Key result
Pseudoexfoliation syndrome is linked to faster clot formation and elevated soluble P-selectin levels.
Why the study?
Clot-forming dysfunction might be responsible for venous thrombosis in pseudoexfoliation syndrome, but prognostic biomarkers for thrombosis risk were needed.
Does pseudoexfoliation syndrome alter global coagulation dynamics, platelet activation markers, and the platelet proteome compared to healthy controls?
Case-Control (n=82)
Yes
Does pseudoexfoliation syndrome alter global coagulation dynamics, platelet activation markers, and the platelet proteome compared to healthy controls?
p-value: p=<0.05
Pseudoexfoliation syndrome is associated with increased in vivo platelet activation and a hypercoagulable state (shortened clot formation time), suggesting a mechanism for the increased risk of thrombotic events in these patients.
Pseudoexfoliation syndrome (PEX) is characterized by the accumulation of abnormal extracellular matrix material in ocular and non-ocular tissues, including blood vessel walls. Clot-forming dysfunction might be responsible for venous thrombosis in PEX. We investigated global coagulation, the proteome, and functions of platelets in PEX patients and aimed to determine prognostic biomarkers for thrombosis risk in PEX. Peripheral blood was collected from PEX and retinal vein occlusion (RVO) patients, and age–sex matched controls. Viscoelastic hemostasis was evaluated by rotational thromboelastometry (ROTEM). Platelet markers (CD41, CD42, CD61, and CD62p) and endothelial markers (P-selectin, E-selectin, and von Willebrand factor) were investigated by flow cytometry and ELISA, respectively. The platelet proteome was analyzed by 2D fluorescence difference gel electrophoresis followed by mass spectrometry. Clot formation time (CFT) is significantly reduced in PEX patients compared to the controls (p < 0.05). P-selectin levels were higher in PEX patients than in controls (p < 0.05); E-selectin and von Willebrand factor remained unchanged. The monitorization of CFT by ROTEM, and soluble P-selectin, may help assess thrombotic risk in PEX patients. Proteomic analysis revealed differential expression of Profilin-1 in platelets. Profilin-1 regulates the stability of actin-cytoskeleton and may contribute to impaired platelet hemostatic functions. Increased P-selectin levels together with impaired coagulation dynamics might be responsible for the thrombotic events in PEX disease.
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Uğurel et al. (2024) conducted a case-control in Pseudoexfoliation syndrome (PEX) (n=82). Pseudoexfoliation syndrome vs. Age- and sex-matched healthy controls was evaluated on Clot formation time (CFT) evaluated by rotational thromboelastometry (ROTEM) and soluble P-selectin levels (p=<0.05). Pseudoexfoliation syndrome is associated with significantly reduced clot formation time and elevated soluble P-selectin levels (p < 0.05), alongside reduced expression of platelet Profilin-1.
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