在高因子VIIa和组织因子癌症中,外部通路的激活
A K Kakkar1, N DeRuvo, V Chinswangwatanakul
1Department of Surgery, Royal Postgraduate Medical School, London, UK.
Lancet (London, England)
|October 14, 1995
概括
癌症患者由于激活凝血而表现出高凝血状态. 该研究发现组织因子和因子VIIa的升高,涉及与癌症相关的血栓形成的外部途径.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 血栓形成研究研究
背景情况:
- 血栓栓塞栓并发症经常发生在被诊断为恶性疾病的患者中.
- 了解癌症高凝血机制对于患者管理至关重要.
研究的目的:
- 为了研究与健康个体相比,癌症患者的凝血系统的激活.
- 为了确定与固体瘤相关的高凝血状态相关的特定凝血因子和途径.
主要方法:
- 测量了组织因子,因子VIIa,因子XIIa,血-抗血复合体和前血片段1+2的血水平.
- 一组106名患有固体瘤的患者和72名健康志愿者参与了这项研究.
主要成果:
- 癌症患者的组织因子 (67%的增加) 和因子VIIa (46%的增加) 的血水平显著更高,表明外部途径的激活.
- 在癌症患者中,高血-抗血复合物和前血片段1 + 2的增加证实了血的过量生成.
- 内在途径激活 (XIIa因子升高) 主要观察到患有晚期疾病或接受化疗的患者.
结论:
- 组织因子通路在癌症患者观察到的高凝血状态中起着重要作用.
- 这些发现强调了外在途径是恶性瘤中血栓形成风险的关键因素.
- 进一步的研究可能会探索以组织因子途径为重点的向干预措施,以减轻癌症中的血栓栓塞事件.
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