Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 May;19(6):1245-53.
doi: 10.1097/MIB.0b013e318281f3df.

Platelet abnormalities during colonic inflammation

Affiliations

Platelet abnormalities during colonic inflammation

Serena L S Yan et al. Inflamm Bowel Dis. 2013 May.

Abstract

Patients with inflammatory bowel disease are susceptible to microvascular thrombosis and thromboembolism. The increased incidence of thrombosis is accompanied by enhanced coagulation and abnormalities in platelet function. Clinical studies have revealed thrombocytosis, alterations in platelet activation, enhanced platelet-leukocyte interactions, and elevated plasma levels of prothrombotic cytokines. This study was directed toward determining whether the thrombocytosis, altered platelet functions, and enhanced platelet-leukocyte interactions observed in patients with inflammatory bowel disease can be recapitulated in the dextran sodium sulfate and T-cell transfer models of murine colonic inflammation. Flow cytometry was used to characterize platelet function in heparin-anticoagulated whole blood of control mice and in mice with colonic inflammation. Platelets were identified by characteristic light scattering and membrane expression of CD41. Thiazole orange labeling was used to differentiate between immature and mature platelets. Platelet activation was monitored using the expression of an activation epitope of GPIIb/IIIa integrin. The combination of CD41, CD45.2, Gr-1, F4/80, and isotype control antibodies was used to detect and quantify aggregates of leukocytes, neutrophils, and monocytes with platelets. Our results indicated that colonic inflammation is associated with thrombocytosis, leukocytosis, and the appearance of immature platelets. An increased number of circulating activated platelets was detected in colitic mice, along with the formation of aggregates of leukocytes (PLA), neutrophils (PNA), and monocytes (PMA) with platelets. Selectin blockade with fucoidin inhibited dextran sodium sulfate-induced PLA formation. The findings of this study indicate that many features of the altered platelet function detected in human inflammatory bowel disease can be reproduced in animal models of colonic inflammation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Time-course of changes in circulating (A) platelet and (B) leukocyte counts during the development of DSS-induced colonic inflammation. **p<0.01 versus control.
Figure 2
Figure 2
Appearance of immature and mature platelets in blood of DSS-colitic mice. A: Immature platelets were identified as TO+ (TOhigh) platelets. B: Mature platelets were identified as TO− (TOlow) platelets. The platelet populations were gated on CD41+ events. *p<0.05 versus control; **p<0.01 versus control; ***p<0.001 versus control.
Figure 3
Figure 3
Platelets expressing GPIIb/IIIa integrin in DSS-treated mice. A: Total circulating activated platelets were identified as JONA+ platelets. (B) Activated immature (JONA+/TO+) and (C) activated mature (JONA+/TO−) platelets were also quantified. **p<0.01 versus control.
Figure 4
Figure 4
Formation of platelet-leukocyte aggregates in blood of mice with DSS induced colonic inflammation. CD45.2+/CD41+ events were counted as platelet aggregates with total leukocytes (A). Platelet-neutrophil (B), platelet-monocyte (C), and platelet-lymphocyte aggregates (D) were identified by gating on the CD45.2+/CD41+ PLA population. *p< 0.05 versus control; **p<0.01 versus control.
Figure 5
Figure 5
Effects of selectin blockade on DSS-induced formation of platelet-leukocyte aggregates. Mice were treated with the pan-selectin blocker fucoidin 24 hrs prior to blood sample collection on day 6 of DSS treatment. Platelet aggregates with total leukocytes (A), neutrophils (B), monocytes (C), and lymphocytes (D) are presented. *p<0.05 versus control; ***p<0.001 versus control; #p<0.05 versus colitic WT; ###p<0.001 versus colitic WT.
Figure 6
Figure 6
Correlations between disease activity index and either (A) total, (B) activated, (C) immature or (D) mature platelets in mice treated with DSS.

Similar articles

Cited by

References

    1. Yoshida H, Granger DN. Inflammatory bowel disease: a paradigm for the link between coagulation and inflammation. Inflamm Bowel Dis. 2009;15:1245–1255. - PMC - PubMed
    1. Danese S, Papa A, Saibeni S, Repici A, Malesci A, Vecchi M. Inflammation and coagulation in inflammatory bowel disease: The clot thickens. Am J Gastroenterol. 2007;102:174–186. - PubMed
    1. Irving PM, Pasi KJ, Rampton DS. Thrombosis and inflammatory bowel disease. Clin Gastroenterol Hepatol. 2005;3:617–628. - PubMed
    1. Danese S, Semeraro S, Papa A, Roberto I, Scaldaferri F, Fedeli G, Gasbarrini G, Gasbarrini A. Extraintestinal manifestations in inflammatory bowel disease. World J Gastroenterol. 2005;11:7227–7236. - PMC - PubMed
    1. Andoh A, Yoshida T, Yagi Y, Bamba S, Hata K, Tsujikawa T, Kitoh K, Sasaki M, Fujiyama Y. Increased aggregation response of platelets in patients with inflammatory bowel disease. J Gastroenterol. 2006;41:47–54. - PubMed

Publication types

MeSH terms