Cyclic thrombocytopenia associated with estradiol: a case report.
Ningbo PangYingwei LiKangxi ZhouChunliang LiuRong YanChenglin SunWeiling XiaoChanggeng RuanZhimin ZhaiKesheng DaiPublished in: Hematology (Amsterdam, Netherlands) (2023)
We find that E2 induces platelet apoptosis and clearance through PDE3A-mediated PKA inhibition. Activation of PKA rescues E2-induced thrombocytopenia in mice. Thus, our study reveals a pathogenesis of E2-related CTP and suggests promising therapeutic strategies for the disease.