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炎症性肠病高凝状态机制的相关研究
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Abstract:
炎症性肠病(IBD)是一种累及回肠、结肠、直肠,病因尚未明确的肠道慢性疾病,其总发病率在各国均有所增加。研究证实炎症性肠病(IBD)患者循环系统处于高凝状态,这种高凝状态使得肠道微循环功能障碍,进一步加重炎症性肠病的疾病严重程度,甚至导致静脉血栓的发生。多项研究表明,IBD患者相较健康人群,其静脉血栓的发生风险增加。因此,对于炎症性肠病的患者来说,预防和治疗高凝状态具有重要意义。
Inflammatory bowel disease (IBD) is a chronic intestinal disease affecting the ileum, colon, and rectum of unknown etiology, and its overall incidence has increased in all countries. Studies have confirmed that the circulatory system of patients with inflammatory bowel disease (IBD) is in a hypercoagulable state, which makes the intestinal microcirculation dysfunction, further aggravates the severity of inflammatory bowel disease, and even leads to the occurrence of venous thrombosis. Several studies have shown that patients with IBD are at increased risk of venous thrombosis compared with healthy people. Therefore, it is important for patients with inflammatory bowel disease to prevent and treat hypercoagulability.
[1] | 冯璐. 炎症性肠病患者血小板、凝血功能的变化及临床意义[D]: [硕士学位论文]. 天津: 天津医科大学, 2020. |
[2] | 毛天琪. 炎症性肠病凝血功能变化的相关分析[D]: [硕士学位论文]. 杭州: 浙江大学, 2018. |
[3] | Scaldaferri, F., Lancellotti, S., Pizzoferrato, M., et al. (2011) Haemostatic System Ininflammatory Bowel Diseases: New Players in Gut Inflammation. World Journal of Gastroenterology, 17, 594-608. https://doi.org/10.3748/wjg.v17.i5.594 |
[4] | Giannotta, M., Tapete, G., Emmi, G., Silvestri, E. and Milla, M. (2015) Thrombosis in Inflammatory Bowel Diseases: What’s the Link? Thrombosis Journal, 13, Article No. 14. https://doi.org/10.1186/s12959-015-0044-2 |
[5] | Owczarek, D., Cibor, D., Glowacki, M.K., et al. (2014) Inflammatory Bowel Disease: Epidemiology, Pathology and Risk Factors for Hypercoagulability. World Journal of Gastroenterology, 20, 53-63. |
[6] | 柳婧. 炎症性肠病中静脉血栓发病率和危险因素的多中心研究及凝血功能与炎症活动的相关分析[D]: [博士学位论文]. 杭州: 浙江大学, 2018. |
[7] | 时敏, 汪良芝. 炎症性肠病高凝状态及其相关机制的研究进展[J]. 实用医学杂志, 2017, 33(11): 1888-1890. |
[8] | Pastorelli, L., Dozio, E., Pisani, L.F., Boscolo-Anzoletti, M., Vianello, E., Munizio, N., et al. (2015) Procoagulatory State in Inflammatory Bowel Diseases Is Promoted by Impaired Intestinal Barrier Function. Gastroenterology Research and Practice, 2015, Article ID: 189341. https://doi.org/10.1155/2015/189341 |
[9] | Senchenkova, E., Seifert, H. and Granger, D. (2015) Hypercoagulability and Platelet Abnormalities in Inflammatory Bowel Disease. Seminars in Thrombosis and Hemostasis, 41, 582-589. https://doi.org/10.1055/s-0035-1556590 |
[10] | Djordjevic, T., Hess, J., Herkert, O., Görlach, A. and Belaiba, R.S. (2004) Rac Regulates Thrombin-Induced Tissue Factor Expression in Pulmonary Artery Smooth Muscle Cells Involving the Nuclear Factor-κB Pathway. Antioxidants & Redox Signaling, 6, 713-720. https://doi.org/10.1089/1523086041361703 |
[11] | Menschikowski, M., Hagelgans, A., Eisenhofer, G. and Siegert, G. (2009) Regulation of Endothelial Protein C Receptor Shedding by Cytokines Is Mediated through Differential Activation of MAP Kinase Signaling Pathways. Experimental Cell Research, 315, 2673-2682. https://doi.org/10.1016/j.yexcr.2009.05.015 |
