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Plasma and urine beta-thromboglobulin in severe preeclampsia

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Summary

Beta-thromboglobulin (BTG) has been shown to be a specific platelet protein and can be used as a marker of platelet activation in preeclampsia. Concomitant studies of BTG levels in plasma and urine were performed with eight primiparous severe preeclamptic patients and eight normal primiparous women matched for age. The mean plasma BTG in the severe preeclamptic patients was 186.62±29.93 ng/ml, and in the control group 45.38±31.84 ng/ml. TheP-value for the difference was highly significant (P=0.000). In contrast, the mean urine BTG in the study group was 8.42±4.61 ng/ml, while the mean value for the control group was similar, 5.00±3.20 ng/ml. TheP-value for the difference was not significant (0.05<P<0.10). These results show that urinary BTG cannot be considered an indicator of platelet activation in severe preeclampsia. A low rather express renal impairment. Failure of BTG renal clearance would contribute to further raising the level of plasma BTG.

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References

  1. Borok Z, Weitz J, Owen J, Auerbach M, Nossel HL (1984) Fibrinogen proteolysis and platelet alpha-granule release in preeclampsia/eclampsia. Blood 63:525–531

    PubMed  Google Scholar 

  2. Dawes J, Smith RC, Pepper DS (1978) The release, distribution and clearance of human betathromboglobulin and platelet factor 4. Thromb Res 12:851–861

    PubMed  Google Scholar 

  3. Deppermann D, Andrassy K, Seelig H, Ritz E, Post D (1980) Beta-thromboglobulin is elevated in renal failure without thrombosis. Thromb Res 17:63–69

    PubMed  Google Scholar 

  4. Douglas JT, Shah M, Lowe GDO, Belch JJF, Forbes CD, Prentice CRM (1982) Plasma fibrinopeptide A and beta-thromboglobulin in preeclampsia and pregnancy hypertension. Thromb Haemost 47:54–55

    PubMed  Google Scholar 

  5. Hopper AH, Tindall H, Davies JA (1986) Urinary beta-thromboglobulin correlates with impairment of renal function in patients with diabetic nephropathy. Thromb Haemost 56:229–231

    PubMed  Google Scholar 

  6. Inglis TCM, Stuart J, George AJ, Davies J (1982) Haemostatic and rheological changes in normal pregnancy and pre-eclampsia. Br J Haematol 50:461–465

    PubMed  Google Scholar 

  7. Katz AL, Emmanoel DS (1978) Metabolism of polypeptide hormones by the normal kidney and in uremia. Nephron 22:69–73

    PubMed  Google Scholar 

  8. Leiberman JR, Aharon M, Schuster M, Plotnick-Schtadler T, Nathan I, Dvilansky A (1985) Beta-thromboglobulin in preeclampsia. Acta Obstet Gynaecol Scand 64:407–409

    Google Scholar 

  9. Moore S, Pepper DS, Cash JD (1975) The isolation and characterisation of a platelet-specific beta-globulin (beta-thromboglobulin) and the detection of anti-urokinase and antiplasmin released from thrombin-aggregated washed human platelets. Biochim Biophys Acta 379:360–369

    PubMed  Google Scholar 

  10. Oian P, Lande K, Kjeldsen SE, Gjesdal K, Aakesson I, Eide I, Maltau JM (1986) Enhanced platelet release reaction related to arterial plasma adrenalin and blood pressure in preeclampsia. Br J Obstet Gynaecol 93:548–553

    PubMed  Google Scholar 

  11. Redman CWG, Allington MJ, Bolton FG, Stirrat GM (1977) Plasma beta-thromboglobulin in preeclampsia. Lancet 2:248

    Google Scholar 

  12. Socol ML, Weiner CP, Louis G, Rehnberg K, Rossi EC (1985) Platelet activation in preeclampsia. Am J Obstet Gynecol 151:494–497

    PubMed  Google Scholar 

  13. Stubbs TM, Lazarchick J, Van Dorsten JP, Cox J, Loadholt CB (1986) Evidence of accelerated platelet production and consumption in nonthrombocytopenic preeclampsia. Am J Obstet Gynecol 155:263–265

    PubMed  Google Scholar 

  14. Whigham KAE, Howie PW, Drummond AH, Prentice CRM (1978) Abnormal platelet function in preeclampsia. Br J Obstet Gynaecol 85:28–32

    PubMed  Google Scholar 

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Leiberman, J.R., Hagay, Z.J., Mazor, M. et al. Plasma and urine beta-thromboglobulin in severe preeclampsia. Arch Gynecol Obstet 243, 165–168 (1988). https://doi.org/10.1007/BF00932083

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  • DOI: https://doi.org/10.1007/BF00932083

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