Роль подопланина в опухоль-ассоциированных тромбозах
https://doi.org/10.18705/2782-3806-2023-3-4-44-51
Аннотация
Онкологические больные подвержены повышенному риску венозных тромбоэмболических осложнений (ВТЭО), которые являются второй по значимости причиной смерти у данных пациентов. В литературе описано несколько механизмов, приводящих к подобным осложнениям. Одним из таких является взаимодействие гликопротеина подопланина, которому посвящена данная статья, со своим рецептором на тромбоцитах семейства лектиноподобных типа С (CLEC-2). Данное взаимодействие приводит к активации тромбоцитов и способствует гематогенному метастазированию и тромбозу, связанному с раком. Подопланин экспрессируется при глиомах, плоскоклеточном раке, остеосаркоме раковыми клетками, а также в норме в подоцитах и лимфатических эндотелиальных клетках, но не в эндотелии сосудов. Тромбовоспаление инициирует эктопическую экспрессию подопланина в эндотелиальных клетках сосудов, что способствует тромбозу. Показано, что экспрессия подопланина коррелирует с частотой ВТЭО, а также с метастазированием рака. Нарушение взаимодействия PDPN-CLEC-2 может стать новым направлением в разработке препаратов для профилактики тромбозов у пациентов с онкологическими заболеваниями
Ключевые слова
Об авторах
А. В. СавельеваРоссия
Савельева Анна Витальевна- клинический ординатор по специальности «Клиническая лабораторная диагностика»
ул. Аккуратова, д. 2, Санкт-Петербург, 197341
К. А. Пищулов
Россия
Пищулов Константин Анатольевич - младший научный сотрудник НИГ кардиоонкологии
ул. Аккуратова, д. 2, Санкт-Петербург, 197341
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Рецензия
Для цитирования:
Савельева А.В., Пищулов К.А. Роль подопланина в опухоль-ассоциированных тромбозах. Российский журнал персонализированной медицины. 2023;3(4):44-51. https://doi.org/10.18705/2782-3806-2023-3-4-44-51
For citation:
Savelyeva A.V., Pishchulov K.A. The role of podoplanin in tumor-associated thrombosis. Russian Journal for Personalized Medicine. 2023;3(4):44-51. (In Russ.) https://doi.org/10.18705/2782-3806-2023-3-4-44-51