Mathews Rick, Hinds Monica T, Nguyen Khanh P
Department of Biomedical Engineering, Oregon Health and Science University.
Research & Development Service, VA Portland Healthcare System.
Curr Opin Hematol. 2024 May 1;31(3):122-129. doi: 10.1097/MOH.0000000000000809. Epub 2024 Feb 12.
This review summarizes recent advances in developing targeted diagnostics for venous thromboembolism (VTE) and unaddressed knowledge gaps in patient management. Without addressing these critical data needs, the morbidity in VTE patients will persist.
Recent studies investigating plasma protein profiles in VTE patients have identified key diagnostic targets to address the currently unmet need for low-cost, confirmatory, point-of-care VTE diagnostics. These studies and a growing body of evidence from animal model studies have revealed the importance of inflammatory and vascular pathology in driving VTE, which are currently unaddressed targets for VTE therapy. To enhance the translation of preclinical animal studies, clinical quantification of thrombus burden and comparative component analyses between modeled VTE and clinical VTE are necessary.
Lead candidates from protein profiling of VTE patients' plasma offer a promising outlook in developing low cost, confirmatory, point-of-care testing for VTE. Additionally, addressing the critical knowledge gap of quantitatively measuring clinical thrombi will allow for an array of benefits in VTE management and informing the translatability of experimental therapeutics.
本综述总结了静脉血栓栓塞症(VTE)靶向诊断方法的最新进展以及患者管理中尚未解决的知识空白。若不满足这些关键数据需求,VTE患者的发病率将持续存在。
近期对VTE患者血浆蛋白谱的研究确定了关键诊断靶点,以满足目前对低成本、确证性、即时检验VTE诊断方法的未满足需求。这些研究以及来自动物模型研究的越来越多的证据表明,炎症和血管病理在引发VTE中具有重要作用,而这是目前VTE治疗中尚未涉及的靶点。为加强临床前动物研究的转化,有必要对血栓负荷进行临床量化,并对模拟VTE和临床VTE进行比较成分分析。
VTE患者血浆蛋白谱分析中的潜在候选物为开发低成本、确证性、即时检验VTE检测方法提供了广阔前景。此外,解决定量测量临床血栓这一关键知识空白将为VTE管理带来一系列益处,并为实验性治疗方法的可转化性提供依据。