Key result
Many factors affect the change of left atrial soluble P-selectin level after percutaneous balloon mitral valvulotomy, including baseline levels, drug effects, and the timing of measurement.
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When evaluating left atrial soluble P-selectin levels after PBMV in mitral stenosis, the timing of measurement and confounding factors such as baseline levels and medications must be carefully considered.
The glycoprotein P-selectin, a membrane component of cell storage granules, is rapidly translocated from ?-granules of platelets and the Weibel- Palade bodies of endothelial cells to the cell surface following an inflammatory process or other stimulations. P-selectin is a cell adhesion molecule of activated platelets and endothelial cells of interest because of its role in modulating interactions between blood cells and the endothelium, and also because of the possible use of its soluble form in plasma as a predictor of adverse cardiovascular events.1 In endothelial cells, within minutes of its stimulation in vitro by inflammatory mediators, such as histamine, thrombin, or phorbol esters, or hypoxia, WeibelPalade bodies are mobilized and their von Willebrand factor are degranulated. At the same time, P-selectin is also expressed at the surface as quick astwo minutes after stimulation. However, this expressionis short-lived, reaching its peak after only 10 minutes, declining back to baseline levels after 3 hours. Additional synthesis of P-selectin is brought about within 2 hours by cytokines, such as interleukin-1 (IL-1), tumor necrosis factor-? (TNF-?), and by thrombin, lipopolysaccharide or oxygen radicals. Immunofluorescence and confocal laser cytometry are usually used to measure the translocation upon this activation.1
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Mohammad Saifur Rohman (2015) conducted an editorial in Mitral stenosis. Percutaneous transvenous Balloon Mitral Valvulotomy (PBMV) was evaluated. Many factors affect the change of left atrial soluble P-selectin level after percutaneous balloon mitral valvulotomy, including baseline levels, drug effects, and the timing of measurement.
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