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  1. Article ; Online: Neutrophils Mediate Pulmonary Artery Thrombosis In Situ.

    Porembskaya, Olga / Zinserling, Vsevolod / Tomson, Vladimir / Toropova, Yana / Starikova, Eleonora A / Maslei, Vitaliy V / Bulavinova, Nika I / Kirik, Olga V / Syrtsova, Marina A / Laberko, Leonid / Galchenko, Maxim I / Kravchuk, Vyacheslav / Saiganov, Sergey / Brill, Alexander

    International journal of molecular sciences

    2022  Volume 23, Issue 10

    Abstract: Pulmonary embolism is a life-threatening condition, which can result in respiratory insufficiency and death. Blood clots occluding branches of the pulmonary artery (PA) are traditionally considered to originate from thrombi in deep veins (usually in legs) ...

    Abstract Pulmonary embolism is a life-threatening condition, which can result in respiratory insufficiency and death. Blood clots occluding branches of the pulmonary artery (PA) are traditionally considered to originate from thrombi in deep veins (usually in legs). However, growing evidence suggests that occlusion of the vessels in the lungs can develop without preceding deep vein thrombosis (DVT). In this work, we used an inferior vena cava (IVC) complete ligation model of DVT in Wistar rats to explore the possibility and mechanisms of PA thrombosis under the conditions where all routes of thrombotic mass migration from peripheral veins are blocked. We demonstrate that rats both with normal and reduced neutrophil counts developed thrombi in the IVC, although, neutropenia caused a substantial decrease in thrombus size and a shift from fresh fibrin toward mature fibrin and connective tissue inside the thrombus. Massive fibrin deposition was found in the PA branches in the majority of DVT rats with normal neutrophil counts, but in none of the neutropenic animals. Neutrophil ablation also abolished macroscopic signs of lung damage. Altogether, the results demonstrate that thrombi in the lung vasculature can form in situ by mechanisms that require local neutrophil recruitment taking place in the DVT setting.
    MeSH term(s) Animals ; Fibrin ; Lung ; Neutrophils ; Pulmonary Artery ; Rats ; Rats, Wistar ; Venous Thrombosis/etiology
    Chemical Substances Fibrin (9001-31-4)
    Language English
    Publishing date 2022-05-23
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms23105829
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Pulmonary Artery Thrombosis: A Diagnosis That Strives for Its Independence.

    Porembskaya, Olga / Toropova, Yana / Tomson, Vladimir / Lobastov, Kirill / Laberko, Leonid / Kravchuk, Viacheslav / Saiganov, Sergey / Brill, Alexander

    International journal of molecular sciences

    2020  Volume 21, Issue 14

    Abstract: According to a widespread theory, thrombotic masses are not formed in the pulmonary artery (PA) but result from migration of blood clots from the venous system. This concept has prevailed in clinical practice for more than a century. However, a new ... ...

    Abstract According to a widespread theory, thrombotic masses are not formed in the pulmonary artery (PA) but result from migration of blood clots from the venous system. This concept has prevailed in clinical practice for more than a century. However, a new technologic era has brought forth more diagnostic possibilities, and it has been shown that thrombotic masses in the PA could, in many cases, be found without any obvious source of emboli. Chronic obstructive pulmonary disease, asthma, sickle cell anemia, emergency and elective surgery, viral pneumonia, and other conditions could be complicated by PA thrombosis development without concomitant deep vein thrombosis (DVT). Different pathologies have different causes for local PA thrombotic process. As evidenced by experimental results and clinical observations, endothelial and platelet activation are the crucial mechanisms of this process. Endothelial dysfunction can impair antithrombotic function of the arterial wall through downregulation of endothelial nitric oxide synthase (eNOS) or via stimulation of adhesion receptor expression. Hypoxia, proinflammatory cytokines, or genetic mutations may underlie the procoagulant phenotype of the PA endothelium. Both endotheliocytes and platelets could be activated by protease mediated receptor (PAR)- and receptors for advanced glycation end (RAGE)-dependent mechanisms. Hypoxia, in particular induced by high altitudes, could play a role in thrombotic complications as a trigger of platelet activity. In this review, we discuss potential mechanisms of PA thrombosis in situ.
    MeSH term(s) Blood Platelets/enzymology ; Blood Platelets/immunology ; Blood Platelets/metabolism ; Cell Hypoxia ; Cell-Derived Microparticles/metabolism ; Cell-Derived Microparticles/pathology ; Cytokines/metabolism ; Endothelium, Vascular/enzymology ; Endothelium, Vascular/immunology ; Endothelium, Vascular/metabolism ; HMGB1 Protein/metabolism ; Humans ; Nitric Oxide Synthase Type III/metabolism ; Platelet Activation/immunology ; Pulmonary Artery/enzymology ; Pulmonary Artery/immunology ; Pulmonary Artery/metabolism ; Pulmonary Artery/pathology ; Pulmonary Embolism/genetics ; Pulmonary Embolism/metabolism ; Pulmonary Embolism/physiopathology ; Pulmonary Embolism/virology ; Receptor for Advanced Glycation End Products/metabolism ; Receptor, PAR-1/metabolism ; Risk Factors ; Thrombosis/metabolism
    Chemical Substances AGER protein, human ; Cytokines ; HMGB1 Protein ; HMGB1 protein, human ; Receptor for Advanced Glycation End Products ; Receptor, PAR-1 ; Nitric Oxide Synthase Type III (EC 1.14.13.39)
    Keywords covid19
    Language English
    Publishing date 2020-07-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms21145086
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Pulmonary Artery Thrombosis: A Diagnosis That Strives for Its Independence

    Porembskaya, Olga / Toropova, Yana / Tomson, Vladimir / Lobastov, Kirill / Laberko, Leonid / Kravchuk, Viacheslav / Saiganov, Sergey / Brill, Alexander

    International Journal of Molecular Sciences

    Abstract: According to a widespread theory, thrombotic masses are not formed in the pulmonary artery (PA) but result from migration of blood clots from the venous system This concept has prevailed in clinical practice for more than a century However, a new ... ...

    Abstract According to a widespread theory, thrombotic masses are not formed in the pulmonary artery (PA) but result from migration of blood clots from the venous system This concept has prevailed in clinical practice for more than a century However, a new technologic era has brought forth more diagnostic possibilities, and it has been shown that thrombotic masses in the PA could, in many cases, be found without any obvious source of emboli Chronic obstructive pulmonary disease, asthma, sickle cell anemia, emergency and elective surgery, viral pneumonia, and other conditions could be complicated by PA thrombosis development without concomitant deep vein thrombosis (DVT) Different pathologies have different causes for local PA thrombotic process As evidenced by experimental results and clinical observations, endothelial and platelet activation are the crucial mechanisms of this process Endothelial dysfunction can impair antithrombotic function of the arterial wall through downregulation of endothelial nitric oxide synthase (eNOS) or via stimulation of adhesion receptor expression Hypoxia, proinflammatory cytokines, or genetic mutations may underlie the procoagulant phenotype of the PA endothelium Both endotheliocytes and platelets could be activated by protease mediated receptor (PAR)- and receptors for advanced glycation end (RAGE)-dependent mechanisms Hypoxia, in particular induced by high altitudes, could play a role in thrombotic complications as a trigger of platelet activity In this review, we discuss potential mechanisms of PA thrombosis in situ
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #653815
    Database COVID19

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