New Aspects of Platelets in Physiology and Pathology from Their Birth to Their Death
A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Biology".
Deadline for manuscript submissions: closed (30 November 2022) | Viewed by 20407
Special Issue Editor
Special Issue Information
Dear Colleagues,
The amount of platelets in the blood is the net result of the production of platelets and their elimination. In human blood, the reference values for the number of platelets are between 150 and 400 G / L and their lifespan is approximately 10 days. It is important that the production and clearance of platelets remain in balance, since thrombocytopenia or the presence of non-functioning platelets can increase the risk of bleeding. By contrast, thrombocytosis and/or abnormal platelet activation can trigger clot formation and increase the risk of thrombosis. Platelets are produced by hematopoietic cells called megakaryocytes (MK) and once mature, the megakaryocyte can form blood platelets. Different actors such as the medullary environment (matrix and cells), cytokines, transcription factors, and the reorganization of the cell's cytoskeleton regulate those process. Once in the circulation, platelets are directly involved, under physiological conditions, in the arrest of bleeding by formation of the hemostatic plug and, under pathological conditions, in the development of thrombosis. Multiple processes regulate their haemostatic function, involving various combinations of ligands, receptors, cytoskeleton and signaling molecules. The lifespan of platelets in circulation is brief, close to 10 days in humans and in a healthy individual, and the majority of platelets are not consumed by hemostatic processes. Little was known about the physiological mechanisms involved in platelet clearance until fairly recently. This elimination of platelets occurs either by consumption of platelets and/or by the mechanism of desialylation or loss of sialic acid on the platelet surface. Currently, new platelet disorders, inherited and acquired, have been reported with impaired platelet formation, function and/or clearance that either cosegregate with a predicted disease-causing gene variant or are associated with pathogenic mechanisms such as chronic liver disease, sepsis, cancer, COVID-19 and autoimmune disorder (immune thrombocytopenia, systemic lupus erythematosus, etc.). Answering questions related to platelet dysfunction will be important for obtaining a better understanding of their physiology, and will guide future efforts to correct the platelet count and function in patients.
Dr. Alexandre Kauskot
Guest Editor
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Keywords
- platelets
- bleeding
- thrombocytopenia
- mutations
- clearance
- cytoskeleton
- platelet function
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