2001
DOI: 10.1007/s11886-001-0012-2
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Oral glycoprotein IIb/IIIa antagonists in coronary artery disease

Abstract: Despite the efficacy of intravenous glycoprotein IIb/IIIa inhibition in patients undergoing percutaneous coronary intervention and those presenting with acute coronary syndromes, the application of oral glycoprotein IIb/IIIa inhibition to the chronic management of coronary artery disease has not met with the same success. To explain these results, factors related to dosing, and inadequate inhibition or activation of platelet pro-coagulant activity have been recently suggested. However, although the disparity b… Show more

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Cited by 14 publications
(9 citation statements)
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“…Even within the group of integrin α v β 3 blocking molecules, biological outcomes might differ from one inhibitor to another. In fact, in the field of integrin biology, small molecule inhibitors often produce results distinct from those of antibodies [3539]. As another example, tumstatin, a naturally occurring proteolytic product of collagen cleavage, seems to block α v β 3 leading to decreased proliferation and increased apoptosis of endothelial cells [40, 41].…”
Section: Integrin αVβ3 In Angiogenesismentioning
confidence: 99%
See 1 more Smart Citation
“…Even within the group of integrin α v β 3 blocking molecules, biological outcomes might differ from one inhibitor to another. In fact, in the field of integrin biology, small molecule inhibitors often produce results distinct from those of antibodies [3539]. As another example, tumstatin, a naturally occurring proteolytic product of collagen cleavage, seems to block α v β 3 leading to decreased proliferation and increased apoptosis of endothelial cells [40, 41].…”
Section: Integrin αVβ3 In Angiogenesismentioning
confidence: 99%
“…Activation-induced complex was demonstrated in [48, 55], direct binding of extracellular domains was shown in [47], cross linking by transglutaminases was demonstrated in [87], possible coupling by the common ligands suggested based on [92]. Physiological and pathological consequences of the interplay between these two receptors are discussed in [35, 46, 56]. b The diagram shows possible sequence of molecular events involved in interaction between VEGFR2 and α V β 3 .…”
Section: Figurementioning
confidence: 99%
“…Notably, in the latter study, the effect on neutrophil migration was reversed after discontinuation of clopidogrel treatment. In patients undergoing percutaneous coronary intervention, clopidogrel pretreatment reduced platelet inflammatory markers expression (CD40 ligand and CD62 P-selectin) and also attenuated the increased 30-day risk of death or MI associated with elevated baseline levels of CRP and attenuated the periprocedural rise of CRP [42][43][44].…”
Section: Clopidogrel: Pharmacologymentioning
confidence: 99%
“…An example of a more precisely targeted treatment option is abciximab, a monoclonal antibody to GPIIb/IIIa working against receptors both in platelets and in tumours [28]. However, the usefulness of this type of blockade in long‐term therapy has been disappointing in trials on patients with coronary disease [29], even though preliminary data on patients with cancer are encouraging [30].…”
Section: Discussionmentioning
confidence: 99%