Background:
The aim of this study was to investigate the impact of body
mass index (BMI) and body weight on the concentrations of ticagrelor and the
ticagrelor metabolite, AR-C124910XX, as well as the platelet aggregation rate
(PAR) in a Chinese Han population with unstable angina (UA). Specifically, it
focused on these parameters following the administration of dual antiplatelet
therapy (DAPT) comprising aspirin and ticagrelor.
Methods:
A total of
105 patients with UA were included in the study. Measurement of the platelet
aggregation rate induced by adenosine diphosphate (PAR-ADP) was performed before,
as well as 3 and 30 days after DAPT treatment. The plasma concentrations of
ticagrelor and AR-C124910XX were detected at 3 and 30 days after DAPT treatment.
We conducted correlation analyses to assess the effects of BMI and body weight on
the concentrations of ticagrelor and AR-C124910XX, on PAR-ADP, and on the
inhibition of platelet aggregation induced by adenosine diphosphate (IPA-ADP) at
both 3 and 30 days after DAPT treatment.
Results:
The BMI and body
weight were positively correlated with baseline PAR-ADP (
r
= 0.205,
p
= 0.007;
r
= 0.122,
p
= 0.022). The PAR-ADP at 3 and
30 days after DAPT treatment were significantly lower than at baseline (61.56%
10.62%, 8.02%
7.52%, 12.90%
7.42%,
p
0.001). There was a negative correlation between body weight and the
concentrations of ticagrelor and AR-C124910XX at 3 days following DAPT treatment
(
r
= –0.276,
p
0.001;
r
= –0.337,
p
0.001). Additionally, BMI showed a similar negative correlation with the
concentrations of ticagrelor and AR-C124910XX (
r
= –0.173,
p
=
0.009;
r
= –0.207,
p
= 0.002). At 30 days after treatment, both
body weight and BMI were negatively correlated with ticagrelor (
r
=
–0.256,
p
0.001;
r
= –0.162,
p
= 0.015) and its
metabolite (
r
= –0.352,
p
0.001;
r
= –0.202,
p
= 0.002). Body weight was positively correlated with PAR-ADP
(
r
= 0.171,
p
= 0.010) and negatively correlated with IPA-ADP
(
r
= –0.163,
p
= 0.015) at 30 days after treatment. Similarly,
BMI was positively correlated with PAR-ADP (
r
= 0.217,
p
=
0.001) and negatively correlated with IPA-ADP (
...