Innate immunity and coagulation

Infection frequently elicits a coagulation response. Endotoxin triggers the formation of tissue factor initiating coagulation, down regulates anticoagulant mechanisms including the protein C pathway and heparin‐like proteoglycans and up regulates plasminogen activator inhibitor. The overall physiolo...

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Veröffentlicht in:Journal of thrombosis and haemostasis 2011-07, Vol.9 (Suppl 1), p.182-188
Hauptverfasser: ESMON, C. T., XU, J., LUPU, F.
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container_end_page 188
container_issue Suppl 1
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container_title Journal of thrombosis and haemostasis
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creator ESMON, C. T.
XU, J.
LUPU, F.
description Infection frequently elicits a coagulation response. Endotoxin triggers the formation of tissue factor initiating coagulation, down regulates anticoagulant mechanisms including the protein C pathway and heparin‐like proteoglycans and up regulates plasminogen activator inhibitor. The overall physiological result of this is to promote coagulation through enhancing initiation, suppressing negative regulation and impairing fibrin removal. The response to infection also leads to tissue destruction. Nucleosomes and histones released from the injured cells trigger further inflammation, protection from the pathogen but further tissue injury leading to multi‐organ failure. Such a complex response to infection presumably arises due to the role of coagulation in the control and clearance of the infectious agent.
doi_str_mv 10.1111/j.1538-7836.2011.04323.x
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Blood Coagulation
Complement Activation
histones
Humans
Immunity, Innate
innate immunity
natural anticoagulants
nucleosomes
protein C
thrombosis
title Innate immunity and coagulation
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