PMID- 11254909 OWN - NLM STAT- MEDLINE DCOM- 20010621 LR - 20190718 IS - 0021-9150 (Print) IS - 0021-9150 (Linking) VI - 155 IP - 2 DP - 2001 Apr TI - Effects of heparin and aspirin on circulating P-selectin, E-selectin and von Willebrand Factor levels in healthy men. PG - 389-93 AB - As thrombin stimulates P-selectin expression on platelets and its release into plasma, we hypothesized that enhancing antithrombin activity by unfractionated heparin (UFH) could decrease plasma levels of circulating (c)P-selectin, (c)E-selectin, and von Willebrand Factor (vWF). Hence the effect of UFH and aspirin were examined on these activation markers in healthy volunteers. UFH decreased cP-selectin levels by -10% (CI: -16 - (-4%); P = 0.005) at 24 h, but did not change levels of vWF-Ag. In contrast, aspirin did not affect cP-selectin levels but decreased vWF-Ag levels by -12% (CI: -18 - (-7%); P = 0.005) at 24 h. Neither drug affected cE-selectin levels. Thus, UFH decreases cP-selectin levels, which may reflect decreased platelet activation in vivo. An increase in cP-selectin under UFH therapy should alert the clinician to look for platelet destruction. FAU - Pernerstorfer, T AU - Pernerstorfer T AD - Department of Clinical Pharmacology-TARGET, Vienna University Hospital School of Medicine, Wahringer Gurtel, A-1090, Vienna, Austria. FAU - Eichler, H G AU - Eichler HG FAU - Stohlawetz, P AU - Stohlawetz P FAU - Speiser, W AU - Speiser W FAU - Jilma, B AU - Jilma B LA - eng PT - Journal Article PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (Anticoagulants) RN - 0 (Biomarkers) RN - 0 (E-Selectin) RN - 0 (P-Selectin) RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (von Willebrand Factor) RN - 9005-49-6 (Heparin) RN - EC 3.4.21.5 (Thrombin) RN - R16CO5Y76E (Aspirin) SB - IM MH - Adult MH - Anticoagulants/*pharmacology MH - Aspirin/*pharmacology MH - Biomarkers MH - E-Selectin/*blood MH - Heparin/*pharmacology MH - Humans MH - Male MH - P-Selectin/*blood MH - Partial Thromboplastin Time MH - Platelet Aggregation Inhibitors/*pharmacology MH - Reference Values MH - Thrombin/*antagonists & inhibitors MH - von Willebrand Factor/*analysis EDAT- 2001/03/20 10:00 MHDA- 2001/06/22 10:01 CRDT- 2001/03/20 10:00 PHST- 2001/03/20 10:00 [pubmed] PHST- 2001/06/22 10:01 [medline] PHST- 2001/03/20 10:00 [entrez] AID - S0021-9150(00)00566-9 [pii] AID - 10.1016/s0021-9150(00)00566-9 [doi] PST - ppublish SO - Atherosclerosis. 2001 Apr;155(2):389-93. doi: 10.1016/s0021-9150(00)00566-9.