2011
DOI: 10.1007/s11239-011-0578-5
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The many faces of the contact pathway and their role in thrombosis

Abstract: Understanding inherent differences between thrombosis and hemostasis in the vascular system are critical to developing safe and effective anticoagulants. To this end, constituents of the contact activated and intrinsic pathway of coagulation appear to be involved in pathological thrombus formation, but are not required for normal hemostasis. In addition to coagulation, activation of the contact system is involved in fibrinolytic, inflammatory, and angiogenic processes that can also contribute to the thrombotic… Show more

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Cited by 46 publications
(44 citation statements)
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References 139 publications
(158 reference statements)
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“…In contrast to the extrinsic pathway, the intrinsic pathway has low physiological significance, but under pathological conditions, its activation is associated with the formation of circulating clots and thrombi (47). Activation of the intrinsic pathway is triggered in response to damaged vessel wall surfaces, after contact of vessel walls with lipoprotein particles, bacteria, or other pathogens including viruses (33,39).…”
Section: Resultsmentioning
confidence: 99%
“…In contrast to the extrinsic pathway, the intrinsic pathway has low physiological significance, but under pathological conditions, its activation is associated with the formation of circulating clots and thrombi (47). Activation of the intrinsic pathway is triggered in response to damaged vessel wall surfaces, after contact of vessel walls with lipoprotein particles, bacteria, or other pathogens including viruses (33,39).…”
Section: Resultsmentioning
confidence: 99%
“…This is in accordance with clinical evidence that elevated levels of FXII(a) positively associate with arterial thrombosis, ischemic stroke, and coronary heart disease. [29][30][31] On the contrary, conflicting evidence exists on whether individuals with partly reduced FXII levels have an increased risk of cardiovascular disease (reviewed in RennĂ© et al 15 and Woodruff et al 16 ). In this regard, the thrombus-destabilizing effect observed under conditions of reduced FXII activity needs more attention.…”
Section: Discussionmentioning
confidence: 99%
“…4,[10][11][12][13] Interestingly, deficiency in FXII in man or mouse is not accompanied by abnormal bleeding. 3,14 On the contrary, individuals with partly reduced FXII levels have an increased risk of cardiovascular disease (reviewed in RennĂ© et al 15 and Woodruff et al 16 ), which indicates that the clinical consequences of (partial) FXII deficiency are more complex than the reported antithrombotic effects of FXII ablation in mice.…”
Section: See Accompanying Editorial On Page 1607mentioning
confidence: 99%
“…Patients with hereditary deficiencies of prekallikrein, high-molecular-weight kininogen or factor XII do not have bleeding problems while deficiency of factor XI leads to a moderate bleeding diathesis [16]. However recent evidence suggests that the intrinsic pathway may play a role in pathological thrombosis, fibrinolysis and angiogenesis [18].…”
Section: Overview Of Haemostasismentioning
confidence: 99%