Thrombopoietin serum concentration in patients with reactive and myeloproliferative thrombocytosis
العنوان: | Thrombopoietin serum concentration in patients with reactive and myeloproliferative thrombocytosis |
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المؤلفون: | S. Petrasch, E. Makarova, M. Uppenkamp, Günter Brittinger |
المصدر: | Annals of Hematology. 77:217-223 |
بيانات النشر: | Springer Science and Business Media LLC, 1998. |
سنة النشر: | 1998 |
مصطلحات موضوعية: | endocrine system, medicine.medical_specialty, Hematology, Thrombocytosis, business.industry, medicine.medical_treatment, food and beverages, hemic and immune systems, General Medicine, medicine.disease, Interleukin 11, Pathogenesis, fluids and secretions, Endocrinology, Cytokine, Erythropoietin, Internal medicine, embryonic structures, medicine, Platelet, business, Thrombopoietin, medicine.drug |
الوصف: | We wished to test whether thrombopoietin (TPO) is entirely regulated by receptor binding or if other factors may play a role in the mechanism of TPO regulation. Therefore, we analyzed the TPO serum levels in 43 patients with reactive (secondary) thrombocytosis and in 37 with myeloproliferative thrombocytosis. Thrombocytosis was defined as a platelet level greater than 440×109/l. Forty-two patients (98%) with reactive thrombocytosis had high concentrations of IL-6 correlating with elevated C-reactive protein levels. Twenty-three patients (53%) in this group had TPO serum concentrations of more than 300 pg/ml (normal: below 300 pg/ml). Only nine patients (24%) with myeloproliferative thrombocytosis had TPO serum levels above normal range, whereas 28 patients (76%) had normal levels of TPO. No correlation between the TPO serum levels and the concentrations of IL-6 or EPO was established. The other investigated thrombopoietic cytokines (IL-3, IL-11, GM-CSF) were unmeasurable; therefore, a correlation could not be assessed. We conclude that TPO concentrations are not strictly inversely related to platelet count. TPO serum levels are elevated especially in a considerable percentage of patients with reactive thrombocytosis, arguing for the existence of additional mechanisms of TPO regulation. |
تدمد: | 1432-0584 0939-5555 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::48af02bd4eab143674a29b552d0ba956 https://doi.org/10.1007/s002770050446 |
حقوق: | CLOSED |
رقم الأكسشن: | edsair.doi...........48af02bd4eab143674a29b552d0ba956 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14320584 09395555 |
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