Medical College of Wisconsin
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Circulating platelet count and glycans. Curr Opin Hematol 2021 Nov 01;28(6):431-437

Date

10/05/2021

Pubmed ID

34605444

Pubmed Central ID

PMC8641398

DOI

10.1097/MOH.0000000000000682

Scopus ID

2-s2.0-85117632516 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

PURPOSE OF THE REVIEW: This review highlights recent advancements in understanding the regulation of platelet numbers, focusing on mechanisms by which carbohydrates (glycans) link platelet removal with platelet production in the bone marrow in health and disease.

RECENT FINDINGS: This review is focused on the role of carbohydrates, specifically sialic acid moieties, as a central mediator of platelet clearance. We discuss recently identified novel mechanisms of carbohydrate-mediated platelet removal and carbohydrate-binding receptors that mediate platelet removal.

SUMMARY: The platelet production rate by megakaryocytes and removal kinetics controls the circulating platelet count. Alterations in either process can lead to thrombocytopenia (low platelet count) or thrombocytosis (high platelet count) are associated with the risk of bleeding or overt thrombus formation and serious complications. Thus, regulation of a steady-state platelet count is vital in preventing adverse events. There are few mechanisms delineated that shed light on carbohydrates' role in the complex and massive platelet removal process. This review focuses on carbohydrate-related mechanisms that contribute to the control of platelet numbers.

Author List

Rivadeneyra L, Falet H, Hoffmeister KM

Author

Herve Falet PhD Associate Professor in the Cell Biology, Neurobiology and Anatomy department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Blood Platelets
Humans
Megakaryocytes
Platelet Count
Polysaccharides
Thrombopoiesis