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To Clot or Not to Clot: Deepening Our Understanding of Alterations in the Hemostatic System. | LitMetric

AI Article Synopsis

  • The session discussed new insights into the hemostatic system, particularly focusing on advances in coagulation and platelet biology, comparing traditional cascade models with newer cell-based and vascular models.
  • It highlighted the aging process of platelets and their recognition by the Ashwell-Morell receptor, leading to increased production of thrombopoietin in the liver.
  • The impact of certain therapeutic agents on thrombocytopenia was addressed, including Mylotarg's effect on megakaryocyte development and an acetyl co-A carboxylase inhibitor's role in disrupting platelet production, along with developments in gene therapy for hemophilia B and tools for predicting prothrombotic states.

Article Abstract

The session on the hemostatic system focused on new developments in coagulation and platelet biology as well as how therapeutic agents may affect hemostasis. The classic cascade model of coagulation was compared with the more recent models of cell-based and vascular-based coagulation, which may provide better insight on how the coagulation cascade works in vivo. A review of platelet biology highlighted that, as platelets age, desialylated platelets form and are recognized by Ashwell-Morell receptor (AMR), leading to hepatic uptake and subsequent increase in thrombopoietin (TPO) production. Administration of therapeutics that induce thrombocytopenia was also discussed, including Mylotarg, which is an antibody-drug conjugate that was shown to decrease human megakaryocyte development but had no effect on platelet aggregation. An acetyl co-A carboxylase inhibitor was shown to cause thrombocytopenia by inhibiting de novo lipogenesis, which is critical for the formation of the megakaryocyte demarcation membrane system responsible for platelet production. It was also illustrated how preclinical translation models have been very helpful in the development of adeno-associated virus (AAV) hemophilia B gene therapy and what old and new preclinical tools we have that can predict the risk of a prothrombotic state in people.

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Source
http://dx.doi.org/10.1177/01926233221125172DOI Listing

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