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Use of In vivo Imaging to Monitor the Progression of Experimental Mouse Cytomegalovirus Infection in Neonates
Published on: July 6, 2013
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
Abstract:
Pathophysiological mechanisms of acute vascular thrombosis are not fully understood. It has been suggested that different infectious pathogens are responsible agents of thrombotic disorders. The infection hypothesis is supported by an increasing number of reports on the interaction between acute infection and coagulation. Cytomegalovirus (CMV) is supposed to play an important role in apparently unprovoked thrombosis. We reviewed all human in vitro and in vivo studies on the influence of human CMV infection on the coagulation system, as well as all case reports of acute thrombosis during acute human CMV infection. In the published literature there is mounting evidence that human CMV may play a role in thrombotic disorders. Definitive conclusions, however, cannot be drawn, although the in vitro studies are convincing and offer insight in the pathogenesis.
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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