Journal
CLINICA CHIMICA ACTA
Volume 463, Issue -, Pages 109-118Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.cca.2016.10.017
Keywords
ADAMTS13; von Willebrand factor; Thrombotic thrombocytopenic purpura; Arterial thrombosis; Cardiovascular diseases; Hematological diseases
Categories
Funding
- Vascular and Medicinal Research Fund, Texas Heart Institute, Houston, Texas, USA [765-64050]
- Kaohsiung Medical University, Kaohsiung, Taiwan [KMU-TP104D00]
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Endothelial cells (EC) respond to injury by releasing numerous factors, including von Willebrand factor (VWF). High circulating levels of unusually large VWF multimers (UL-VWFM) have strong procoagulant activity and facilitate platelet adhesion and aggregation by interacting with platelets after an acute event superimposed on peripheral arterial disease and coronary artery disease. ADAMTS13-a disintegrin-like metalloproteinase with thrombospondin motif type 1 member 13 regulates a key physiological process of coagulation in the circulation by cleaving VWF multimers into small, inactive fragments. Low levels of ADAMTS13 in the blood may play a role in cardiovascular and hematological disorders, and clarifying its role may help improve disease management. The genetic, pharmacological, physiological, and pathological aspects related to ADAMTS13/VWF have been extensively investigated. Here, we provide an update on recent findings of the relationship between ADAMTS13 and hematological/cardiovascular disorders, including thrombotic thrombocytopenic purpura, arterial thrombosis, thrombotic microangiopathy, myocardial infarction, ischemic stroke, heart failure, and hypertension. (C) 2016 Elsevier B.V. All rights reserved.
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