[12] | Collins, C.E. and Rampton, D.S. (1995) Platelet Dysfunction: A New Dimension in Inflammatory Bowel Disease. Gut, 36, 5-8. https://doi.org/10.1136/gut.36.1.5 |
[13] | Lindmark, E., Tenno, T. and Siegbahn, A. (2000) Role of Platelet P-Selectin and CD40 Ligand in the Induction of Monocytic Tissue Factor Expression. Arteriosclerosis, Thrombosis, and Vascular Biology, 20, 2322-2328. https://doi.org/10.1161/01.atv.20.10.2322 |
[14] | Voudoukis, E. (2014) Multipotent Role of Platelets in Inflammatory Bowel Diseases: A Clinical Approach. World Journal of Gastroenterology, 20, 3180-3190. https://doi.org/10.3748/wjg.v20.i12.3180 |
[15] | 郭易娟, 梅浙川. 炎症性肠病血液高凝状态的研究进展[J]. 重庆医学, 2016, 45(5): 704-706. |
[16] | Hudson, M., Chitolie, A., Hutton, R.A., Smith, M.S., Pounder, R.E. and Wakefield, A.J. (1996) Thrombotic Vascular Risk Factors in Inflammatory Bowel Disease. Gut, 38, 733-737. https://doi.org/10.1136/gut.38.5.733 |
[17] | Chamouard, P., Grunebaum, L., Wiesel, M., Frey, P.L., Wittersheim, C., Sapin, R., et al. (1995) Prothrombin Fragment 1 + 2 and Thrombin-Antithrombin III Complex as Markers of Activation of Blood Coagulation in Inflammatory Bowel Diseases. European Journal of Gastroenterology & Hepatology, 12, 1183-1188. https://doi.org/10.1097/00042737-199512000-00010 |
[18] | Cromer, W.E. (2011) Role of the Endothelium in Inflammatory Bowel Diseases. World Journal of Gastroenterology, 17, 578-593. https://doi.org/10.3748/wjg.v17.i5.578 |
[19] | Owczarek, D., Cibor, D. and Mach, T. (2010) Asymmetric Dimethylarginine (ADMA), Symmetric Dimethylarginine (SDMA), Arginine, and 8-Iso-Prostaglandin F2α (8-Iso-PGF2α) Level in Patients with Inflammatory Bowel Diseases. Inflammatory Bowel Diseases, 16, 52-57. https://doi.org/10.1002/ibd.20994 |
[20] | Wei, J.C., Jan, M., Yu, C., Huang, Y., Yang, C., Tsou, H., et al. (2006) Plasma Homocysteine Status in Patients with Ankylosing Spondylitis. Clinical Rheumatology, 26, 739-742. https://doi.org/10.1007/s10067-006-0396-x |
[21] | Wallaert, J.B., De Martino, R.R., Marsicovetere, P.S., Goodney, P.P., Finlayson, S.R.G., Murray, J.J., et al. (2012) Venous Thromboembolism after Surgery for Inflammatory Bowel Disease. Diseases of the Colon & Rectum, 55, 1138-1144. https://doi.org/10.1097/dcr.0b013e3182698f60 |
[22] | van den Dorpel, M.A., Veld, A.J.M.i., Levi, M., ten Cate, J.W. and Weimar, W. (1999) Beneficial Effects of Conversion from Cyclosporine to Azathioprine on Fibrinolysis in Renal Transplant Recipients. Arteriosclerosis, Thrombosis, and Vascular Biology, 19, 1555-1558. https://doi.org/10.1161/01.atv.19.6.1555 |
[23] | Puli, S.R. and Benage, D.D. (2003) Retinal Vein Thrombosis After Infliximab (remicade) Treatment for Crohn’s Disease. The American Journal of Gastroenterology, 98, 939-940. https://doi.org/10.1111/j.1572-0241.2003.07368.x |
[24] | Nguyen, G.C., Bernstein, C.N., Bitton, A., Chan, A.K., Griffiths, A.M., Leontiadis, G.I., et al. (2014) Consensus Statements on the Risk, Prevention, and Treatment of Venous Thromboembolism in Inflammatory Bowel Disease: Canadian Association of Gastroenterology. Gastroenterology, 146, 835-848.e6. https://doi.org/10.1053/j.gastro.2014.01.042 |