2000
DOI: 10.1007/s000110050618
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Expression of platelet P-selectin and detection of soluble P-selectin, NPY and RANTES in patients with inflammatory bowel disease

Abstract: Patients with IBD in remission have higher basal platelet surface P-selectin expression. An exaggerated platelet activity with increased expression of platelet P-selectin and release of inflammatory mediators such as RANTES, which is chemotactic and induce chemokine production, could have a reinforcing and aggravating influence on the inflammatory response and increase the susceptibility to IBD. In addition IL-8 has a down-regulating effect on platelet surface P-selectin expression and 5ASA medication seems to… Show more

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Cited by 46 publications
(31 citation statements)
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“…Furthermore, platelets from inflammatory bowel disease (IBD) patients are more sensitive to platelet agonists in vitro (van Wersch et al, 1990), while the plateletspecific chemokines PF-4 and b-TG are detected in plasma, revealing activation in vivo (Collins et al, 1994;Vrij et al, 2000). A role for platelets in mediating leukocyte recruitment to the inflamed colon is likely since platelet P-selectin and RANTES are also detected (Fagerstam et al, 2000), and this is localized to the intestinal microcirculation (Collins et al, 1997). Recent evidence suggests that increased circulating levels of soluble CD40L are of platelet origin in IBD patients (Danese et al, 2003a).…”
Section: Platelet Activation In Inflammatory Bowel Diseasementioning
confidence: 99%
“…Furthermore, platelets from inflammatory bowel disease (IBD) patients are more sensitive to platelet agonists in vitro (van Wersch et al, 1990), while the plateletspecific chemokines PF-4 and b-TG are detected in plasma, revealing activation in vivo (Collins et al, 1994;Vrij et al, 2000). A role for platelets in mediating leukocyte recruitment to the inflamed colon is likely since platelet P-selectin and RANTES are also detected (Fagerstam et al, 2000), and this is localized to the intestinal microcirculation (Collins et al, 1997). Recent evidence suggests that increased circulating levels of soluble CD40L are of platelet origin in IBD patients (Danese et al, 2003a).…”
Section: Platelet Activation In Inflammatory Bowel Diseasementioning
confidence: 99%
“…Although anti-TNF-␣ antibodies, such as infliximab, appear safe and efficacious, the same characteristics of other biological therapies remain to be evaluated. Since upregulation of both of P-and E-selectin has been reported in patients with active IBD (11,12,15), selectin blockade appears an attractive approach in IBD management. Although P-selectin blockade is effective in attenuating ischemia-reperfusion injury and indomethacin-induced gastropathy, anti-P-selectin antibody treatment did not provide significant protection in trinitrobenzene sulfonic acid-induced colitis, despite abrogating leukocyte adhesion (39).…”
Section: Discussionmentioning
confidence: 99%
“…Total colonic mucosa of patients with UC (13,14) and a lower plasma concentration of the RANTES chemokine following 5-ASA medication in patients with IBD suggests that this chemokine may play a significant role in the pathogenesis of IBD (15).…”
Section: Rantes Genotype N or (95% Ci) Or (95% Ci) -----------------mentioning
confidence: 99%
“…Previous studies have reported that the expression of RANTES is enhanced in the colonic mucosa of patients with UC (13,14). In addition, it was reported that treatment with 5-aminosalicylic acid (ASA) medication in IBD patients resulted in a lower plasma concentration of RANTES, indicating that this is a beneficial product of 5-ASA treatment (15 (19,20). However, there have been no studies regarding the association between the RANTES promoter polymorphism and UC.…”
Section: Introductionmentioning
confidence: 99%