tetano
Editor, Senior Moderator
J Thromb Thrombolysis
. 2020 Jun 9;1-5.
doi: 10.1007/s11239-020-02172-x. Online ahead of print.
Potential Role for Tissue Factor in the Pathogenesis of Hypercoagulability Associated With in COVID-19
Mario Bautista-Vargas[SUP] 1 [/SUP], Fabio Bonilla-Abad?a[SUP] 1 [/SUP], Carlos A Ca?as[SUP] 2 [/SUP]
Affiliations
Abstract
In December 2019, a new and highly contagious infectious disease emerged in Wuhan, China. The etiologic agent was identified as a novel coronavirus, now known as Severe Acute Syndrome Coronavirus-2 (SARS-CoV-2). Recent research has revealed that virus entry takes place upon the union of the virus S surface protein with the type I transmembrane metallo-carboxypeptidase, angiotensin converting enzyme 2 (ACE-2) identified on epithelial cells of the host respiratory tract. Virus triggers the synthesis and release of pro-inflammatory cytokines, including IL-6 and TNF-α and also promotes downregulation of ACE-2, which promotes a concomitant increase in levels of angiotensin II (AT-II). Both TNF-α and AT-II have been implicated in promoting overexpression of tissue factor (TF) in platelets and macrophages. Additionally, the generation of antiphospholipid antibodies associated with COVID-19 may also promote an increase in TF. TF may be a critical mediator associated with the development of thrombotic phenomena in COVID-19, and should be a target for future study.
Keywords: COVID-19; IL-6; SARS-CoV-2; TNF-α; Thrombosis; Tissue factor.
. 2020 Jun 9;1-5.
doi: 10.1007/s11239-020-02172-x. Online ahead of print.
Potential Role for Tissue Factor in the Pathogenesis of Hypercoagulability Associated With in COVID-19
Mario Bautista-Vargas[SUP] 1 [/SUP], Fabio Bonilla-Abad?a[SUP] 1 [/SUP], Carlos A Ca?as[SUP] 2 [/SUP]
Affiliations
- PMID: 32519164
- PMCID: PMC7282470
- DOI: 10.1007/s11239-020-02172-x
Abstract
In December 2019, a new and highly contagious infectious disease emerged in Wuhan, China. The etiologic agent was identified as a novel coronavirus, now known as Severe Acute Syndrome Coronavirus-2 (SARS-CoV-2). Recent research has revealed that virus entry takes place upon the union of the virus S surface protein with the type I transmembrane metallo-carboxypeptidase, angiotensin converting enzyme 2 (ACE-2) identified on epithelial cells of the host respiratory tract. Virus triggers the synthesis and release of pro-inflammatory cytokines, including IL-6 and TNF-α and also promotes downregulation of ACE-2, which promotes a concomitant increase in levels of angiotensin II (AT-II). Both TNF-α and AT-II have been implicated in promoting overexpression of tissue factor (TF) in platelets and macrophages. Additionally, the generation of antiphospholipid antibodies associated with COVID-19 may also promote an increase in TF. TF may be a critical mediator associated with the development of thrombotic phenomena in COVID-19, and should be a target for future study.
Keywords: COVID-19; IL-6; SARS-CoV-2; TNF-α; Thrombosis; Tissue factor.