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Published in: Journal of Thrombosis and Thrombolysis 2/2013

01-02-2013 | Editorial

Toward a guided approach to platelet activation in diabetes

Author: M. D. Linden

Published in: Journal of Thrombosis and Thrombolysis | Issue 2/2013

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Excerpt

Diabetes is associated with substantially poorer cardiovascular outcomes. Furthermore, people with diabetes are at greatly increased risk of not responding to standard anti-platelet therapy for acute coronary syndromes, leading to higher mortality and stent thrombosis [1]. Poor glucose control likely contributes to these cardiovascular events through changes in platelet membrane fluidity and signalling, increased production of platelets leading to a greater fraction of younger and more reactive platelets not yet exposed to antiplatelet therapy, and increased triggering of platelet activation arising from an underlying thromboinflammatory milieu [2]. …
Literature
1.
go back to reference Pignone M, Alberts MJ, Colwell JA, Cushman M, Inzucchi SE, Mukherjee D, Rosenson RS, Williams CD, Wilson PW, Kirkman MS (2010) Aspirin for primary prevention of cardiovascular events in people with diabetes: a position statement of the American Diabetes Association, a scientific statement of the American Heart Association, and an expert consensus document of the American College of Cardiology Foundation. Circulation 121(24):2694–2701PubMedCrossRef Pignone M, Alberts MJ, Colwell JA, Cushman M, Inzucchi SE, Mukherjee D, Rosenson RS, Williams CD, Wilson PW, Kirkman MS (2010) Aspirin for primary prevention of cardiovascular events in people with diabetes: a position statement of the American Diabetes Association, a scientific statement of the American Heart Association, and an expert consensus document of the American College of Cardiology Foundation. Circulation 121(24):2694–2701PubMedCrossRef
3.
go back to reference Hadjadj S, Coisne D, Mauco G, Ragot S, Duengler F, Sosner P, Torremocha F, Herpin D, Marechaud R (2004) Prognostic value of admission plasma glucose and HbA in acute myocardial infarction. Diabet Med 21(4):305–310PubMedCrossRef Hadjadj S, Coisne D, Mauco G, Ragot S, Duengler F, Sosner P, Torremocha F, Herpin D, Marechaud R (2004) Prognostic value of admission plasma glucose and HbA in acute myocardial infarction. Diabet Med 21(4):305–310PubMedCrossRef
4.
go back to reference Capodanno D, Patel A, Dharmashankar K, Ferreiro JL, Ueno M, Kodali M, Tomasello SD, Capranzano P, Seecheran N, Darlington A, Tello-Montoliu A, Desai B, Bass TA, Angiolillo DJ (2011) Pharmacodynamic effects of different aspirin dosing regimens in type 2 diabetes mellitus patients with coronary artery disease. Circ Cardiovasc Interv 4(2):180–187PubMedCrossRef Capodanno D, Patel A, Dharmashankar K, Ferreiro JL, Ueno M, Kodali M, Tomasello SD, Capranzano P, Seecheran N, Darlington A, Tello-Montoliu A, Desai B, Bass TA, Angiolillo DJ (2011) Pharmacodynamic effects of different aspirin dosing regimens in type 2 diabetes mellitus patients with coronary artery disease. Circ Cardiovasc Interv 4(2):180–187PubMedCrossRef
5.
go back to reference Spectre G, Arnetz L, Ostenson CG, Brismar K, Li N, Hjemdahl P (2011) Twice daily dosing of aspirin improves platelet inhibition in whole blood in patients with type 2 diabetes mellitus and micro- or macro-vascular complications. Thromb Haemost 106(3):491–499PubMedCrossRef Spectre G, Arnetz L, Ostenson CG, Brismar K, Li N, Hjemdahl P (2011) Twice daily dosing of aspirin improves platelet inhibition in whole blood in patients with type 2 diabetes mellitus and micro- or macro-vascular complications. Thromb Haemost 106(3):491–499PubMedCrossRef
6.
