Open Access
CC BY 4.0 · TH Open 2019; 03(02): e165-e170
DOI: 10.1055/s-0039-1692204
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Emerging Factors Implicated in Fibrotic Organ–Associated Thrombosis: The Case of Two Organs

Orly Leiva*
1   Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States
2   Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, United States
,
Roelof H. Bekendam*
1   Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States
,
Brenda D. Garcia
1   Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States
3   Department of Medicine, Mount Auburn Hospital and Harvard Medical School, Boston, Massachusetts, United States
,
Cristal Thompson
1   Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States
4   Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts, United States
,
Alan Cantor
5   Children's Hospital Boston, Boston, Massachusetts, United States
,
Vipul Chitalia
1   Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States
4   Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts, United States
6   VA Boston Healthcare System, Boston, Massachusetts, United States
,
Katya Ravid
1   Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States
4   Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts, United States
› Institutsangaben

Funding This work was funded in part by NHLBI R01HL136363 and NIH R01HL080442 (K.R.), NIH R01HL132325 and R01CA175382 (V.C.C.), and the Thrombosis and Hemostasis Affinity Research Collaborative (ARC0 funded by the Evans Center for Interdisciplinary Biomedical Research).
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Publikationsverlauf

11. Februar 2019

30. April 2019

Publikationsdatum:
07. Juni 2019 (online)

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Abstract

Thrombosis is at the heart of cardiovascular complications observed in specific diseases. A heightened thrombosis risk above that in general population in diseases such as myelofibrosis and chronic kidney disease implicates disease-specific mediators of thrombosis. This relative lack of information regarding the mechanisms of thrombosis in specific organ pathologies hitherto has remained limited. Evolving literature implicates some soluble factors in the blood of patients with discrete disorders, inflicting fundamental changes in the components of thrombosis. In this era of precision medicine, integrating these disease-specific factors in a comprehensive thrombotic risk assessment of patients is imperative in guiding therapeutic decisions. A complex network of mechanisms regulates each organ pathology and resultant thrombotic phenotypes. This review surveys different effectors of thrombogenicity associated with two pathologically fibrotic organs used as model systems, the bone marrow and kidney, as well as focuses attention to a common inducer of fibrosis and thrombosis, lysyl oxidase.

* These authors contributed equally.