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静脉血栓栓塞症:诊断进展与管理中未解决的挑战

Venous thromboembolism: diagnostic advances and unaddressed challenges in management.

作者信息

Mathews Rick, Hinds Monica T, Nguyen Khanh P

机构信息

Department of Biomedical Engineering, Oregon Health and Science University.

Research & Development Service, VA Portland Healthcare System.

出版信息

Curr Opin Hematol. 2024 May 1;31(3):122-129. doi: 10.1097/MOH.0000000000000809. Epub 2024 Feb 12.

Abstract

PURPOSE OF REVIEW

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 FINDINGS

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.

SUMMARY

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.

摘要

综述目的

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。

最新发现

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。

总结

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。

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本文引用的文献

1
Statin Use and the Risk of Venous Thromboembolism in Women Taking Hormone Therapy.
JAMA Netw Open. 2023 Dec 1;6(12):e2348213. doi: 10.1001/jamanetworkopen.2023.48213.
2
Role of platelet count in a murine stasis model of deep vein thrombosis.
Platelets. 2024 Dec;35(1):2290916. doi: 10.1080/09537104.2023.2290916. Epub 2023 Dec 15.
3
Provoked vs minimally provoked vs unprovoked VTE: does it matter?
Hematology Am Soc Hematol Educ Program. 2023 Dec 8;2023(1):600-605. doi: 10.1182/hematology.2023000492.
4
Proteomic insights into modifiable risk of venous thromboembolism and cardiovascular comorbidities.
J Thromb Haemost. 2024 Mar;22(3):738-748. doi: 10.1016/j.jtha.2023.11.013. Epub 2023 Nov 27.
6
The modulation of platelet function by growth hormone in growth hormone deficient Hypopituitary patients.
BMC Endocr Disord. 2023 Sep 14;23(1):197. doi: 10.1186/s12902-023-01448-6.
8
The role of monocytes in thrombotic diseases: a review.
Front Cardiovasc Med. 2023 Jun 2;10:1113827. doi: 10.3389/fcvm.2023.1113827. eCollection 2023.
9
Elevated plasma complement factor H related 5 protein is associated with venous thromboembolism.
Nat Commun. 2023 Jun 7;14(1):3280. doi: 10.1038/s41467-023-38383-y.
10
Molecular Determinants of Chronic Venous Disease: A Comprehensive Review.
Int J Mol Sci. 2023 Jan 18;24(3):1928. doi: 10.3390/ijms24031928.

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