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Bleeding, Thrombosis, and Vascular Biology最新文献

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Inflammation, platelets and diabetes 炎症,血小板和糖尿病
Pub Date : 2023-06-12 DOI: 10.4081/btvb.2023.77
F. Santilli, P. Simeone, R. Liani
Type 2 diabetes is a key player in atherothrombosis. Inflammation participates in metabolic homeostasis interacting with adipose tissue-specific macrophages. Platelets appear as addresses and players carrying and transducing metabolic derangement into vascular injury. AGE-RAGE pathway is recognized as the driver of metabolic memory. Human platelets have insulin receptors that participate in the regulation of platelet function and platelets are potential sites of insulin resistance. The present mini-review addresses key pathophysiological aspects including i) the role of inflammation in the pathogenesis of diabetes; ii) platelets as inflammatory cells; iii) the involvement on inflammation in the interindividual variability in aspirin response. Taken together, these aspects may contribute to expand knowledge about the link between the extent of inflammation, platelet activation and turnover, and interindividual variability in the development of atherothrombosis and its prevention, in a view of precision medicine.
2型糖尿病是动脉粥样硬化血栓形成的关键因素。炎症参与代谢稳态与脂肪组织特异性巨噬细胞相互作用。血小板作为地址和玩家出现,携带和转导代谢紊乱进入血管损伤。AGE-RAGE通路被认为是代谢记忆的驱动因素。人类血小板有胰岛素受体参与血小板功能的调节,血小板是胰岛素抵抗的潜在位点。本综述涉及的主要病理生理方面包括:1)炎症在糖尿病发病机制中的作用;Ii)血小板作为炎症细胞;Iii)阿司匹林反应的个体差异与炎症的关系。综上所述,从精准医学的角度来看,这些方面可能有助于扩大对炎症程度、血小板活化和周转、动脉粥样硬化血栓形成及其预防的个体差异之间的联系的认识。
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引用次数: 0
The new era of anticoagulation: factor XI and XII inhibitors
Pub Date : 2023-06-07 DOI: 10.4081/btvb.2023.76
D. Prisco, I. Mattioli, R. de Caterina, A. Bettiol
The two last decades have witnessed a revolution in the field of anticoagulation, mainly due to the advent of direct anticoagulant with targeted action against single coagulation proteins. However, the residual risk of cardio- and cerebrovascular events, particularly in some critical settings, and the risk of major bleeding still represent unmet medical needs. Preclinical studies and experience from families with genetic deficiencies of factor XI or XII (FXI and FXII) allowed to identify these factors involved in the contact pathway of coagulation as potential targets for new anticoagulant approaches. To date, several pharmacological classes of FXI and FXII inhibitors have been developed, including antisense oligonucleotides, monoclonal antibodies, small molecules, natural inhibitors, and aptamers, and various molecules are currently under phase 2 or 3 clinical investigation. Particularly, promising results have been obtained in patients undergoing major orthopedic surgery, in those with end-stage kidney disease, atrial fibrillation and acute coronary syndrome. This review summarizes current knowledge on FXI and FXII inhibitors, with a particular focus on their pharmacological properties and potential clinical indications.
在过去的二十年里,抗凝领域发生了一场革命,主要是由于针对单一凝血蛋白的直接抗凝剂的出现。然而,心脑血管事件的剩余风险,特别是在一些关键环境中,以及大出血的风险仍然是未满足的医疗需求。迄今为止,已经开发了几种FXI和FXII抑制剂的药理学类别,包括反义寡核苷酸,单克隆抗体,小分子,天然抑制剂和适体,并且各种分子目前正在进行2期或3期临床研究。特别是,在接受重大骨科手术的患者、患有终末期肾病、心房颤动和急性冠状动脉综合征的患者中获得了令人鼓舞的结果。本文综述了目前关于FXI和FXII抑制剂的知识,特别关注它们的药理特性和潜在的临床适应症。
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引用次数: 1
Science and scientists under attack 科学和科学家受到攻击
Pub Date : 2023-05-23 DOI: 10.4081/btvb.2023.80
V. De Stefano
It has happened, therefore it can happen again (Primo Levi) Dear Editor,A recent Editorial published in your journal illustrated the condition of Ukrainian scientists during the invasion of their country by the aggressor Russian Federation: killed, at the front, or refugees. Just as the international democratic community supports Ukraine from the attack and already plans reconstruction, the scientific community is urged to support its Ukrainian colleagues and their scientific networks.
(Primo Levi)亲爱的编辑,最近在您的杂志上发表的一篇社论说明了乌克兰科学家在侵略者俄罗斯联邦入侵他们的国家期间的状况:被杀害,在前线,或难民。正如国际民主社会支持乌克兰免受袭击并已经计划重建一样,科学界被敦促支持其乌克兰同事及其科学网络。
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引用次数: 0
Is non-alcoholic fatty liver disease a prothrombotic risk factor? 非酒精性脂肪肝是血栓形成前的危险因素吗?
