Cardiology Department, "Hippokration" General Hospital, University of Athens Medical School, 11527 Athens, Greece.
Cardiology Department, "Sotiria" Chest Diseases Hospital, University of Athens Medical School, 11527 Athens, Greece.
Int J Mol Sci. 2022 Mar 18;23(6):3301. doi: 10.3390/ijms23063301.
Platelets are at the forefront of human health and disease following the advances in their research presented in past decades. Platelet activation, their most crucial function, although beneficial in the case of vascular injury, may represent the initial step for thrombotic complications characterizing various pathologic states, primarily atherosclerotic cardiovascular diseases. In this review, we initially summarize the structural and functional characteristics of platelets. Next, we focus on the process of platelet activation and its associated factors, indicating the potential molecular mechanisms involving inflammation, endothelial dysfunction, and miRs. Finally, an overview of the available antiplatelet agents is being portrayed, together with agents possessing off-set platelet-inhibitory actions, while an extensive presentation of drugs under investigation is being given.
在过去几十年的研究进展之后,血小板处于人类健康和疾病的前沿。血小板的激活是其最重要的功能,尽管在血管损伤的情况下是有益的,但它可能代表了各种病理状态(主要是动脉粥样硬化性心血管疾病)中血栓并发症的初始步骤。在这篇综述中,我们首先总结了血小板的结构和功能特征。接下来,我们专注于血小板激活的过程及其相关因素,指出涉及炎症、内皮功能障碍和微小 RNA 的潜在分子机制。最后,我们概述了现有的抗血小板药物,以及具有抗血小板抑制作用的药物,并广泛介绍了正在研究的药物。