中国卒中杂志 ›› 2020, Vol. 15 ›› Issue (01): 51-56.DOI: 10.3969/j.issn.1673-5765.2020.01.008

• 专题综述 • 上一篇    下一篇

血栓形成中的凝血与免疫

张薇,阎涛   

  1. 300052 天津医科大学总医院神经内科;天津市神经病学研究所
  • 收稿日期:2019-10-30 出版日期:2020-01-20 发布日期:2020-01-20
  • 通讯作者: 阎涛 yantao78@hotmail.com
  • 基金资助:

    国家自然科学基金面上项目(81671144)
    国家重点研发计划重大慢病非传染性疾病防控研究重点专项(2017YFC1308400)
    天津市自然科学基金重点项目(17JCZDJC36100)

Coagulation and Immune in Thrombosis

  • Received:2019-10-30 Online:2020-01-20 Published:2020-01-20

摘要:

血栓形成是血管损伤后血小板活化、凝血因子激活导致凝血的过程,研究表明凝血和炎 症之间存在广泛的联系,涉及血液级联系统、免疫细胞和血管内皮细胞之间的相互作用。血小板、组 织因子、凝血酶、接触激活系统、补体系统在促进血栓形成过程启动促炎反应,纤溶酶原激活系统 在激活纤溶的同时促进与血栓形成有关的炎症过程,这些综合因素最终导致血栓-炎症的产生。本 文就凝血与免疫的关系及其在血栓形成中的作用作简要的阐述,旨在为今后研究炎症和血栓性疾病 的治疗靶点提供思路。

文章导读: 凝血和免疫在血栓的形成中密切相关,本文综述了凝血-免疫在血栓形成中的相互作用,为抗栓治疗策略的研究提供参考。

关键词: 凝血; 免疫; 血栓

Abstract:

Thrombosis is the result of blood coagulation caused by platelet and coagulation factor activation after vascular injury. Studies have shown that there are extensive links between coagulation and inflammation, involving the interaction among the blood cascade system, immune cells and vascular endothelial cells. Platelets, tissue factors, thrombin, contact activation system and complement system jointly promote thrombosis, and activated proinflammatory responses. Plasminogen activation system not only activates fibrinolysis but also promotes the inflammatory process associated with thrombosis. These pathophysiological reactions ultimately lead to thromboinflammation process. This article introduced the relationship between coagulation and immune and the role of immune in thrombosis, to provide reference for the future research on therapeutic targets for inflammatory and thrombotic diseases.

Key words: Coagulation; Immune; Thrombosis