Maruyama I
Department of Laboratory Medicine, Kagoshima University School of Medicine.
Nihon Rinsho. 1994 Aug;52(8):2024-8.
Endothelial cells exhibit antithrombogenic properties, including PGI2 and NO production which inhibit platelet functions and induce blood vessel dilatation. Endothelium also produces thrombomodulin which converts thrombin from a procoagulant protease to an anticoagulant. These antithrombogenic properties are altered by several factors, which include inflammatory cytokines (IL-1, TNF) resulting hypercoagulable state in inflammation. Thus increased markers of coagulation/fibrinolysis were observed in angitis syndrome. The hypercoagulable state showing the activity of angitis may cause thrombosis and may act as a progressive factor for angitis.
内皮细胞具有抗血栓形成特性,包括产生前列环素(PGI2)和一氧化氮(NO),它们可抑制血小板功能并诱导血管扩张。内皮细胞还产生血栓调节蛋白,可将凝血酶从促凝蛋白酶转化为抗凝剂。这些抗血栓形成特性会受到多种因素的影响,其中包括炎症细胞因子(白细胞介素-1、肿瘤坏死因子),这会导致炎症状态下的高凝状态。因此,在血管炎综合征中观察到凝血/纤维蛋白溶解标志物增加。显示血管炎活性的高凝状态可能导致血栓形成,并可能作为血管炎的进展因素。