Korean Journal of Sport Science

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J Korean Neurol Assoc. 2006;24(3):210-214.
The Change of PAC-1 and P-selectin Expression after Initiation of Antiplatelets in Patients with Acute Ischemic Stroke
Sun Ah Park
Departments of Neurology and Internal Medicinea, Soonchunhyang University College of Medicine, Bucheon, Korea
급성 뇌경색 환자에서 항혈소판제 투여 후 PAC-1과 P-selectin 발현의 변화
박선아, 김은영a 하성래 박정호 이태경 성기범 박춘식a
순천향대학교 의과대학 신경과학교실, 내과학교실a
Abstract
Background
The purpose of this study was to evaluate the time course of PAC-1 and the P-selectin expression after the initiation of antiplatelets in acute ischemic stroke.
Methods
We serially measured PAC-1 and the P-selectin expression level using flow cytometry immediately before and at: one day, seven days, and one month after starting antiplatelets in 25 patients with acute cerebral infarctions.
Results
The P-selectin expression increased initially (p<0.05) and then from the seventh day, it began to decrease continually (post-hoc analysis, p<0.05). However, the PAC-1 expression did not reveal significant alterations during the follow-up period of one month.
Conclusions
Although the P-selectin expression rapidly declined, the PAC-1 expression remained elevated for one month. Our results suggest that the P-selectin may be useful in monitoring platelet inhibition during the early period after cerebral infarction.KeyWords:Antiplatelets, Cerebral infarction, Flowcytometry, Platelets

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