Páramo José A
Servicio de Hematología, Clínica Universidad de Navarra. IdiSNA. CIBERCV, Pamplona, España.
Reumatol Clin (Engl Ed). 2020 Jun 17;18(1):1-4. doi: 10.1016/j.reuma.2020.06.004.
The haemostatic system acts in concert with inflammation, so that after inflammatory response various mediators activate the haemostatic system through endothelial dysfunction, platelet activation and coagulation promoting thrombosis, which is termed thromboinflammation. In this process, the inflammasome acquires special relevance; its stimulation promotes innate and adaptive immune responses. Inflammasome activation plays an important physiopathological role in several disorders with inflammatory and thrombotic phenomena. The role of thromboinflammation has become relevant in the COVID-19 pandemic, in which a cytokine storm has been described as one of the responsible mechanisms.
止血系统与炎症协同作用,因此在炎症反应后,各种介质通过内皮功能障碍、血小板活化和凝血促进血栓形成来激活止血系统,这被称为血栓炎症。在这个过程中,炎性小体具有特殊的相关性;其刺激可促进先天性和适应性免疫反应。炎性小体激活在几种具有炎症和血栓形成现象的疾病中发挥着重要的生理病理作用。血栓炎症的作用在新冠疫情中变得至关重要,其中细胞因子风暴被描述为一种致病机制。