go back to reference Rocca B, Santilli F, Pitocco D, Mucci L, Petrucci G, Vitacolonna E, Lattanzio S, Mattoscio D, Zaccardi F, Liani R, Vazzana N, Del Ponte A, Ferrante E, Martini F, Cardillo C, Morosetti R, Mirabella M, Ghirlanda G, Davi G, Patrono C (2012) The recovery of platelet cyclooxygenase activity explains interindividual variability in responsiveness to low-dose aspirin in patients with and without diabetes. J Thromb Haemost 10(7):1220–1230PubMedCrossRef Rocca B, Santilli F, Pitocco D, Mucci L, Petrucci G, Vitacolonna E, Lattanzio S, Mattoscio D, Zaccardi F, Liani R, Vazzana N, Del Ponte A, Ferrante E, Martini F, Cardillo C, Morosetti R, Mirabella M, Ghirlanda G, Davi G, Patrono C (2012) The recovery of platelet cyclooxygenase activity explains interindividual variability in responsiveness to low-dose aspirin in patients with and without diabetes. J Thromb Haemost 10(7):1220–1230PubMedCrossRef
7.
go back to reference Wiener RS, Wiener DC, Larson RJ (2008) Benefits and risks of tight glucose control in critically ill adults: a meta-analysis. JAMA 8:933–944CrossRef Wiener RS, Wiener DC, Larson RJ (2008) Benefits and risks of tight glucose control in critically ill adults: a meta-analysis. JAMA 8:933–944CrossRef
8.
go back to reference Vivas D, Garcia-Rubira JC, Bernardo E, Angiolillo DJ, Martin P, Calle-Pascual A, Nunez-Gil I, Macaya C, Fernandez-Ortiz A (2011) Effects of intensive glucose control on platelet reactivity in patients with acute coronary syndromes. Results of the CHIPS Study (“Control de Hiperglucemia y Actividad Plaquetaria en Pacientes con Sindrome Coronario Agudo”). Heart 97(10):803–809PubMedCrossRef Vivas D, Garcia-Rubira JC, Bernardo E, Angiolillo DJ, Martin P, Calle-Pascual A, Nunez-Gil I, Macaya C, Fernandez-Ortiz A (2011) Effects of intensive glucose control on platelet reactivity in patients with acute coronary syndromes. Results of the CHIPS Study (“Control de Hiperglucemia y Actividad Plaquetaria en Pacientes con Sindrome Coronario Agudo”). Heart 97(10):803–809PubMedCrossRef
9.
go back to reference Vivas D, Garcia-Rubira JC, Bernardo E, Angiolillo DJ, Martin P, Calle-Pascual A, Nunez-Gil I, Macaya C, Fernandez-Ortiz A (2012) Influence of HbA1c levels on platelet function profiles associated with tight glycemic control in patients presenting with hyperglycemia and an acute coronary syndrome : a subanalysis of the CHIPS Study (“Control de HI perglucemia y Actividad P laquetaria en Pacientes con S indrome Coronario Agudo”). J Thromb Thrombolysis. doi:10.1007/s11239-012-0834-3 PubMed Vivas D, Garcia-Rubira JC, Bernardo E, Angiolillo DJ, Martin P, Calle-Pascual A, Nunez-Gil I, Macaya C, Fernandez-Ortiz A (2012) Influence of HbA1c levels on platelet function profiles associated with tight glycemic control in patients presenting with hyperglycemia and an acute coronary syndrome : a subanalysis of the CHIPS Study (“Control de HI perglucemia y Actividad P laquetaria en Pacientes con S indrome Coronario Agudo”). J Thromb Thrombolysis. doi:10.​1007/​s11239-012-0834-3 PubMed
10.
go back to reference Linden MD, Furman MI, Frelinger AL 3rd, Fox ML, Barnard MR, Li Y, Przyklenk K, Michelson AD (2007) Indices of platelet activation and the stability of coronary artery disease. J Thromb Haemost 5(4):761–765PubMedCrossRef Linden MD, Furman MI, Frelinger AL 3rd, Fox ML, Barnard MR, Li Y, Przyklenk K, Michelson AD (2007) Indices of platelet activation and the stability of coronary artery disease. J Thromb Haemost 5(4):761–765PubMedCrossRef
Metadata
Title
Toward a guided approach to platelet activation in diabetes
Author
M. D. Linden
Publication date
01-02-2013
Publisher
Springer US
Published in
Journal of Thrombosis and Thrombolysis / Issue 2/2013
Print ISSN: 0929-5305
Electronic ISSN: 1573-742X
DOI
https://doi.org/10.1007/s11239-012-0852-1

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