PMID- 28267395 OWN - NLM STAT- MEDLINE DCOM- 20180613 LR - 20180613 IS - 1369-1635 (Electronic) IS - 0953-7104 (Linking) VI - 28 IP - 8 DP - 2017 Dec TI - The role of platelets in antiphospholipid syndrome. PG - 762-766 LID - 10.1080/09537104.2017.1280150 [doi] AB - Despite extensive research, the pathogenesis of antiphospholipid syndrome (APS) remains obscure in many aspects. However, it is widely accepted that thrombosis is the result of a hypercoagulable state caused by antibodies directed against beta2-glycoprotein I (beta2-GPI), a protein whose physiological role is unknown. Although underestimated, platelets may be involved in APS and its thrombotic manifestations, especially arterial, in several ways. Thrombocytopenia is the most relevant non-criteria manifestation of APS, possibly caused by direct binding of anti-beta2-GPI antibodies or anti-beta2-GPI-beta2-GPI complexes. On the other hand, platelets may have a key role in APS-related thrombosis due to the presence of multiple receptors that can interact with anti-beta2-GPI antibodies (especially apolipoprotein E receptor 2' (apoER2') and glycoprotein Ibalpha (GPIbalpha)) with consequent release of different procoagulant mediators such as thromboxane B2, platelet factor 4 (PF4), and platelet factor 4 variant (CXCL4L1). The aim of this review is to put together evidence on the possible role of platelets in APS and to stimulate further research on the issue. FAU - Baroni, G AU - Baroni G AD - a Cardiology Clinic, Department of Cardiac , Thoracic, and Vascular Sciences, Padua University Hospital , Padua , Italy. FAU - Banzato, A AU - Banzato A AD - a Cardiology Clinic, Department of Cardiac , Thoracic, and Vascular Sciences, Padua University Hospital , Padua , Italy. FAU - Bison, E AU - Bison E AD - a Cardiology Clinic, Department of Cardiac , Thoracic, and Vascular Sciences, Padua University Hospital , Padua , Italy. FAU - Denas, G AU - Denas G AD - a Cardiology Clinic, Department of Cardiac , Thoracic, and Vascular Sciences, Padua University Hospital , Padua , Italy. FAU - Zoppellaro, G AU - Zoppellaro G AD - a Cardiology Clinic, Department of Cardiac , Thoracic, and Vascular Sciences, Padua University Hospital , Padua , Italy. FAU - Pengo, V AU - Pengo V AD - a Cardiology Clinic, Department of Cardiac , Thoracic, and Vascular Sciences, Padua University Hospital , Padua , Italy. LA - eng PT - Journal Article PT - Review DEP - 20170307 PL - England TA - Platelets JT - Platelets JID - 9208117 SB - IM MH - Antiphospholipid Syndrome/*blood MH - Blood Platelets/*metabolism MH - Humans MH - Thrombosis/*blood OTO - NOTNLM OT - Antibodies OT - pathophysiology OT - phospholipids OT - platelets OT - thrombosis EDAT- 2017/03/08 06:00 MHDA- 2018/06/14 06:00 CRDT- 2017/03/08 06:00 PHST- 2017/03/08 06:00 [pubmed] PHST- 2018/06/14 06:00 [medline] PHST- 2017/03/08 06:00 [entrez] AID - 10.1080/09537104.2017.1280150 [doi] PST - ppublish SO - Platelets. 2017 Dec;28(8):762-766. doi: 10.1080/09537104.2017.1280150. Epub 2017 Mar 7.