Extensive platelet activation in preeclampsia compared with normal pregnancy: enhanced expression of cell adhesion molecules Konijnenberg, A.; Stokkers, E.W.; van der Post, J.A.M.; Schaap, M.C.L.; Boer, K.; Bleker, O.P.; Sturk, A.
Published in:American journal of obstetrics and gynecology
DOI:10.1016/S0002-9378(97) Link to publication Citation for published version (APA): Konijnenberg, A., Stokkers, E. W., van der Post, J. A. M., Schaap, M. C. L., Boer, K., Bleker, O. P., & Sturk, A. (1997). Extensive platelet activation in preeclampsia compared with normal pregnancy: enhanced expression of cell adhesion molecules. American journal of obstetrics and gynecology, 176, 461-469. https://doi.org/10.1016/S0002-9378(97)70516-7
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Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Amsterdam and Leiden, The Netherlands OBJECTIVES= Platelets play an important role in the pathophysiologic mechanisms of preeclampsia. Our purpose was to investigate by means of flow cytometry to what extent platelets circulate in an activated state during normal pregnancy and whether this activation is more extensive in preeclampsia. STUDY DESIGN= Platelets in whole blood from 10 preeclamptic third-trimester pregnant women (highest diastolic blood pressure range 100 to 130 mm Hg, proteinuria range 0.59 to 11.5 gm/24 hr) and from 10 normotensive third-trimester pregnant controls were analyzed with the following activation markers: anti-P-selectin (a-granule secretion), anti-CD63 (lysosomal secretion), PAC-1 (monoclonal antibody against fibrinogen receptor conformation of the glycoprotein lib/Ilia complex), anti-platelet endothelial cell adhesion molecule-I, and annexin-V (a placental protein that binds to negatively charged phospholipids, present on the outside of the platelet plasma membrane after activation). The differences in surface antigen exposure between the two groups were determined by double-label flow cytometry. Flow cytometric data were analyzed in two ways: first, the percentages of activated platelets above a certain threshold compared with a nonpregnant control sample were determined, indicative for activation of a subpopulation of cells, and, second, the mean fluorescence intensities were determined, indicative of the mean surface antigen expression of the total platelet population...