Artikel ; Online: Tissue factor expression in monocyte subsets during human immunothrombosis, endotoxemia and sepsis.
2023 Band 228, Seite(n) 10–20
Abstract: Introduction: Tissue factor expression on monocytes is implicated in the pathophysiology of sepsis-induced coagulopathy. How tissue factor is expressed by monocyte subsets (classical, intermediate and non-classical) is unknown.: Methods: Monocytic ... ...
Abstract | Introduction: Tissue factor expression on monocytes is implicated in the pathophysiology of sepsis-induced coagulopathy. How tissue factor is expressed by monocyte subsets (classical, intermediate and non-classical) is unknown. Methods: Monocytic tissue factor surface expression was investigated during three conditions. Primary human monocytes and microvascular endothelial cell co-cultures were used for in vitro studies. Volunteers received a bolus of lipopolysaccharide (2 ng/kg) to induce endotoxemia. Patients with sepsis, or controls with critical illness unrelated to sepsis, were recruited from four intensive care units. Results: Contact with endothelium and stimulation with lipopolysaccharide reduced the proportion of intermediate monocytes. Lipopolysaccharide increased tissue factor surface expression on classical and non-classical monocytes. Endotoxemia induced profound, transient monocytopenia, along with activation of coagulation pathways. In the remaining circulating monocytes, tissue factor was up-regulated in intermediate monocytes, though approximately 60 % of individuals (responders) up-regulated tissue factor across all monocyte subsets. In critically ill patients, tissue factor expression on intermediate and non-classical monocytes was significantly higher in patients with established sepsis than among non-septic patients. Upon recovery of sepsis, expression of tissue factor increased significantly in classical monocytes. Conclusion: Tissue factor expression in monocyte subsets varies significantly during health, endotoxemia and sepsis. |
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Mesh-Begriff(e) | Humans ; Monocytes/metabolism ; Endotoxemia/complications ; Thromboplastin/metabolism ; Thromboinflammation ; Lipopolysaccharides ; Sepsis |
Chemische Substanzen | Thromboplastin (9035-58-9) ; Lipopolysaccharides |
Sprache | Englisch |
Erscheinungsdatum | 2023-05-24 |
Erscheinungsland | United States |
Dokumenttyp | Journal Article |
ZDB-ID | 121852-9 |
ISSN | 1879-2472 ; 0049-3848 |
ISSN (online) | 1879-2472 |
ISSN | 0049-3848 |
DOI | 10.1016/j.thromres.2023.05.018 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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