Effects of human cytomegalovirus infection on the coagulation system

Alessandro Squizzato1, Victor E A Gerdes, Harry R Büller

  • 1Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands. alexsquizzo@libero.it

Insights

Acute infection, including cytomegalovirus (CMV), may contribute to vascular thrombosis. Further research is needed, but in vitro studies suggest CMV influences coagulation, potentially explaining thrombosis pathogenesis.

Area of Science:

  • Medical Microbiology
  • Hematology
  • Infectious Diseases

Background:

  • The mechanisms of acute vascular thrombosis are not fully elucidated.
  • The role of infectious pathogens in thrombotic disorders is increasingly recognized.
  • Cytomegalovirus (CMV) is a potential contributor to unprovoked thrombosis.

Purpose of the Study:

  • To review human studies on the influence of cytomegalovirus (CMV) infection on the coagulation system.
  • To examine case reports of acute thrombosis during acute CMV infection.

Main Methods:

  • Systematic review of in vitro and in vivo human studies.
  • Analysis of case reports detailing thrombosis during CMV infection.

Main Results:

  • Evidence suggests human CMV infection may play a role in thrombotic disorders.
  • In vitro studies provide convincing insights into the pathogenesis of CMV-associated thrombosis.

Conclusions:

  • While mounting evidence links CMV to thrombosis, definitive conclusions require further investigation.
  • In vitro findings offer a strong basis for understanding the underlying mechanisms.

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