Myeloproliferative Neoplasm
Conditions
Keywords
myeloproliferative neoplasms, Circulating Procoagulants Microparticles
Brief summary
Patients with myeloproliferative neoplasms Philadelphia chromosome negative (MPNsPh1-) such as Essential thrombocytosis (ET), Polycythemia vera (PV) and Primary Myelofibrosis (PMF) have a higher risk of arterial or deep-vein thrombosis. This is responsible for a significant increase in mortality (up to 31% of increase in thrombosis risk in ET). Cellular inflation and blood hyperviscosity, resulting from these diseases, fail to account for these thromboses, as more than 50% of thrombotic complications happen under adapted antineoplastic drug treatment. These last years, cellular microparticles (MPs) have been shown to play a major role in thrombogenesis. MPs are generated by apoptosis or the activation of malignant cells, platelets, endothelial cells or monocytes. They are fragments of plasma membrane, smaller than 1 µm, rich in phosphatidylserine, which can express the tissue factor and serve as support for the coagulation factors. Increase in the plasma concentration of procoagulant platelet microparticles has been demonstrated in other thrombotic diseases (acute coronary syndrome, disseminated intravascular coagulation DIC, etc.). The working hypothesis is that platelet microparticles are involved in the hypercoagulability of MPNs patients.
Interventions
Blood sampling every 6 month following the routine calendar of visit
Sponsors
Study design
Eligibility
Inclusion criteria
for MNPs patients: * Age \> 18 * Establish MNPs Phi- diagnosis (ET, PV, MFP) * Consent to participate Inclusion Criteria for healthy volunteers: * Healthy volunteers matched in age, sex with the MNPs patients, with a normal complete blood and platelet count * No personal thromboembolic history * No known thromboembolic risk factor : thrombophilia, cancers, and other disease associated with a thrombotic risk (Atrial fibrillation, etc.) * Not pregnant * Non smoker * For women, no hormonal contraceptives
Exclusion criteria
for MNPs patients: * Pregnancy * Patient unable to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of the average number of microparticles detected by flow cytometry in all subgroup | Baseline |
Countries
France