Molecules (Apr 2020)

A Pilot Study on the Effect of Anti-Thrombopoietin Antibody on Platelet Count in Patients with Type 2 Diabetes

  • Takuya Fukuda,
  • Masahide Hamaguchi,
  • Takafumi Osaka,
  • Yoshitaka Hashimoto,
  • Emi Ushigome,
  • Mai Asano,
  • Masahiro Yamazaki,
  • Eriko Fukuda,
  • Kei Yamaguchi,
  • Koji Ogawa,
  • Naoki Goshima,
  • Michiaki Fukui

DOI
https://doi.org/10.3390/molecules25071667
Journal volume & issue
Vol. 25, no. 7
p. 1667

Abstract

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Thrombopoietin (THPO) is a circulatory cytokine that plays an important role in platelet production. The presence of anti-THPO antibody relates to thrombocytopenia and is rarely seen in hematopoietic and autoimmune diseases. To date, there had been no reports that focused on the anti-THPO antibody in patients with type 2 diabetes mellitus (T2DM). To evaluate prevalence of the anti-THPO antibody in patients with T2DM and the relationship between anti-THPO antibody and platelet count, a cross-sectional study was performed on 82 patients with T2DM. The anti-THPO antibody was measured by ELISA using preserved sera and detected in 13 patients. The average platelet count was significantly lower in patients with the anti-THPO antibody than in those without the anti-THPO antibody. Multivariate linear regression analyses showed a significant relationship between the anti-THPO antibody and platelet count, after adjusting for other variables. To our best knowledge, this was the first report on the effect of the anti-THPO antibody on platelet count in patients with T2DM. Further investigation is needed to validate the prevalence and pathological significance of the anti-THPO antibody in patients with T2DM.

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