is important to explore platelet transfusion strategies, summarize mechanisms of interaction between platelets and tumor cells, and carefully evaluate the pros and cons of platelet transfusion for better treatment and prognosis for patients with cancer with secondary thrombocytopenia.
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spelling doaj.art-ec990265227c46f6b2c963035d42a6892022-12-21T18:37:51ZengElsevierTranslational Oncology1936-52332021-04-01144101022Platelet transfusion for cancer secondary thrombocytopenia: Platelet and cancer cell interactionJuan Wang0Pan Zhou1Yunwei Han2Hongwei Zhang3Class 2016 Clinical Medicine, Southwest Medical University, Luzhou 646000, Sichuan, ChinaDepartment of Laboratory Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan, ChinaDepartment of Oncology, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan, China; Corresponding authors.Department of Blood Transfusion, The Affiliated Hospital of Southwest Medical University, Luzhou 646000, Sichuan, China; Corresponding authors.Chemoradiotherapy and autoimmune disorder often lead to secondary thrombocytopenia in cancer patients, and thus, platelet transfusion is needed to stop or prevent bleeding. However, the effect of platelet transfusion remains controversial for the lack of agreement on transfusion strategies. Before being transfused, platelets are stored in blood banks, and their activation is usually stimulated. Increasing evidence shows activated platelets may promote metastasis and the proliferation of cancer cells, while cancer cells also induce platelet activation. Such a vicious cycle of interaction between activated platelets and cancer cells is harmful for the prognosis of cancer patients, which results in an increased tumor recurrence rate and decreased five-year survival rate. Therefore, it is important to explore platelet transfusion strategies, summarize mechanisms of interaction between platelets and tumor cells, and carefully evaluate the pros and cons of platelet transfusion for better treatment and prognosis for patients with cancer with secondary thrombocytopenia.http://www.sciencedirect.com/science/article/pii/S1936523321000140PlateletsCancer secondary thrombocytopeniaBlood transfusionCancer cells
spellingShingle Juan Wang
Pan Zhou
Yunwei Han
Hongwei Zhang
Platelet transfusion for cancer secondary thrombocytopenia: Platelet and cancer cell interaction
Translational Oncology
Platelets
Cancer secondary thrombocytopenia
Blood transfusion
Cancer cells
title Platelet transfusion for cancer secondary thrombocytopenia: Platelet and cancer cell interaction
title_full Platelet transfusion for cancer secondary thrombocytopenia: Platelet and cancer cell interaction
title_fullStr Platelet transfusion for cancer secondary thrombocytopenia: Platelet and cancer cell interaction
title_full_unstemmed Platelet transfusion for cancer secondary thrombocytopenia: Platelet and cancer cell interaction
title_short Platelet transfusion for cancer secondary thrombocytopenia: Platelet and cancer cell interaction
title_sort platelet transfusion for cancer secondary thrombocytopenia platelet and cancer cell interaction
topic Platelets
Cancer secondary thrombocytopenia
Blood transfusion
Cancer cells
url http://www.sciencedirect.com/science/article/pii/S1936523321000140
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