Evidence map›Paper›PMID 41940301›Full record

ArticleFrontiers in neurology

Platelets from early-stage Alzheimer patients show enhanced amyloid binding, an elevated open canalicular system and sex-specific differences in their activation profile.

Lili Donner, Julia Christl, Milenko Kujovic, Tillmann Supprian, Margitta Elvers

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Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Lili DonnerClinic of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Düsseldorf, Germany.
Julia ChristlDepartment of Psychiatry, Medical Faculty, LVR-Clinic Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
Milenko KujovicDepartment of Psychiatry, Medical Faculty, LVR-Clinic Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
Tillmann SupprianDepartment of Psychiatry, Medical Faculty, LVR-Clinic Düsseldorf, Heinrich-Heine University, Düsseldorf, Germany.
Margitta ElversClinic of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Duesseldorf, Heinrich-Heine-University, Düsseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Alzheimer's disease (AD) is associated with neurodegeneration and dementia. Key clinical hallmarksinclude the deposition of amyloid-ß (Aβ) into senile plaques in the brain parenchyma and in cerebral vessels known as cerebral amyloid angiopathy (CAA). Currently, anti-Aß antibodies are emerging as possible therapy for AD. Several biomarkers, such as Aß and tau-protein have gained diagnostic relevance for early AD; however, their assessment requires cerebrospinal fluid. Therefore, blood-based biomarkers for AD screening are urgently needed. Methods: Patients diagnosed with early AD were analyzed for extracellular Aß binding to platelets, platelet morphology and platelet activation, and were compared with age-matched controls. Results: Platelet number and size were unaltered between groups. However, platelets isolated from AD patients exhibited increased surface APP/Aβ immunoreactivity compared with age-matched controls. Transmission electron microscopy revealed altered platelet morphology in AD patients, including changes in the number of dense granules and an increased area of the open canalicular system (OCS). While only minor differences in platelet activation were detected between patients and controls, a significant reduction in integrin αIIbβ3 (fibrinogen receptor) activation was observed in platelets from female compared to male AD patients, as determined by flow cytometry. Conclusion: The results presented here emphasize the importance of understanding whether platelets contribute to AD pathology in a sex-specific manner. Furthermore, platelet parameters may serve as promising biomarker for early AD prognosis, as platelets are easily accessible via blood sampling. These parameters may include sex-specific platelet activation profiles, the ability of platelets to bind APP/Aß at their surface, and OCS dimensions assessed by electron microscopy.

Indexed as

Alzheimer's diseaseopen canalicular systemplatelet activationplateletsß-amyloid

Identifiers

PMID41940301
PMCPMC13043387

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