The Relationship Between Premature Adrenarche and Platelet Aggregation
Ahmet Bolat1, Cengiz Zeybek1, Orhan Gürsel2, Onur Akın3, Mehmet Emre Taşçılar41University of Health Sciences Turkey, Gülhane Faculty of Medicine, Department of Child Health and Diseases, Ankara, Turkey2University of Health Sciences Turkey, Gülhane Faculty of Medicine, Department of Pediatric Hematology, Ankara, Turkey
3University of Health Sciences Turkey, Gülhane Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, Turkey
4Yüksek İhtisas University, Koru Hospital, Clinic of Pediatric Endocrinology, Ankara, Turkey
INTRODUCTION: Premature adrenarche (PA) has been associated with an increase in adrenal androgens, and the hyperandrogenic hormonal environment is known to lead to increased platelet (PLT) aggregation. Here, we evaluated the effects of PA on PLT aggregation in PLT-rich plasma samples from female patients.
METHODS: The study included 40 female patients diagnosed with PA between February, 2014 and June, 2018 and 30 healthy female individuals as a control group. Adenosine diphosphate (ADP) and collagen-induced PLT aggregation were studied via the photometric aggregometry method.
RESULTS: There were no significant differences in the PLT count or volume values between those participants with PA and the control group. Additionally, the ADP-induced maximum aggregation time, value, and slope values did not significantly differ between the patient and control groups (p>0.05). However, the collagen-induced maximum aggregation time, value, and slope values were significantly higher in the studygroup (p<0.001).
DISCUSSION AND CONCLUSION: Increased collagen-induced PLT aggregation was detected in female patients with PA. As PA is associated with a higher risk of cardiovascular events later in life, close follow-up of PA in this respect may be beneficial.
Manuscript Language: English
