1992
DOI: 10.1128/iai.60.10.4388-4393.1992
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von Willebrand factor release and thrombomodulin and tissue factor expression in Rickettsia conorii-infected endothelial cells

Abstract: Mediterranean spotted fever, a tick-borne rickettsiosis caused by Rickettsia conorii, may lead to small-vessel or deep-vein thrombosis. In order to evaluate the role of endothelial cell alteration in this lesion, we infected human endothelial cells derived from umbilical veins with R. conorii. We report the induction of two previously unreported prothrombotic mechanisms in rickettsial disease: (i) a progressive decline in thrombomodulin antigen and (ii) early expression of tissue factor, and, as described for … Show more

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Cited by 53 publications
(16 citation statements)
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“…von Willebrand factor release, decreased thrombomodulin expression, and transient increases in TF expression have also been demonstrated in R conorii-infected endothelial cells. 48 This study reports that cultured vascular endothelial cells infected with R rickettsii rapidly and transiently express TF.…”
Section: Discussionmentioning
confidence: 93%
“…von Willebrand factor release, decreased thrombomodulin expression, and transient increases in TF expression have also been demonstrated in R conorii-infected endothelial cells. 48 This study reports that cultured vascular endothelial cells infected with R rickettsii rapidly and transiently express TF.…”
Section: Discussionmentioning
confidence: 93%
“…Rickettsia rickettsii, an obligate, intracellular, and gram-negative bacterium, results in the expression of a proinflammatory and procoagulant cellular phenotype characterized by the induction of tissue factor (TF; factor III, thromboplastin) (33,39), E-selectin (32), interleukin-1␣ (IL-1␣) (34), and plasminogen activator inhibitor-1 (8,27). Since the endothelial cell is the primary target of infection, these alterations likely contribute significantly to the vascular pathology associated with the human rickettsial disease, Rocky Mountain spotted fever.…”
Section: Infection Of Cultured Vascular Endothelial Cells (Ec) Withmentioning
confidence: 99%
“…Considerable experimental evidence exists to support the notion that in addition to necrotic cell injury, the R. rickettsiiinfected EC alters its production of several proteins which likely results in presentation of a procoagulant and proinflammatory phenotype. Evidence for such responses is provided by studies of cultured EC, in which rickettsial infection cause increased expression of tissue factor (TF) (33,36), plasminogen activator inhibitor 1 (9,27), E-selectin (31), interleukin-1 (IL-1) (14,36), and IL-6 and -8 (14).…”
mentioning
confidence: 99%