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Gewählte Publikation:

Wagner, T; Schwartz, DW; Winter, M; Kabrna, E; Kollars, M; Schwarzinger, I; Lanzer, G; Mayr, WR; Geissler, K.
Kinetics of CFU-Mk after automated plateletpheresis.
Vox Sang. 2001; 81(3):167-171 Doi: 10.1046%2Fj.0042-9007.2001.00096.x
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Führende Autor*innen der Med Uni Graz
Wagner Thomas
Co-Autor*innen der Med Uni Graz
Lanzer Gerhard
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Abstract:
BACKGROUND AND OBJECTIVES: Platelet count, thrombopoetin (TPO) level and the compartment of megakaryocyte progenitor cells (CFU-Mk) are major determinants in the regulation of thrombopoiesis. The aim of this study was to investigate the potential changes in the compartment of CFU-Mk and their correlation with serum TPO levels and platelet count after plateletpheresis. MATERIALS AND METHODS: Twelve healthy individuals were randomly assigned to undergo single-donor plateletpheresis. A collagen-based in vitro culture system was used to determine the number of peripheral blood (PB) CFU-Mk before and after donation and on days 1, 4 and 7 thereafter. TPO levels were measured by a specific enzyme-linked immunosorbent assay and whole blood counts were performed using an automated cell counter. RESULTS: The pre-apheresis platelet count (mean +/- SEM: 276 +/- 13 x 10(9)/l) decreased after plateletpheresis to a nadir of 194 +/- 8 x 10(9)/l (P < 0.001), showed a gradual increase on days 1 and 4, and reached pre-apheresis values by day 7 (280 +/- 11). The serum TPO levels were found to be significantly increased on days 1 and 7 as compared to baseline levels (baseline value 103.3 +/- 18.5 pg/ml versus day-1 value 135.8 +/- 25.8 pg/ml and day-7 value 132 +/- 30.19 pg/ml; P < 0.03 and P < 0.03, respectively). The numbers of CFU-Mk in PB were significantly elevated on day 4 only (125 +/- 21 colonies/ml of PB versus pre-apheresis values of 68 +/- 18 colonies/ml of PB, P < 0.005). CONCLUSIONS: These findings suggest that platelet loss during plateletpheresis affects thrombopoiesis at the progenitor cell level, probably through alterations in TPO plasma concentrations.
Find related publications in this database (using NLM MeSH Indexing)
Blood Cell Count -
Cell Culture Techniques - methods
Hematopoiesis - methods
Humans - methods
Kinetics - methods
Megakaryocytes - cytology
Myeloid Progenitor Cells - cytology
Platelet Count - instrumentation
Plateletpheresis - instrumentation
Thrombopoietin - blood

Find related publications in this database (Keywords)
CFU-Mk
plateletpheresis
platelets
TPO
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