Platelet aggregation and lipoprotein levels in a patient with familial hypercholescholesterolemia after selective LDL-apheresis

Authors

  • Madalena Nunes da Silva Pares Universidade de São Paulo
  • Elbio Antonio D'Amico Universidade de São Paulo
  • José Mauro Kutner Universidade de São Paulo
  • Dalton de Alencar Fischer Chamone Universidade de São Paulo
  • Sergio Paulo Bydlowski Universidade de São Paulo

Keywords:

Platelet aggregation, Familial hypercholesterolemia, LDL-apheresis

Abstract

Platelet aggregation was studied in a patient with familial hypercholesterolemia immediately after aphereis selective for low-density lipoprotein (LDL), a lipid-lowering procedure.This treatment reduced plasmatic levels of total and LDL-cholesterol, apo B, and triglyceride. Increased platelet aggregation was reduced immediately after the apheresis in whole blood as well as in platelet-rich plasma. However, aggregation in washed platelets remained unchanged after LDL-apheresis. In conclusion, in this patient reduction of LDL-cholesterol improved platelet function in the very short term.

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Author Biographies

Madalena Nunes da Silva Pares, Universidade de São Paulo

Fundação Pró-Sangue Hemocentro de São Paulo, Research and Molecular Biology Division, São Paulo, Brazil. Universidade de São Paulo, Faculdade de Medicina, Department of Hematology, São Paulo, São Paulo, Brazil.

Elbio Antonio D'Amico, Universidade de São Paulo

Fundação Pró-Sangue Hemocentro de São Paulo, Research and Molecular Biology Division, São Paulo, Brazil. Universidade de São Paulo, Faculdade de Medicina, Department of Hematology, São Paulo, São Paulo, Brazil.

José Mauro Kutner, Universidade de São Paulo

Fundação Pró-Sangue Hemocentro de São Paulo, Research and Molecular Biology Division, São Paulo, Brazil. Universidade de São Paulo, Faculdade de Medicina, Department of Hematology, São Paulo, São Paulo, Brazil.

Dalton de Alencar Fischer Chamone, Universidade de São Paulo

Fundação Pró-Sangue Hemocentro de São Paulo, Research and Molecular Biology Division, São Paulo, Brazil. Universidade de São Paulo, Faculdade de Medicina, Department of Hematology, São Paulo, São Paulo, Brazil.

Sergio Paulo Bydlowski, Universidade de São Paulo

Fundação Pró-Sangue Hemocentro de São Paulo, Research and Molecular Biology Division, São Paulo, Brazil. Universidade de São Paulo, Faculdade de Medicina, Department of Hematology, São Paulo, São Paulo, Brazil.

References

Knorr M, Locher R, Vogt E, et al. Rapid activation of human platelets by low concentrations of low-density lipoprotein via phosphatidylinositol cycle. Eur J Biochem 1988;172:753-9.

Virgolini I, Li S, Qiong Y, Koller E, Banyai M, Angelberger P, Sinzinger H. Binding of 111 In-labeled LDL to platelets of normolipemic volunteers and patients with heterozygous familial hypercholesterolemia. Arterioscler Thromb 1993;13:536-47.

Brook G, Winterstein G, Aviram M. Platelet function and lipoprotein levels after plasma exchange in patients with familial hypercholesterolemia. Clin Sci 1983;64:637-42.

Broijersén A, Eriksson M, Larsson PT, Beck O, Berglund L, Angelin B, Hjemdahl P. Effects of selective LDL-apheresis and pravastatin therapy on platelet function in familial hypercholesterolemia. Eur J Clin Invest 1994;24:488-98.

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Published

1997-05-05

How to Cite

1.
Pares MN da S, D’Amico EA, Kutner JM, Chamone D de AF, Bydlowski SP. Platelet aggregation and lipoprotein levels in a patient with familial hypercholescholesterolemia after selective LDL-apheresis. Sao Paulo Med J [Internet]. 1997 May 5 [cited 2025 Oct. 16];115(3):1448-51. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2107

Issue

Section

Case Report