Mechanisms of immunothrombosis and vasculopathy in antiphospholipid syndrome

Antiphospholipid syndrome (APS) is an autoimmune thrombophilia propelled by circulating antiphospholipid antibodies that herald vascular thrombosis and obstetrical complications. Antiphospholipid antibodies recognize phospholipids and phospholipid-binding proteins and are not only markers of disease...

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Veröffentlicht in:Seminars in immunopathology 2022-05, Vol.44 (3), p.347-362
Hauptverfasser: Knight, Jason S., Kanthi, Yogendra
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description Antiphospholipid syndrome (APS) is an autoimmune thrombophilia propelled by circulating antiphospholipid antibodies that herald vascular thrombosis and obstetrical complications. Antiphospholipid antibodies recognize phospholipids and phospholipid-binding proteins and are not only markers of disease but also key drivers of APS pathophysiology. Thrombotic events in APS can be attributed to various conspirators including activated endothelial cells, platelets, and myeloid-lineage cells, as well as derangements in coagulation and fibrinolytic systems. Furthermore, recent work has especially highlighted the role of neutrophil extracellular traps (NETs) and the complement system in APS thrombosis. Beyond acute thrombosis, patients with APS can also develop an occlusive vasculopathy, a long-term consequence of APS characterized by cell proliferation and infiltration that progressively expands the intima and leads to organ damage. This review will highlight known pathogenic factors in APS and will also briefly discuss similarities between APS and the thrombophilic coagulopathy of COVID-19.
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subjects Antibodies, Antiphospholipid
Antiphospholipid antibodies
Antiphospholipid syndrome
Antiphospholipid Syndrome - complications
Antiphospholipid Syndrome - diagnosis
Autoimmune diseases
Biomedical and Life Sciences
Biomedicine
Cell proliferation
Complement activation
COVID-19
COVID-19 - complications
Endothelial Cells
Fibrin
Humans
Immunology
Internal Medicine
Leukocytes (neutrophilic)
Pathology
Phospholipids
Review
Thromboinflammation
Thrombophilia
Thrombosis
Thrombosis - complications
Vascular Diseases
title Mechanisms of immunothrombosis and vasculopathy in antiphospholipid syndrome
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