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患有COVID-19后急性后果的患者的血小板功能失调
Anu Aggarwal1, Tamanna K Singh2, Michael Pham2
1Department of Cardiovascular and Metabolic Sciences, Cleveland Clinic Lerner Research Institute, Cleveland, OH, USA.
COVID-19 (PASC) 患者的急性后续症状显示出血小板功能和凝固的改变. 在PASC血中的循环分子激活健康的血小板,表明复杂的血栓反应.
科学领域:
- 心血管研究研究心血管研究
- 免疫学 免疫学 免疫学
- 血液学 血液学 血液学
背景情况:
- COVID-19 (PASC) 或长期COVID的后急性后续可能会在SARS-CoV-2感染后出现.
- 已知由SARS-CoV-2诱导的原血栓状态,但PASC中血栓形成风险的理解较少.
研究的目的:
- 评估PASC患者的血小板功能和血栓形成潜力.
- 研究长期COVID患者血栓形成风险背后的机制.
主要方法:
- 在PASC患者和对照组中比较血小板激活 (LTA,流细胞计) 和XA因子活性.
- 在剪切应力下使用微流体评估全血血栓形成.
- 从PASC和对照患者的血中化健康血小板.
主要成果:
- 通过GPVI,PASC患者的血小板激活率下降,但通过血素受体略有增加.
- 在切割应力下的血栓形成和XA因子活性在PASC患者中降低.
- 与对照血不同的是,PASC血强烈激活了被洗净的健康血小板.
结论:
- 帕斯克患者表现出血小板和凝血反应失调,可能是由于血栓前循环分子.
- 在PASC中的保护性反应可能会抵消与SARS-CoV-2相关的血栓形成.
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