止血与血栓形成领域的新参与者。
New players in haemostasis and thrombosis.
作者信息
Geddings Julia E, Mackman Nigel
机构信息
Nigel Mackman, PhD, Division of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, NC, USA, Tel.: +1 919 843 3961, Fax: +1 919 966 7639, E-mail:
出版信息
Thromb Haemost. 2014 Apr 1;111(4):570-4. doi: 10.1160/TH13-10-0812. Epub 2014 Feb 27.
The blood coagulation cascade is essential for haemostasis, but excessive activation can cause thrombosis. Importantly, recent studies have identified factors that contribute to thrombosis but not haemostasis. These include factor XII (FXII), tissue factor-positive microparticles (MPs) and neutrophil extracellular traps (NETs). Studies have shown that FXII plays a role in thrombosis but not haemostasis. FXII is activated in vivo by a variety of negatively-charged polyphosphates, which include extracellular RNA, DNA and inorganic polyphosphate (PolyP) that are released during cell damage and infection. These findings have led to the development of nucleic acid-binding polymers as a new class of anticoagulant drug. Other studies have analysed the role of MPs in experimental thrombosis. MPs are small membrane vesicles released from activated or apoptotic cells. We and others have found that tissue factor-positive MPs enhance thrombosis in mouse models and are elevated in the plasma of pancreatic cancer patients. Finally, NETs have been shown to contribute to experimental venous thrombosis in mouse models and are present in human thrombi. NETs are composed of chromatin fibers that are released from neutrophils undergoing cell death. NETs can capture platelets and increase fibrin deposition. The recent advances in our understanding of the factors contributing to thrombosis in animal models provide new opportunities for the development of safer anticoagulant drugs.
血液凝固级联反应对于止血至关重要,但过度激活会导致血栓形成。重要的是,最近的研究已经确定了导致血栓形成但不影响止血的因素。这些因素包括因子 XII(FXII)、组织因子阳性微粒(MPs)和中性粒细胞胞外陷阱(NETs)。研究表明,FXII 在血栓形成中起作用,但在止血过程中不起作用。FXII 在体内被多种带负电荷的多磷酸盐激活,这些多磷酸盐包括细胞损伤和感染期间释放的细胞外 RNA、DNA 和无机多磷酸盐(PolyP)。这些发现促使了核酸结合聚合物作为一类新型抗凝药物的开发。其他研究分析了 MPs 在实验性血栓形成中的作用。MPs 是从活化或凋亡细胞释放的小膜泡。我们和其他人发现,组织因子阳性 MPs 在小鼠模型中增强血栓形成,并且在胰腺癌患者的血浆中升高。最后,NETs 已被证明在小鼠模型中促进实验性静脉血栓形成,并且存在于人类血栓中。NETs 由经历细胞死亡的中性粒细胞释放的染色质纤维组成。NETs 可以捕获血小板并增加纤维蛋白沉积。我们对动物模型中导致血栓形成的因素的最新认识进展为开发更安全的抗凝药物提供了新机会。