Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/201164
Type: Artigo de periódico
Title: Increased Adhesive Properties Of Neutrophils And Inflammatory Markers In Venous Thromboembolism Patients With Residual Vein Occlusion And High D-dimer Levels.
Author: Zapponi, Kiara C S
Mazetto, Bruna M
Bittar, Luis F
Barnabé, Aline
Santiago-Bassora, Fernanda D
De Paula, Erich V
Orsi, Fernanda A
Franco-Penteado, Carla F
Conran, Nicola
Annichino-Bizzacchi, Joyce M
Abstract: Venous thromboembolism (VTE) develops via a multicellular process on the endothelial surface. Although widely recognized, the relationship between inflammation and thrombosis, this relationship has been mostly explored in clinical studies by measuring circulating levels of inflammatory cytokines. However, the role of inflammatory cells, such as neutrophils, in the pathogenesis of VTE is not clear in humans. To evaluate the adhesive properties of neutrophils, erythrocytes and platelets in VTE patients and to correlate findings with inflammatory and hypercoagulability marker levels. Study group consisted of twenty-nine VTE patients and controls matched according to age, gender and ethnic background. Adhesive properties of neutrophils, erythrocytes and platelets were determined using a static adhesion assay. Neutrophil adhesion molecules expressions were evaluated by flow cytometry. Inflammatory and hypercoagulability marker levels were evaluated by standard methods. Residual vein occlusion (RVO) was evaluated by Doppler ultrasound. No significant difference could be observed in platelet and erythrocyte adhesion between VTE patients and controls. Interestingly, VTE patients with high levels of D-dimer and RVO, demonstrated a significant increase in neutrophil adhesion, compared to controls and remaining patients. Inflammatory markers (IL-6, IL-8, TNF-α) were also significantly elevated in this subgroup, compared to other VTE patients. Adhesive properties of neutrophils correlated with IL-6 and D-dimer levels. Neutrophils adhesion molecules (CD11a, CD11b and CD18) were not altered in any of the groups. These findings not only support the hypothesis of an association between inflammation and hypercoagulability, but more importantly, highlight the role of neutrophils in this process.
Subject: Cell Adhesion
Erythrocytes
Inflammation
Neutrophils
Platelets
Venous Thromboembolism
Rights: fechado
Identifier DOI: 10.1016/j.thromres.2014.01.035
Address: http://www.ncbi.nlm.nih.gov/pubmed/24560897
Date Issue: 2014
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

Files in This Item:
File SizeFormat 
pmed_24560897.pdf488.44 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.