Heterozygosity for P2Y12 receptor gene mutation associated with postoperative hemorrhage in a Greater Swiss Mountain dog

© 2017 American Society for Veterinary Clinical Pathology.

Bibliographische Detailangaben
Veröffentlicht in:Veterinary clinical pathology. - 1975. - 46(2017), 4 vom: 10. Dez., Seite 569-574
1. Verfasser: Flores, Rebecca S (VerfasserIn)
Weitere Verfasser: Boudreaux, Mary K, Vasquez, Barbara, Bristow, Poppy, Aronson, Lillian R, Santoro-Beer, Kari, Callan, Mary Beth
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2017
Zugriff auf das übergeordnete Werk:Veterinary clinical pathology
Schlagworte:Case Reports Hereditary thrombopathia platelet aggregation platelet flow cytometry Receptors, Purinergic P2Y12
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520 |a A 3-year-old, female Greater Swiss Mountain dog developed a hemoperitoneum following an exploratory laparotomy and ovariohysterectomy. Platelet count, PT, APTT, and plasma von Willebrand factor antigen concentration were within RIs. A buccal mucosal bleeding time (BMBT) was prolonged. Given the probability of a hereditary thrombopathia, the dog was administered desmopressin, fresh platelet transfusions, and aminocaproic acid to control hemorrhage. Subsequently, DNA testing for the P2Y12 receptor gene mutation identified the dog as being a heterozygote (carrier). Further platelet function testing was performed following complete recovery. Results of a repeat BMBT and a point-of-care screening test using the Platelet Function Analyzer-100 (collagen/adenosine-diphosphate [ADP] test cartridge) were within RIs. Flow cytometric studies demonstrated a marked reduction in fibrinogen binding to the dog's platelets in response to ADP - adenosine diphosphate activation. Likewise, turbidimetric aggregometry revealed a complete absence of platelet aggregation in response to ADP. However, there were a normal aggregation response to the platelet agonist convulxin and a mild reduction in amplitude in response to γ-thrombin. This is the first report of a dog heterozygous for the P2Y12 receptor gene mutation exhibiting a bleeding tendency and having evidence of impaired platelet function in vitro in response to ADP activation. Given that the mutant allele for the P2Y12 thrombopathia appears to be widespread in the Greater Swiss Mountain dog breed, veterinarians need to be aware that both homozygotes and heterozygotes for this platelet receptor mutation are at risk of developing life-threatening bleeding following trauma or surgery 
650 4 |a Case Reports 
650 4 |a Hereditary thrombopathia 
650 4 |a platelet aggregation 
650 4 |a platelet flow cytometry 
650 7 |a Receptors, Purinergic P2Y12  |2 NLM 
700 1 |a Boudreaux, Mary K  |e verfasserin  |4 aut 
700 1 |a Vasquez, Barbara  |e verfasserin  |4 aut 
700 1 |a Bristow, Poppy  |e verfasserin  |4 aut 
700 1 |a Aronson, Lillian R  |e verfasserin  |4 aut 
700 1 |a Santoro-Beer, Kari  |e verfasserin  |4 aut 
700 1 |a Callan, Mary Beth  |e verfasserin  |4 aut 
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