Regulation of the Coagulation System by Vascular Endothelial Cells
作者:
David M. Stern,
Evan Kaiser,
Peter P. Nawroth,
期刊:
Pathophysiology of Haemostasis and Thrombosis
(Karger Available online 1988)
卷期:
Volume 18,
issue 4-6
页码: 202-214
ISSN:1424-8832
年代: 1988
DOI:10.1159/000215808
出版商: S. Karger AG
关键词: Endothelium;Thrombosis;Cytokine;Factor IX;Protein S
数据来源: Karger
摘要:
The endothelium plays an active role in the regulation of the coagulation mechanism. Multiple anticoagulant properties are operative on the cell surface in homeostasis. In the protein C/protein S pathway, for example, endothelium provides cofactors promoting activation of protein C, assembly of the activated protein C/protein S complex, and synthesizes protein S. In contrast, following exposure to cytokines and other pathologic stimuli, endothelial cell activation occurs. This activated state includes upregulation of procoagulant properties, such as tissue factor, with concomitant downregulation of anticoagulant cofactors, such as thrombomodulin. Modulation of endothelial cell coagulant properties by cytokines provides a mechanism linking activation of the clotting mechanism to the cellular response to environmental stimuli.
点击下载:
PDF
(4907KB)
返 回