Antithrombotic effects of aspirin based on PLA1/A2 glycoprotein IIIa polymorphism in patients with coronary artery disease.

Abstract:

OBJECTIVE:The diallelic glycoprotein IIIa polymorphism P1A1/A2 was attributed to be an inherited risk factor for coronary events. Whether this polymorphism affects response to aspirin in patients with coronary artery disease is not known. METHODS:We assessed thrombin generation (prothrombin fragment F1+2) in consecutive blood samples collected from bleeding-time wounds in 28 men with coronary artery disease; P1A2 carriers, n=9; P1A1/A1, n=19. Thrombin generation and bleeding time were measured before and after 2 weeks of aspirin 300 mg/day. RESULTS:Aspirin-depressed thrombin generation in A1 homozygotes (p=0.04), but not in A2 carriers. Bleeding time after aspirin was also prolonged in A1 subjects only (p=0.02). CONCLUSION:Genotyping for glycoprotein IIIa polymorphism might be helpful in predicting antithrombotic action of aspirin in secondary prevention of coronary artery disease.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Dropinski J,Musial J,Sanak M,Wegrzyn W,Nizankowski R,Szczeklik A

doi

10.1016/j.thromres.2006.03.005

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

301-3

issue

3

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(06)00090-9

journal_volume

119

pub_type

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