Beyond Thrombosis: the Role of Platelets in Pulmonary Hypertension

Pulmonary Hypertension (PH) is a multifactorial and lethal disease, characterised by elevated pulmonary arterial pressure and progressive right heart failure. PH pathobiology rests on four pillars: vascular remodelling, vasoconstriction, inflammation and thrombosis. While vascular and inflammatory c...

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Main Authors: Salina Nicoleau, Beata Wojciak-Stothard
Format: Article
Language:English
Published: Ital Publication 2020-12-01
Series:SciMedicine Journal
Subjects:
Online Access:https://scimedjournal.org/index.php/SMJ/article/view/201
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author Salina Nicoleau
Beata Wojciak-Stothard
author_facet Salina Nicoleau
Beata Wojciak-Stothard
author_sort Salina Nicoleau
collection DOAJ
description Pulmonary Hypertension (PH) is a multifactorial and lethal disease, characterised by elevated pulmonary arterial pressure and progressive right heart failure. PH pathobiology rests on four pillars: vascular remodelling, vasoconstriction, inflammation and thrombosis. While vascular and inflammatory cells have been the focus of PH research over the past decades, platelets have received relatively less attention, despite their associations with key pathophysiological processes of the disease. Platelets contain a wide range of vasoactive, inflammatory and pro-thrombotic mediators, likely to promote PH development and progression. There is currently no cure for PH, and platelet-associated pathways may help identify new therapeutic strategies. This review summarises available evidence on the role of platelets in different forms of PH, and comments on the current state of platelet-targeting therapies. It also describes the latest advances in the in vitro technologies that enable exploration of platelet function under dynamic and physiologically relevant conditions.   Doi: 10.28991/SciMedJ-2020-0204-7 Full Text: PDF
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spelling doaj.art-1947abdefbae4904b9184e9241d09a702022-12-21T17:50:45ZengItal PublicationSciMedicine Journal2704-98332020-12-012424327110.28991/SciMedJ-2020-0204-757Beyond Thrombosis: the Role of Platelets in Pulmonary HypertensionSalina Nicoleau0Beata Wojciak-Stothard1National Heart and Lung Institute, Imperial College London, Hammersmith Campus, Du Cane Road W12 0NN, London,National Heart and Lung Institute, Imperial College London, Hammersmith Campus, Du Cane Road W12 0NN, London,Pulmonary Hypertension (PH) is a multifactorial and lethal disease, characterised by elevated pulmonary arterial pressure and progressive right heart failure. PH pathobiology rests on four pillars: vascular remodelling, vasoconstriction, inflammation and thrombosis. While vascular and inflammatory cells have been the focus of PH research over the past decades, platelets have received relatively less attention, despite their associations with key pathophysiological processes of the disease. Platelets contain a wide range of vasoactive, inflammatory and pro-thrombotic mediators, likely to promote PH development and progression. There is currently no cure for PH, and platelet-associated pathways may help identify new therapeutic strategies. This review summarises available evidence on the role of platelets in different forms of PH, and comments on the current state of platelet-targeting therapies. It also describes the latest advances in the in vitro technologies that enable exploration of platelet function under dynamic and physiologically relevant conditions.   Doi: 10.28991/SciMedJ-2020-0204-7 Full Text: PDFhttps://scimedjournal.org/index.php/SMJ/article/view/201pulmonary hypertensionplateletsthrombosisvascular.
spellingShingle Salina Nicoleau
Beata Wojciak-Stothard
Beyond Thrombosis: the Role of Platelets in Pulmonary Hypertension
SciMedicine Journal
pulmonary hypertension
platelets
thrombosis
vascular.
title Beyond Thrombosis: the Role of Platelets in Pulmonary Hypertension
title_full Beyond Thrombosis: the Role of Platelets in Pulmonary Hypertension
title_fullStr Beyond Thrombosis: the Role of Platelets in Pulmonary Hypertension
title_full_unstemmed Beyond Thrombosis: the Role of Platelets in Pulmonary Hypertension
title_short Beyond Thrombosis: the Role of Platelets in Pulmonary Hypertension
title_sort beyond thrombosis the role of platelets in pulmonary hypertension
topic pulmonary hypertension
platelets
thrombosis
vascular.
url https://scimedjournal.org/index.php/SMJ/article/view/201
work_keys_str_mv AT salinanicoleau beyondthrombosistheroleofplateletsinpulmonaryhypertension
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