Platelet indices in graves disease, especially plateletcrit

Graves’ disease is an autoimmune thyrotoxicosis caused by thyroid receptor antibody and occurs in 1% of the population. Autoimmune events develop against cells in various tissues, including platelets. Platelet lymphocyte interaction can regulate these events. We investigated this relationship in our study. We compared leukocyte and platelet indices in 66 Graves patients and 38 control patients from hemogram parameters prospectively. Lymphocyte count, neutrophil count, platelet lymphocyte ratio, neutrophil lymphocyte ratio was insignificant between the two groups (p: 0.51, 0.13, 0.19, 0.097, respectively). Platelet count, PDW and PCT were significantly higher in Graves patients (p: 0.02, 0.03, 0.00, respectively), and MPV was significantly lower (p: 0.007). In the ROC curve analysis, the PCT threshold value was 0.24. Platelet indices in graves patients and especially PCT were more correlated with the disease than other hemogram parameters. This finding may help to clarify the pathogenesis of the disease.

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1. Fröhlich E, Wahl R. Thyroid autoimmunity: role of anti-thyroid antibodies in thyroid and extra-thyroidal diseases. Front Immunol. 2017;8:1–16.

2. Qin Q, Liu P, Liu L, et al. The increased but non-predominant expression of Th17- and Th1-specific cytokines in Hashimoto’s thyroiditis but not in Graves’ disease. Braz J Med Biol Res. 2012;45:1202–8.

3. Pyzik A, Grywalska E, Matyjaszek-Matuszek B, et al. Im¬mune disorders in Hashimoto’s thyroiditis: what do we know so far? J Immunol Res. 2015;1–8.

4. Kuznik BI, Vitkovsky YA, Gvozdeva OV, et al. Lymphocyte-platelet crosstalk in graves’ disease. Am J Med Sci. 2014;347:206–10.

5. Ben-Skowronek I. Hashimoto’s thyroiditis – interactions of lym¬phocytes, thyroid cells and fibroblasts; graves’ disease - the interac¬tion of lymphocytes and thyroid cells. In Autoimmune Disorders-Patho¬genetic, Mavragani CP eds. 2011;231–54.

6. Tomczyńska M, Saluk-Bijak J. The mutual cooperation of blood platelets and lymphocytes in the development of autoimmune thyroid diseases. ACTA ABP Biochimica Polonica (review); 2018;65:17–24.

7. Gasparyan AY, Ayvazyan L, Mikhailidis DP, et al. D. Mean platelet volume: a link between thrombosis and inflammation? Curr Pharm Des. 2011;17:7–58.

8. Ergelen M, Uyarel H. Plateletcrit: a novel prognostic marker for acute coronary syndrome. Int J Cardiol. 2014;177:61.

9. Li N. Platelet-lymphocyte cross-talk. J Leukoc Biol. 2008;83: p.1069–78.

10. Menconi F, Marcocci C, Marinò M. Diagnosis and classifica¬tion of Graves’ disease. Autoimmun Rev. 2014;13:398–402.

11. Sit M, Aktas G, Kargi E, et al. Mean platelet volume should be a useful indicator in diagnosis of Hashimoto’s thyroiditis. Acta Medica Mediter. 2014;30:1263–6.

12. Tomczyńska M, Salata I, Bijak, M, Saluk-Bijak J. The potential contribution and role of blood platelets in autoimmune thyroid diseases. J Cell Mol Med, 2018; 22: 6386–90.

13. Panzer S, Haubenstock A, Minar E. Platelets in hyperthyroidism: studies on platelet counts, mean platelet volume, 111-indium-labeled platelet kinetics, and platelet-associated immunoglobulins G and M. J Clin Endocrinol Metab, 1990;70:491–6.

14. Marta GN, de Campos FPF.Immune thrombocytopenia and au¬toimmune thyroid disease: a controversial overlap. Autops Case Rep. 2015;5:45–8.

15. Bagir GS, Haydardedeoglu FE, Bakiner OS, et al. Mean platelet volume in Graves’ disease: A sign of hypermetabolism rather than autoimmunity? Pak J Med Sci. 2017;33:871-5.

16. McLachlan SM, Rapoport B. Thyrotropin-blocking autoantibodies and thyroid-stimulating autoantibodies: potential mechanisms involved in the pendulum swinging from hypothyroidism to hyperthyroidism or vice versa. Thyroid. 2013;23:14–24.

17. Polinska B, Matowicka-Karna J, Kemona H. Assessment of the influence of the inflammatory process on the activation of blood platelets and morphological parameters in patients with ulcerative colitis (colitis ulcerosa). Folia Histochem Cyto, 2011;49:119-24.

18. Yuksel O, Helvaci K, Basar O, et al. An overlooked indicator of disease activity in ulcerative colitis: Mean platelet volume. Platelets. 2009;20:277- 81.

19. Kapsoritakis AN, Koukourakis MI, Sfiridaki A. Mean platelet volume: A useful marker of inflammatory Mean platelet volume should be a useful indicator in diagnosis of Hashimoto’s thyroiditis 1265 bowel disease activity. Am J Gastroenterol. Mar. 2001;96:776-81.

20. Kisacik B, Tufan A, Kalyoncu U, et al. Mean platelet volume (MPV) as an inflammatory marker in ankylosing spondylitis and rheumatoid arthritis. Joint Bone Spine, 2008;75:291-4.

21. Kayahan H, Akarsu M, Ozcan MA, et al. Reticulated platelet levels in patients with ulcerative colitis. Int J Colorectal Dis, 2007;22:1429–35.

22. Akpinar I, Sayin MR, Gursoy YC, et al. Plateletcrit. A platelet marker associated with saphenous vein graft disease. Herz. 2014;39:142–8.

23. Ben-Skowronek I, Sierocinska-Sawa J, Korobowicz E, et al. Lymphocytes in peripheral blood and thyroid tissue in chil¬dren with Graves’ disease. World J Pediatr. 2008;4:274–82.

24. Popko K, Górska E. The role of natural killer cells in patho¬genesis of autoimmune diseases. Cent Eur J Immunol. 2015;40:470–6.

25. Irvine WJ, Wu FC, Urbaniak SJ, et al. Peripheral blood leucocytes in thyrotoxicosis (Graves’ disease) as studied by conventional light microscopy. Clin Exp Immunol. 1977;27:216–21.

26. Eakin DL, Peake RL, Weiss GB. Effect of therapy on the neutropenia of hyperthyroidism. South Med J. 1983;76:335–7.

27. Ponassi A, Morra L, Caristo G, et al. Disorders of granulopoiesis in patients with untreated Graves’ disease. Acta Haematol. 1983;70:19–23.

28. Magdalini E, Kyritsi A, Yiakoumis X, et al. High Frequency of thyroid disorders in patients presenting with neutropenia to an outpatient hematology clinic STROBE-compliant article. Medicine.2015;94:1-9.

29. Celik T. Neutrophil-to-lymphocyte ratio in thyroid ophthalmopathy. Bratisl Med J. 2017;118:495-8.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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