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Viral coagulation: pushing the envelope.

J Thromb Haemost

December 2024

Centre for Blood Research, Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada; Division of Medical Affairs and Innovation, Canadian Blood Services, Ottawa, Ontario, Canada.

Many virus types affect the blood clotting system with correlations to pathology that range widely from thrombosis to hemorrhage linking to inflammation. Here we overview the intricate crosstalk induced by infection between proteins on the virus encoded by either the host or virus genomes, coagulation proteins, platelets, leukocytes, and endothelial cells. For blood-borne viruses with an outer covering acquired from the host cell, the envelope, a key player may be the cell-derived trigger of coagulation on the virus surface, tissue factor (TF).

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Article Synopsis
  • Bruton's tyrosine kinase inhibitors (BTKis), including zanubrutinib, revolutionized the treatment of chronic lymphocytic leukemia (CLL) but have various side effects that affect patient tolerability.* -
  • The ALPINE trial demonstrated that zanubrutinib has superior clinical efficacy and progression-free survival compared to ibrutinib, with fewer cardiac toxicities but similar rates of neutropenia and hypertension.* -
  • Zanubrutinib is emerging as a new standard treatment for relapsed/refractory CLL, and ongoing research is exploring advanced therapies and drug combinations to further improve patient outcomes.*
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The FinRay soft gripper achieves passive enveloping grasping through its functional flexible structure, adapting to the contact configuration of the object to be grasped. However, variations in beam position and thickness lead to different behaviors, making it important to research the relationship between structure and force. Conventional research using FEM simulations has tested various virtual FinRay models but replicating phenomena such as buckling and slipping has been challenging.

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