2021
DOI: 10.3390/ijms22168960
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Effects of Primary Mast Cell Disease on Hemostasis and Erythropoiesis

Abstract: Mast cell disease is an epigenetically and genetically determined disease entity with very diverse clinical manifestations in potentially every system and tissue due to inap pro priate release of variable subsets of mast cell mediators together with accumulation of either morphologically normal or altered mast cells. Easy bruising, excessive bleeding, and aberrancies of erythropoiesis can frequently be observed in patients with mast cell disease. A thorough history, including a family history, will guide the a… Show more

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Cited by 14 publications
(9 citation statements)
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“…The increase of mast cells may also affect the relatively high occurrence of pulmonary embolisms in COVID‐19, as mast cells were found to induce thrombosis through activation of clotting factors and platelets. 30 , 31 Taken together, these results suggest that tryptase‐ and chymase‐positive mast cells may play a role in pulmonary fibrosis and embolisms in COVID‐19.…”
Section: Discussionmentioning
confidence: 84%
See 1 more Smart Citation
“…The increase of mast cells may also affect the relatively high occurrence of pulmonary embolisms in COVID‐19, as mast cells were found to induce thrombosis through activation of clotting factors and platelets. 30 , 31 Taken together, these results suggest that tryptase‐ and chymase‐positive mast cells may play a role in pulmonary fibrosis and embolisms in COVID‐19.…”
Section: Discussionmentioning
confidence: 84%
“…Interestingly, tryptase‐ and chymase‐positive mast cells are also increased in CLAD and other diseases with involvement of pulmonary fibrosis, 27–29 suggesting that both diseases have similar underlying biological processes. The increase of mast cells may also affect the relatively high occurrence of pulmonary embolisms in COVID‐19, as mast cells were found to induce thrombosis through activation of clotting factors and platelets 30,31 . Taken together, these results suggest that tryptase‐ and chymase‐positive mast cells may play a role in pulmonary fibrosis and embolisms in COVID‐19.…”
Section: Discussionmentioning
confidence: 89%
“…Thrombotic aggregates of mast cells have been found to surround blood vessels and provide many important repair molecules, including heparin, tissue plasminogen activator (a fibrinolytic precursor), and beta-trypsin (a fibrinolytic protease). Thus, recruitment and activation of mast cells may lead to local thrombolysis and the prevention of clotting ( 78 ). When drug-induced mast cell inactivation or depletion leads to the inhibition of the vascular repair system, thromboembolism and arterial stenosis events become more likely to occur ( 79 ).…”
Section: Preclinical Studiesmentioning
confidence: 99%
“…The O- and N-sulfation of these disaccharide units lead to the high negative charge of these GAGs ( Scheme 1 ) [ 1 ]. Heparins are commonly found in the granules of mast cells, and heparan sulfates are ubiquitously present in the extracellular matrix of a wide variety of animal tissues and organs [ 2 , 3 ]. These polyanionic GAGs interact with a diverse array of biomolecular and biological targets, including extracellular matrix and cell surface components, growth factors, proteases, protease inhibitors, and various pathogens [ 4 , 5 , 6 ].…”
Section: Introductionmentioning
confidence: 99%