Beura Samir Kumar, Panigrahi Abhishek Ramachandra, Yadav Pooja, Kulkarni Paresh P, Lakhanpal Vikas, Singh Bhupinder, Singh Sunil Kumar
Department of Zoology, School of Basic Sciences, Central University of Punjab, Bathinda, Punjab, India, 151401.
Department of Cardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, OH, 44195, USA.
Mol Neurobiol. 2025 Apr;62(4):4802-4836. doi: 10.1007/s12035-024-04589-4. Epub 2024 Nov 1.
Thrombosis, the formation of blood clots in arteries or veins, poses a significant health risk by disrupting the blood flow. It can potentially lead to major cardiovascular complications such as acute myocardial infarction or ischemic stroke (arterial thrombosis) and deep vein thrombosis or pulmonary embolism (venous thrombosis). Nevertheless, over the course of several decades, researchers have observed an association between different cardiovascular events and neurodegenerative diseases, which progressively harm and impair parts of the nervous system, particularly the brain. Furthermore, thrombotic complications have been identified in numerous clinical instances of neurodegenerative diseases, particularly Alzheimer's disease, Parkinson's disease, multiple sclerosis, and Huntington's disease. Substantial research indicates that endothelial dysfunction, vascular inflammation, coagulation abnormalities, and platelet hyperactivation are commonly observed in these conditions, collectively contributing to an increased risk of thrombosis. Thrombosis can, in turn, contribute to the onset, pathogenesis, and severity of these neurological disorders. Hence, this concise review comprehensively explores the correlation between cardiovascular diseases and neurodegenerative diseases, elucidating the cellular and molecular mechanisms of thrombosis in these neurodegenerative diseases. Additionally, a detailed discussion is provided on the commonly employed antithrombotic medications in the context of these neuronal diseases.
血栓形成,即在动脉或静脉中形成血凝块,会因干扰血流而带来重大健康风险。它可能会引发诸如急性心肌梗死或缺血性中风(动脉血栓形成)以及深静脉血栓形成或肺栓塞(静脉血栓形成)等重大心血管并发症。然而,在过去几十年中,研究人员观察到不同心血管事件与神经退行性疾病之间存在关联,这些疾病会逐渐损害神经系统的各个部分,尤其是大脑。此外,在神经退行性疾病的众多临床病例中,特别是阿尔茨海默病、帕金森病、多发性硬化症和亨廷顿病中,已发现血栓形成并发症。大量研究表明,在这些情况下通常会观察到内皮功能障碍、血管炎症、凝血异常和血小板过度活化,这些共同导致血栓形成风险增加。反过来,血栓形成又会促使这些神经疾病的发生、发病机制和严重程度。因此,这篇简明综述全面探讨了心血管疾病与神经退行性疾病之间的相关性,阐明了这些神经退行性疾病中血栓形成的细胞和分子机制。此外,还针对这些神经疾病中常用的抗血栓药物进行了详细讨论。