2019
DOI: 10.1172/jci124791
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Hemodynamic regulation of perivalvular endothelial gene expression prevents deep venous thrombosis

Abstract: Conflict of interest: JDW and MLK are coinventors on a patent, PCTUS1932399, entitled "Medical device for the prevention of thrombosis" that is based on the scientific discoveries described in this article. They are stakeholders in a company, Osciflex, that has an option agreement with the University of Pennsylvania to develop a new device to prevent deep venous thrombosis.

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Cited by 49 publications
(52 citation statements)
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“…A clear correlation between haemodynamic forces and the inflammation‐coagulation axis was shown in the case of venous valves, where low or no shear (stasis) decreases shear activated transcription factors FOXC2 and Prox1 that control the expression of TM and EPCR, thus decreasing the anticoagulant potential while increasing leucocyte adhesion and inflammation 119 . If in early sepsis, the ECs could remain functional with an intact glycocalyx, adequate SS and mechanotransduction, they would likely show down‐regulation of both pro‐coagulant and pro‐inflammatory effects, thus impeding the autoamplification cycle (Figure 4A).…”
Section: Discussionmentioning
confidence: 98%
“…A clear correlation between haemodynamic forces and the inflammation‐coagulation axis was shown in the case of venous valves, where low or no shear (stasis) decreases shear activated transcription factors FOXC2 and Prox1 that control the expression of TM and EPCR, thus decreasing the anticoagulant potential while increasing leucocyte adhesion and inflammation 119 . If in early sepsis, the ECs could remain functional with an intact glycocalyx, adequate SS and mechanotransduction, they would likely show down‐regulation of both pro‐coagulant and pro‐inflammatory effects, thus impeding the autoamplification cycle (Figure 4A).…”
Section: Discussionmentioning
confidence: 98%
“…FOXC2 transcription factor plays an important role in human pathophysiology, both in genetics and in cancer [19,21,[28][29][30][31][32]. So far, about 110 different mutations along the entire gene have been described in LD patients, but little is known about their molecular consequences [4,17,26,27,33].…”
Section: Discussionmentioning
confidence: 99%
“…Because tissue factor, expressed locally at sites of vessel wall injury and from circulating monocytes [ 21 ] plays a pivotal role in the thrombotic phenotype of coronary atherosclerosis, an important surface protein antagonist, tissue factor pathway inhibitor (TFPI), has gained considerable attention. A variety of other surface proteins, including protein C, protein S, protein Z, nitric oxide, glycosaminoglycans, β2-glycoprotein 1, tissue plasminogen activator, urokinase-like plasminogen activator and thrombomodulin among others play critical roles [ 22 24 ].…”
Section: How Do Endothelial Cells Regulate Thrombosis?mentioning
confidence: 99%