Novel Biomarkers Associated with Deep Venous Thrombosis: A Comprehensive Review

Novel Biomarkers Associated with Deep Venous Thrombosis: A Comprehensive Review
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与深静脉血栓形成相关的新型生物标志物:综合评价

DOI:
10.1177/117727190800300004
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发表时间:
2008
期刊:
影响因子:
3.8
通讯作者:
J. Rectenwald
J. Rectenwald
中科院分区:
--
文献类型:
--
作者:
D. Barnes;T. Wakefield;J. Rectenwald

文献摘要

参考文献

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原发性和复发性静脉血栓栓塞性疾病(VTE,深静脉血栓形成和肺栓塞)仍然是住院患者发病率和死亡率的重要来源。非特异性的主观主诉和缺乏与急性深静脉血栓形成(DVT)和肺栓塞(PE)相关的特异性客观结果使诊断复杂化。目前还没有单一的血清标志物可用于专门确认静脉血栓栓塞的诊断。虽然D-二聚体高度敏感,可用于诊断排除,但它缺乏诊断确认所需的特异性,因此需要进行各种额外的研究(即:双功超声、静脉造影、V/Q扫描、螺旋胸部和骨盆CT扫描和肺血管造影)。不断发展的研究支持各种血浆标志物作为VTE的新型“生物标志物”的效用,包括选择素、微粒、白细胞介素-10和其他细胞因子。本文综述了近年来P-选择素、微粒、D-二聚体、E-选择素、凝血酶、白细胞介素和纤维蛋白单体在静脉血栓栓塞诊断和指导治疗中的应用。
Primary and recurrent venous thromboembolic disease (VTE, deep venous thrombosis and pulmonary embolism) remain a significant source of morbidity and mortality in the hospitalized patient. Non-specific subjective complaints and lack of specific objective findings related to acute deep venous thrombosis (DVT) and pulmonary embolism (PE) complicate the diagnosis. There remains no single serum marker available to exclusively confirm the diagnosis of VTE. While D-dimer is highly sensitive and useful for diagnostic exclusion, it lacks the specificity necessary for diagnostic confirmation resulting in the need for a variety of additional studies (i.e.: duplex ultrasound, venography, V/Q scanning, helical thoracic and pelvic CT scans and pulmoary angiography). There is evolving research supporting the utility of various plasma markers as novel “biomarkers” for VTE including selectins, microparticles, interleukin-10 and other cytokines. This review attempts to examine recent literature assessing the utility of P-selectin, microparticles, D-dimer, E-selectin, thrombin, interleukins and fibrin monomers in the diagnosis and guidance of therapy for VTE.
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发表时间: 1998-08
影响因子: 4.4
作者:
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发表时间: 1996-02-15
期刊: BLOOD
影响因子: 20.3
作者:
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发表时间: 1998-02-15
期刊: BLOOD
影响因子: 20.3
作者:
Frenette, PS;Moyna, C;Wagner, DD
通讯作者: Wagner, DD
P-选择素和 TNF 抑制可减轻静脉血栓形成炎症。
DOI: 10.1006/jsre.1996.0301
发表时间: 1996
期刊: The Journal of surgical research.
影响因子: --
作者:
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