The platelet hyporeactivity of extremely low birth weight neonates is age-dependent
Department of Pediatrics
Adult; Age Factors; Blood Platelets; Factor V; Factor Va; Humans; Infant, Extremely Low Birth Weight; Infant, Newborn; P-Selectin; Platelet Glycoprotein GPIb-IX Complex
INTRODUCTION: We have previously demonstrated that, as compared to adults, the platelets of extremely low birth weight (ELBW) neonates are markedly hyporeactive on day 0-1 of life. The purpose of this study was to examine the age dependency of this hyporeactivity.
MATERIALS AND METHODS: On days 0-1, 3-4, and 10-14, peripheral blood was collected from 14 stable ELBW neonates and compared to peripheral blood from normal adults run in parallel. Whole blood flow cytometry was used to examine the activation-dependent increase in platelet surface P-selectin (reflecting degranulation) and platelet surface binding of factor V/Va (reflecting platelet surface procoagulant activity) and decrease in platelet surface glycoprotein (GP) Ib (the von Willebrand factor receptor).
RESULTS: In the physiologic milieu of whole blood, ELBW neonatal platelets on days 0-1 and 3-4 were markedly less reactive than adult platelets. However, by day 10-14, the platelet function of ELBW neonates improved significantly, although not completely to adult levels.
CONCLUSIONS: The age-dependent platelet hyporeactivity of ELBW neonates demonstrated in this study may be a contributing factor to the similar age-dependent propensity of ELBW neonates to intraventricular hemorrhage.
DOI of Published Version
Thromb Res. 2009 May;124(1):42-5. Epub 2008 Nov 20. Link to article on publisher's site
Bednarek FJ, Bean S, Barnard MR, Frelinger AL, Michelson AD. (2009). The platelet hyporeactivity of extremely low birth weight neonates is age-dependent. Neonatology. https://doi.org/10.1016/j.thromres.2008.10.004. Retrieved from https://escholarship.umassmed.edu/peds_neonatology/12