{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T15:40:40Z","timestamp":1762875640583},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,11,17]],"date-time":"2014-11-17T00:00:00Z","timestamp":1416182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":288,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Lab Hematology"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Cardiovascular disease and thrombotic events have emerged as major causes of mortality in people living with <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>. Activated platelets play a key role in both inflammation and thrombosis. Haematology analysers measure a variety of platelet indices, which could be surrogate markers of platelet activation. Flow cytometry offers the discrimination of platelet subpopulations and evaluation of the activation status of platelets. This study aimed to measure platelet indices in untreated <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> infection and to evaluate their relationship with markers of immune activation and disease progression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>One hundred and eighty\u2010five antiretroviral therapy (<jats:styled-content style=\"fixed-case\">ART<\/jats:styled-content>)\u2010na\u00efve <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected and 145 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative healthy individuals were recruited. Platelet indices measured using the <jats:styled-content style=\"fixed-case\">ADVIA<\/jats:styled-content> 2120 platform consisted of platelet count (<jats:styled-content style=\"fixed-case\">PLT<\/jats:styled-content> \u00d710<jats:sup>9<\/jats:sup>\/L), mean platelet volume (<jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> fL), platelet distribution width (<jats:styled-content style=\"fixed-case\">PDW<\/jats:styled-content>%) and plateletcrit (<jats:styled-content style=\"fixed-case\">PCT<\/jats:styled-content>%). These were correlated with <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>4 count, %<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>38 on <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>8+ (<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>38\/8) T cells, viral load, fibrinogen, D\u2010dimers and <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>31+ platelet <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>62P and <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>36 expression, determined using flow cytometry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> group had decreased <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> levels [median 7.7 (7.1\u20138.3) <jats:italic>vs<\/jats:italic>. control group 8.4 (7.8\u20139.2), <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001], which correlated with <jats:styled-content style=\"fixed-case\">PCT<\/jats:styled-content>% (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.3038, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0013), viral load (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.2680, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0177) and <jats:styled-content style=\"fixed-case\">PDW<\/jats:styled-content>% (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.2479, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0257). Additionally, the <jats:styled-content style=\"fixed-case\">MPV<\/jats:styled-content> correlated with <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>4 count <jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.2898, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0075. The <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> group had decreased <jats:styled-content style=\"fixed-case\">PDW<\/jats:styled-content>%, 49.35 (46.40\u201352.65) <jats:italic>vs<\/jats:italic>. control group, 53.90 (50\u201356.80), <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0170. In addition, the <jats:styled-content style=\"fixed-case\">PDW<\/jats:styled-content>% showed correlations with D\u2010dimers (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.443, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.03) and %<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>36 (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.3666, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0463).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Platelet indices may offer a rapid and affordable method for monitoring platelet activation and disease progression in patients with <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijlh.12307","type":"journal-article","created":{"date-parts":[[2014,11,17]],"date-time":"2014-11-17T12:18:41Z","timestamp":1416226721000},"page":"450-458","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["The evaluation of platelet indices and markers of inflammation, coagulation and disease progression in treatment\u2010na\u00efve, asymptomatic <scp>HIV<\/scp>\u2010infected individuals"],"prefix":"10.1111","volume":"37","author":[{"given":"B. 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