Pub Date : 2023-05-19 DOI: 10.4081/btvb.2023.81
Niccolò Bitto, V. la Mura, A. Fracanzani, A. Tripodi
Not available
不可用
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引用次数: 0
Gene transfer in hemophilia B: a big step forward 血友病B基因转移:向前迈进了一大步
Pub Date : 2023-05-17 DOI: 10.4081/btvb.2023.70
G. Castaman
Not available
不可用
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引用次数: 1
Aspirin or low-molecular weight heparin for thromboprophylaxis after a fracture? That is the question 骨折后预防血栓是阿司匹林还是低分子肝素?这就是问题所在
Pub Date : 2023-05-17 DOI: 10.4081/btvb.2023.82
G. Camporese, P. Prandoni, W. Ageno
Not available
不可用
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引用次数: 0
Tumor necrosis factor superfamily in multiple sclerosis: from pathology to therapeutic implications 多发性硬化症的肿瘤坏死因子超家族:从病理到治疗意义
Pub Date : 2023-05-03 DOI: 10.4081/btvb.2023.66
F. Azzolini, Antonio Bruno, Ettore Dolcetti, D. Centonze, F. Buttari
Tumor necrosis factor (TNF) is a key player in multiple sclerosis pathology. TNF signaling is dually regulated by antagonist groups of actors: TNFR1, mediating proinflammatory effects and synaptopathy, CD40L-CD40 dyad, crucial for blood-brain barrier breakdown and facilitation of recruitment of inflammatory cells in the central nervous system, and TNFR2, promoting neuroprotective and reparative functions. A promising therapeutic approach in multiple sclerosis is represented by selective TNFR1 antagonists and TNFR2 agonists, possibly in combination. TNFR2 agonists could exert both central effects such as remyelination, reduction of glutamatergic excitotoxicity, and peripheral immunomodulation by enhancing T cells (Treg) activity. On the other side, the potential therapeutic role of platelet and CD40L-CD40 dyad inhibition could be beneficial to preserve blood-brain barrier integrity and thereby dampen neuroinflammation.
肿瘤坏死因子(Tumor necrosis factor, TNF)在多发性硬化症病理中起关键作用。TNF信号受拮抗因子组的双重调节:TNFR1,介导促炎作用和突触病变,CD40L-CD40双偶,对血脑屏障的破坏和促进中枢神经系统炎症细胞的募集至关重要;TNFR2,促进神经保护和修复功能。选择性TNFR1拮抗剂和TNFR2激动剂(可能联合使用)是多发性硬化症的一种有希望的治疗方法。TNFR2激动剂可以发挥中枢作用,如髓鞘再生,减少谷氨酸能兴奋性毒性,以及通过增强T细胞(Treg)活性来调节外周免疫。另一方面,血小板和CD40L-CD40二联体抑制的潜在治疗作用可能有利于保持血脑屏障的完整性,从而抑制神经炎症。
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引用次数: 0
Blood platelet heterogeneity at a glance: new insights into the relationship between platelet distribution width and neuropsychiatric disorders 血小板异质性一览:血小板分布宽度与神经精神疾病关系的新见解
Pub Date : 2023-05-03 DOI: 10.4081/btvb.2023.65
B. Izzi, J. Fuster
Not available
不可用
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引用次数: 1
A contribution from Umberto Veronesi Foundation 来自翁贝托·韦罗内西基金会的捐款
Pub Date : 2023-04-04 DOI: 10.4081/btvb.2023.74
C. Tonelli
Dear Editor,I have read with great interest your Editorial “Science in Ukraine is bleeding”. As a scientist, I strongly feel that researchers should pay both human and scientific attention to the tragedy occurring to Ukrainian scientists, since the Russian invasion [...].
亲爱的编辑,我怀着极大的兴趣阅读了您的社论《乌克兰的科学正在流血》。作为一名科学家,我强烈认为研究人员应该对俄罗斯入侵后乌克兰科学家遭遇的悲剧给予人文和科学的关注[…]。
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引用次数: 0
The metaphor of Ukrainian science “bleeding” 乌克兰科学“流血”的比喻
Pub Date : 2023-04-04 DOI: 10.4081/btvb.2023.73
Gaetano Torlone
Dear Editor,The editorial "Science in Ukraine is 'bleeding'" brings to mind, by a curious harmony of concepts, Paolo Nori's book Sanguina ancora. L'incredibile vita di Fëdor M. Dostojevskij [...].
亲爱的编辑,《乌克兰科学》专栏作家保罗·诺瑞斯的书还在流血。Fëdor M不可思议的生活。Dostojevskij[...]。
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引用次数: 1
期刊
Bleeding, Thrombosis, and Vascular Biology
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