Thrombosis in the uremic milieu--emerging role of "thrombolome".

Thrombosis in the uremic milieu--emerging role of "thrombolome".
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DOI:
10.1111/sdi.12255
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发表时间:
2015-03
影响因子:
1.6
通讯作者:
Chitalia V
Chitalia V
中科院分区:
医学3区
文献类型:
--
作者:
Shashar M;Francis J;Chitalia V

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慢性肾脏病(CKD)的特点是保留了一些毒素,释放细胞损伤。具有这些毒素和大量代谢异常的CKD环境(统称为尿毒症环境)具有高度血栓形成性。CKD是自发性静脉和动脉(血管损伤后)血栓形成的一个强而独立的风险因素。新出现的证据指出,以前未认识到的作用,一些促血栓形成尿毒症毒素。在这里,我们提供了一个在CKD血栓形成的概述和吲哚尿毒症毒素的更新,这有力地增加组织因子,一种有效的促凝血剂,在几种血管细胞类型,增强血栓形成。这组尿毒症毒素,我们称之为“血栓组”(血栓形成和代谢组),代表了血栓形成的一种新的风险因素,可以进一步探索作为CKD患者血管介入后血栓形成的生物标志物。
Chronic kidney disease (CKD) is characterized by retention of a number of toxins, which unleash cellular damage. CKD environment with these toxins and a host of metabolic abnormalities (collectively termed as uremic milieu) is highly thrombogenic. CKD represents a strong and independent risk factor for both spontaneous venous and arterial (post-vascular injury) thrombosis. Emerging evidence points to a previously unrecognized role of some of the pro-thrombotic uremic toxins. Here we provide an overview of thrombosis in CKD and an update on indolic uremic toxins, which robustly increase tissue factor, a potent pro-coagulant, in several vascular cell-types enhancing thrombosis. This panel of uremic toxins, which we term ‘thrombolome’ (thrombosis and metabolome), represents a novel risk factor for thrombosis and can be further explored as biomarkers for post-vascular interventional thrombosis in patients with CKD.
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