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肝硬化中血小板反应性受损的分子机制。

Molecular mechanism underlying impaired platelet responsiveness in liver cirrhosis.

作者信息

Laffi G, Cominelli F, Ruggiero M, Fedi S, Chiarugi V, Gentilini P

出版信息

FEBS Lett. 1987 Aug 10;220(1):217-9. doi: 10.1016/0014-5793(87)80907-9.

DOI:10.1016/0014-5793(87)80907-9
PMID:3609314
Abstract

We have studied platelet function in 10 patients with severe liver cirrhosis, compared to healthy subjects. Using washed platelets, we have investigated the molecular mechanism underlying the defect in platelet aggregation frequently observed in these patients. We have found that platelets from cirrhotic patients have a reduced responsiveness to thrombin and collagen in terms of aggregation, and receptor-dependent activation of phospholipase C, A2 and cyclooxygenase/thromboxane synthetase. We thus suggest that this impairment in transmembrane signalling is responsible for the defective platelet function observed in cirrhosis.

摘要

我们研究了10例严重肝硬化患者的血小板功能,并与健康受试者进行了比较。我们使用洗涤过的血小板,研究了这些患者中经常观察到的血小板聚集缺陷背后的分子机制。我们发现,肝硬化患者的血小板在聚集、磷脂酶C、A2以及环氧化酶/血栓素合成酶的受体依赖性激活方面,对凝血酶和胶原蛋白的反应性降低。因此,我们认为这种跨膜信号传导的损害是肝硬化中观察到的血小板功能缺陷的原因。

相似文献

1
Molecular mechanism underlying impaired platelet responsiveness in liver cirrhosis.肝硬化中血小板反应性受损的分子机制。
FEBS Lett. 1987 Aug 10;220(1):217-9. doi: 10.1016/0014-5793(87)80907-9.
2
Altered platelet function in cirrhosis of the liver: impairment of inositol lipid and arachidonic acid metabolism in response to agonists.肝硬化时血小板功能的改变:对激动剂反应中肌醇脂质和花生四烯酸代谢的损害。
Hepatology. 1988 Nov-Dec;8(6):1620-6. doi: 10.1002/hep.1840080625.
3
Evidence for a role for phospholipase C, but not phospholipase A2, in platelet activation in response to low concentrations of collagen.低浓度胶原蛋白刺激血小板活化过程中,磷脂酶C而非磷脂酶A2发挥作用的证据。
Thromb Haemost. 2001 May;85(5):882-9.
4
Antiplatelet protease, kistomin, selectively cleaves human platelet glycoprotein Ib.抗血小板蛋白酶基斯托明可选择性切割人血小板糖蛋白 Ib。
Biochim Biophys Acta. 1993 Nov 28;1158(3):293-9. doi: 10.1016/0304-4165(93)90028-7.
5
Reduced platelet thromboxane A2 production as a possible cause of defective platelet aggregation in cirrhosis.血小板血栓素A2生成减少可能是肝硬化患者血小板聚集功能缺陷的原因。
Adv Prostaglandin Thromboxane Leukot Res. 1987;17A:366-9.
6
Biphasic effect on platelet aggregation by phospholipase a purified from Vipera russellii snake venom.从圆斑蝰蛇毒中纯化的磷脂酶对血小板聚集的双相作用。
Biochim Biophys Acta. 1984 May 30;772(3):393-402. doi: 10.1016/0005-2736(84)90156-1.
7
Inhibition of platelet aggregation by unsaturated fatty acids through interference with a thromboxane-mediated process.不饱和脂肪酸通过干扰血栓素介导的过程抑制血小板聚集。
Biochim Biophys Acta. 1987 Nov 12;931(2):157-64. doi: 10.1016/0167-4889(87)90201-1.
8
Inhibitory effect of GBH on platelet aggregation through inhibition of intracellular Ca2+ mobilization in activated human platelets.GBH通过抑制活化人血小板内的钙离子动员对血小板聚集产生抑制作用。
Life Sci. 2004 Nov 5;75(25):3063-76. doi: 10.1016/j.lfs.2004.07.010.
9
Defective aggregation in cirrhosis is independent of in vivo platelet activation.肝硬化中血小板聚集功能缺陷与体内血小板激活无关。
J Hepatol. 1996 Apr;24(4):436-43. doi: 10.1016/s0168-8278(96)80164-4.
10
Secretory phospholipase A2 is not required for arachidonic acid liberation during platelet activation.在血小板激活过程中,花生四烯酸的释放并不需要分泌型磷脂酶A2。
Eur J Biochem. 1993 Aug 15;216(1):169-75. doi: 10.1111/j.1432-1033.1993.tb18129.x.

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The antiplatelet activity of camel milk in healthy and aluminum chloride-intoxicated rats.骆驼奶在健康大鼠和氯化铝中毒大鼠中的抗血小板活性。
Saudi J Biol Sci. 2022 Aug;29(8):103369. doi: 10.1016/j.sjbs.2022.103369. Epub 2022 Jul 1.
2
Platelet Function and Other Indices of Hemostasis in Chronic Liver Disease.慢性肝病中的血小板功能及其他止血指标
Gastroenterology Res. 2010 Aug;3(4):167-170. doi: 10.4021/gr226e. Epub 2010 Jul 20.
3
Changing Concepts of Cirrhotic Coagulopathy.肝硬化凝血病概念的转变
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