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Published on: April 7, 2023
Opportunities for pharmacotherapy at the intersection of metabolic syndrome and hemostasis
Laura F Michael1, Veena Rao, Patrick McCollam
1Eli Lilly and Company, Lilly Corporate Center, DC0520, Indianapolis, IN 46285, USA. laura_michael@lilly.com
Insights
Metabolic syndrome disrupts hemostatic balance, increasing risks for atherosclerosis and thrombotic events. This review explores mechanisms, current treatments, and novel therapies for pro-coagulant states in metabolic syndrome patients.
Area of Science:
- Cardiovascular Medicine
- Hematology
- Metabolic Disorders
Background:
- Cardio-metabolic abnormalities can disrupt hemostatic balance.
- Metabolic syndrome components are linked to increased risks of atherosclerosis and thrombotic events.
- Understanding these links is crucial for cardiovascular event prevention.
Purpose of the Study:
- To review the interrelationship between metabolic syndrome and thrombotic/thromboembolic events.
- To explore underlying mechanisms of metabolic and hemostatic disorders in metabolic syndrome.
- To discuss current and novel therapeutic strategies for cardiovascular risk reduction.
Main Methods:
- Literature review of studies on metabolic syndrome, hemostasis, and thrombosis.
- Analysis of mechanisms linking metabolic syndrome components to coagulation.
- Evaluation of existing and emerging therapeutic approaches.
Main Results:
- Metabolic syndrome significantly increases the risk of thrombotic and thromboembolic events.
- Specific mechanisms involve inflammation, oxidative stress, and endothelial dysfunction.
- Current therapies focus on managing metabolic syndrome components and preventing clots.
Conclusions:
- Metabolic syndrome poses a significant thrombotic risk due to hemostatic dysregulation.
- Targeting underlying mechanisms offers potential for novel therapeutic interventions.
- Integrated management strategies are essential for reducing cardiovascular events in these patients.
Abstract:
Hemostatic balance is regulated by many factors that may become perturbed by cardio-metabolic abnormalities. Indeed, patients with multiple components of the metabolic syndrome have increased risk of atherosclerosis, hemostatic disorders and thrombotic events. This review focuses on the interrelationship between the metabolic syndrome components and thrombotic and thromboembolic events, the potential underlying mechanisms that lead to metabolic and hemostatic disorders in metabolic syndrome patients, the existing therapeutics aimed at reducing major cardiovascular events, and new therapeutic approaches to address pro-coagulant states.
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