在晚期胰腺癌患者中,接触系统和内在通路激活:前性队列研究
Floris T M Bosch1, Elena Campello2, Frits I Mulder1
1Department of Internal Medicine, Tergooi Medical Center, Hilversum, The Netherlands; Department of Vascular Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Amsterdam Cardiovascular Sciences, Pulmonary Hypertension and Thrombosis, Amsterdam, The Netherlands.
Journal of thrombosis and haemostasis : JTH
|June 18, 2023
概括
胰腺癌患者显示接触系统和内在通路的激活增加,由高蛋白酶抑制剂复合体表明. 这种激活与静脉血栓塞栓症 (VTE) 的更高风险有关.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 生物化学 生物化学
背景情况:
- 胰腺癌患者有高风险的静脉血栓塞栓症 (VTE).
- 关于胰腺癌接触系统激活的数据有限.
- 接触系统和内在通路激活与VTE病变发生有关.
研究的目的:
- 在胰腺癌患者中量化接触系统和内在通路激活.
- 评估接触系统激活和VTE风险在这个队列中的关联.
主要方法:
- 与109名胰腺癌患者和22名对照进行了比较.
- 在基线测量蛋白酶抑制剂复合物 (PKa:C1-INH,FXIa:C1-INH,FXIa:AT,FXIa:α1at).
- 在6个月内跟踪患者以追踪VTE的发展.
- 使用回归模型来评估癌症,复杂水平和VTE之间的关联.
主要成果:
- 胰腺癌与增加的PKa:C1-INH,FXIa:C1-INH和FXIa:AT复合体有关.
- 16.7%的胰腺癌患者患有VTE.
- 增加的FXIa:α1at和FXIa:AT复合体与增加的VTE风险有关.
结论:
- 蛋白酶抑制剂复合物在胰腺癌患者中升高.
- 接触系统和内在通路激活在胰腺癌中增加.
- 特定的复杂水平可以预测这些患者的VTE风险.
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