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Clinical and Applied Thrombosis/Hemostasis
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Increased Concentration of Soluble CD40 Ligand in Preeclampsia

Inci Alacacioglu, MD

Department of Haematology, Dokuz Eylul University Faculty of Medicine, Turkey, inci074{at}yahoo.com

Mehmet Ali Ozcan, MD

Department of Haematology, Dokuz Eylul University Faculty of Medicine, Turkey

Ozden Piskin, MD

Department of Haematology, Dokuz Eylul University Faculty of Medicine, Turkey

Faize Yuksel, MSci

Department of Haematology, Dokuz Eylul University Faculty of Medicine, Turkey

Ahmet Alacacioglu, MD

Department of Haematology, Dokuz Eylul University Faculty of Medicine, Turkey

Fatih Demirkan, MD

Department of Haematology, Dokuz Eylul University Faculty of Medicine, Turkey

Hayri Guner Ozsan, MD

Department of Haematology, Dokuz Eylul University Faculty of Medicine, Turkey

Mesut Polat, MD

Maternity Hospital of Tepecik, Izmir, Turkey

Yigit Ozgenc, MD

Maternity Hospital of Tepecik, Izmir, Turkey

Bulent Undar, MD

Department of Haematology, Dokuz Eylul University Faculty of Medicine

Preeclampsia has been associated with increased platelet activation detected before disease onset. Platelets are involved in hemostasis and also directly initiate an inflammatory response of the vessel wall. Inappropriate activation of platelets may be involved in pathogenesis in preeclampsia by promoting coagulation and thrombosis, and also as a mediator of inflammation. Platelets may release inflammatory mediators such as soluble CD40 ligand. The plasma level of soluble CD40 ligand was investigated during preeclamptic (n =20) and normal pregnancies (n = 20) to emphasize inflammatory response in preeclampsia. The mean soluble CD40 ligand levels were 1.08 ± 0.43 ng/mL in patients with preeclampsia and 0.76 ± 0.24 ng/mL in healthy pregnant women, which was statistically significant (P = .01). To clarify whether inflammation may cause inappropriate endothelial cell activation or inappropriate endothelial cell activation may start this inflammatory response, future studies are needed in a larger study population.

Key Words: preeclampsia • inflammation • soluble CD40 ligand

Clinical and Applied Thrombosis/Hemostasis, Vol. 13, No. 2, 201-205 (2007)
DOI: 10.1177/1076029606299076


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