Platelets Are Critical Key Players in Sepsis

被引:152
作者
Vardon-Bounes, Fanny [1 ,2 ]
Ruiz, Stephanie [1 ]
Gratacap, Marie-Pierre [2 ]
Garcia, Cedric [3 ]
Payrastre, Bernard [2 ,3 ]
Minville, Vincent [1 ,2 ]
机构
[1] Toulouse Univ Hosp, Anesthesiol & Crit Care Unit, F-31059 Toulouse, France
[2] Toulouse Univ Hosp, INSERM, Inst Malad Cardiovasc & Metabol I2MC, UMR 1048, F-31059 Toulouse, France
[3] Toulouse Univ Hosp, Hematol Lab, F-31059 Toulouse, France
关键词
platelets; sepsis; endothelium; immunothrombosis; NEUTROPHIL EXTRACELLULAR TRAPS; INTENSIVE-CARE-UNIT; STAPHYLOCOCCUS-AUREUS; ILL PATIENTS; PHOSPHOINOSITIDE; 3-KINASE; THROMBOCYTOPENIA; ACTIVATION; HISTONES; RECEPTOR; PI3K-BETA;
D O I
10.3390/ijms20143494
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Host defense against infection is based on two crucial mechanisms: the inflammatory response and the activation of coagulation. Platelets are involved in both hemostasis and immune response. These mechanisms work together in a complex and synchronous manner making the contribution of platelets of major importance in sepsis. This is a summary of the pathophysiology of sepsis-induced thrombocytopenia, microvascular consequences, platelet-endothelial cells and platelet pathogens interactions. The critical role of platelets during sepsis and the therapeutic implications are also reviewed.
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页数:13
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