In vivo prostacyclin biosynthesis and effects of different aspirin regimens in patients with essential thrombocythaemia

Bianca Rocca, Francesca Pagliaccia, Carlo Patrono, Viviana Cavalca, Isabella Squellerio, Alfredo Dragani, Fabrizio Veglia, Benedetta Porro, Silvia Stella Barbieri, Elena Tremoli

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

15 Citazioni (Scopus)

Abstract

Essential thrombocythaemia (ET) is characterised by enhanced platelet generation and thrombosis. Once daily (od) aspirin incompletely inhibits platelet thromboxane (TX)A2 production in ET. A twice daily (bid) dosing is necessary to fully inhibit TXA2. Whether this dosing regimen affects in vivo prostacyclin (PGI2) biosynthesis is unknown. PGI2 biosynthesis was characterised in 50 ET patients on enteric-coated (EC) aspirin 100 mg od, by measuring its urinary metabolite, 2,3-dinor-6-keto-PGF1α (PGI-M). Moreover, in a crossover study 22 patients poorly responsive to standard aspirin based on serum TXB2 levels (≥4 ng/ml) were randomised to different seven-day aspirin regimens: EC aspirin 100 mg od, 100 mg bid, 200 mg od, or plain aspirin 100 mg od. PGI-M measured 24 hours after the last aspirin intake (EC, 100 mg od) was similar in patients and healthy subjects both on (n=10) and off (n=30) aspirin. PGI-M was unrelated to in vivo TXA2 biosynthesis, and not affected by EC aspirin 100 mg bid or 200 mg od as compared to EC 100 mg od. PGI2 biosynthesis in aspirin-treated ET patients appears unrelated to TXA2 biosynthesis, and not affected by an improved aspirin regimen, demonstrating its vascular safety for future trials.
Lingua originaleEnglish
pagine (da-a)118-127
Numero di pagine10
RivistaThrombosis and Haemostasis
Volume112
DOI
Stato di pubblicazionePubblicato - 2014

Keywords

  • Aspirin
  • essential thrombocythaemia
  • platelets
  • prostacyclin
  • thromboxane

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