2002
DOI: 10.1182/blood.v99.7.2612
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Increased soluble and platelet-associated CD40 ligand in essential thrombocythemia and reactive thrombocytosis

Abstract: CD40 ligand (CD40L) is expressed on activated CD4 ؉ T lymphocytes and at the activated platelet surface. A circulating soluble form of CD40L (sCD40L) is generated by the way of a proteolytic cleavage. We measured sCD40L in the plasma of either healthy subjects; patients with inflammatory disorders and low, normal, or high platelet count (reactive thrombocytosis); or patients with essential thrombocythemia (ET). A tight correlation was found between the platelet count and plasma sCD40L. ET patients had the high… Show more

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Cited by 117 publications
(73 citation statements)
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“…[37][38][39] CD40L is expressed predominantly by activated T lymphocytes (more frequently in CD4ϩ than in CD8ϩ lymphocytes), but it also is expressed by activated B lymphocytes, NK cells, monocytes, basophils, eosinophils, dendritic cells, and platelets. CD40L also is expressed by nonhematopoietic cells, including endothelial and smooth muscle cells.…”
Section: Cd40 and Cd40l (Cd154)mentioning
confidence: 99%
“…[37][38][39] CD40L is expressed predominantly by activated T lymphocytes (more frequently in CD4ϩ than in CD8ϩ lymphocytes), but it also is expressed by activated B lymphocytes, NK cells, monocytes, basophils, eosinophils, dendritic cells, and platelets. CD40L also is expressed by nonhematopoietic cells, including endothelial and smooth muscle cells.…”
Section: Cd40 and Cd40l (Cd154)mentioning
confidence: 99%
“…35 The main reservoir of CD154 in the organism is the blood platelet. 36,37 CD154 expression is inducible by proinflammatory cytokines, and a soluble form (sCD154) retaining biological activity is released from cell surface by a poorly defined mechanism. 38 sCD154 levels are increased in the metabolic syndrome.…”
mentioning
confidence: 99%
“…16 Furthermore, elevated levels of sCD40L are associated with risk of future cardiovascular events in otherwise healthy women. 7 Platelets appear to be an important reservoir of this protein in circulation, because platelet count is correlated with levels of plasma sCD40L 17 : essentially all of the sCD40L generated during the clotting of whole blood is derived from platelets. 13 sCD40L is a bifunctional protein, being involved in both thrombosis and inflammation.…”
mentioning
confidence: 99%