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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

邮发代号 80-967

2019 Impact Factor: 3.421

Frontiers of Medicine  2019, Vol. 13 Issue (6): 680-689   https://doi.org/10.1007/s11684-018-0673-5
  本期目录
Anti-β2GPI/β2GPI complexes induce platelet activation and promote thrombosis via p38MAPK: a pathway to targeted therapies
Wenjing Zhang1, Caijun Zha1, Xiumin Lu1, Ruichun Jia1, Fei Gao1, Qi Sun2, Meili Jin1, Yanhong Liu1()
1. Department of Laboratory Diagnosis, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China
2. Department of Emergency, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China
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Abstract

Anti-β2 glycoprotein I (anti-β2GPI) antibodies are important contributors to the development of thrombosis. Anti-β2GPI antibody complexes with β2GPI are well known to activate monocytes and endothelial cells via the intracellular NF-kB pathway with prothrombotic implications. By contrast, the interaction of anti-β2GPI/β2GPI complexes with platelets has not been extensively studied. The p38 mitogen-activated protein kinase (MAPK) pathway has been recognized to be an important intracellular signaling pathway in the coagulation cascade and an integral component of arterial and venous thrombosis. The present study reveals that levels of anti-β2GPI/β2GPI complexes in sera are positively associated with p38MAPK phosphorylation of platelets in thrombotic patients. Furthermore, SB203580 inhibits anti-β2GPI/β2GPI complex-induced platelet activation. Thrombus formation decreased in p38MAPK/ mice after treatment with anti-β2GPI/β2GPI complexes. In conclusion, p38MAPK may be a treatment target for anti-β2GPI antibody-associated thrombotic events.

Key wordsanti-β2GPI antibody    β2GPI    platelet    p38MAPK    thrombosis    complex
收稿日期: 2018-04-08      出版日期: 2019-12-16
Corresponding Author(s): Yanhong Liu   
 引用本文:   
. [J]. Frontiers of Medicine, 2019, 13(6): 680-689.
Wenjing Zhang, Caijun Zha, Xiumin Lu, Ruichun Jia, Fei Gao, Qi Sun, Meili Jin, Yanhong Liu. Anti-β2GPI/β2GPI complexes induce platelet activation and promote thrombosis via p38MAPK: a pathway to targeted therapies. Front. Med., 2019, 13(6): 680-689.
 链接本文:  
https://academic.hep.com.cn/fmd/CN/10.1007/s11684-018-0673-5
https://academic.hep.com.cn/fmd/CN/Y2019/V13/I6/680
Variable Control group Anti-b2GPI antibodies ( + ) patients Anti-b2GPI antibody (−) thrombotic patients
No thrombus Thrombotic
N 15 10 11 9
Mean age-years 40±5 35±2 37±5 45±3
Female sex-no.(%) 5 (33.3) 7 (70.0) 4 (36.4) 3 (33.3)
Platelets (254±22) × 109/L (225±35) × 109/L (304±52) × 109/L (284±40) × 109/L
Venous thromboembolic-no. 3 5
Pulmonary embolism-no.(%) 1 (33.3) 3 (60.0)
Deep vein thrombosis-no.(%) 2 (66.7) 2 (40.0)
Arterial thromboembolic-no. 8 4
Stroke-no.(%) 4 (50.0) 2 (50.0)
Acute myocardial infarction-no.(%) 3 (37.5) 1 (25.0)
Renal artery thrombosis-no.(%) 1 (12.5) 1 (25.0)
No thrombosis
SLE-no.(%) 5 (50.0)
Viral meningitis-no.(%) 2 (20.0)
Cerebral hemorrhage-no.(%) 3 (30.0)
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