Chemokines, molecular drivers of thromboinflammation and immunothrombosis

Blood clotting is a finely regulated process that is essential for hemostasis. However, when dysregulated or spontaneous, it promotes thrombotic disorders. The fact that these are triggered, accompanied and amplified by inflammation is reflected in the term thromboinflammation that includes chemokin...

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Main Authors: Julian Leberzammer, Philipp von Hundelshausen
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1276353/full
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author Julian Leberzammer
Julian Leberzammer
Julian Leberzammer
Philipp von Hundelshausen
Philipp von Hundelshausen
author_facet Julian Leberzammer
Julian Leberzammer
Julian Leberzammer
Philipp von Hundelshausen
Philipp von Hundelshausen
author_sort Julian Leberzammer
collection DOAJ
description Blood clotting is a finely regulated process that is essential for hemostasis. However, when dysregulated or spontaneous, it promotes thrombotic disorders. The fact that these are triggered, accompanied and amplified by inflammation is reflected in the term thromboinflammation that includes chemokines. The role of chemokines in thrombosis is therefore illuminated from a cellular perspective, where endothelial cells, platelets, red blood cells, and leukocytes may be both the source and target of chemokines. Chemokine-dependent prothrombotic processes may thereby occur independently of chemokine receptors or be mediated by chemokine receptors, although the binding and activation of classical G protein-coupled receptors and their signaling pathways differ from those of atypical chemokine receptors, which do not function via cell activation and recruitment. Regardless of binding to their receptors, chemokines can induce thrombosis by forming platelet-activating immune complexes with heparin or other polyanions that are pathognomonic for HIT and VITT. In addition, chemokines can bind to NETs and alter their structure. They also change the electrical charge of the cell surface of platelets and interact with coagulation factors, thereby modulating the balance of fibrinolysis and coagulation. Moreover, CXCL12 activates CXCR4 on platelets independently of classical migratory chemokine activity and causes aggregation and thrombosis via the PI3Kβ and Btk signaling pathways. In contrast, typical chemokine-chemokine receptor interactions are involved in the processes that contribute to the adhesiveness of the endothelium in the initial phase of venous thrombosis, where neutrophils and monocytes subsequently accumulate in massive numbers. Later, the reorganization and resolution of a thrombus require coordinated cell migration and invasion of the thrombus, and, as such, indeed, chemokines recruit leukocytes to existing thrombi. Therefore, chemokines contribute in many independent ways to thrombosis.
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spelling doaj.art-242538e7214d43feb29fdff4c2a237bb2023-10-26T13:36:56ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-10-011410.3389/fimmu.2023.12763531276353Chemokines, molecular drivers of thromboinflammation and immunothrombosisJulian Leberzammer0Julian Leberzammer1Julian Leberzammer2Philipp von Hundelshausen3Philipp von Hundelshausen4Institute of Cardiovascular Regeneration, Goethe University Frankfurt, Frankfurt, GermanyDepartment of Cardiology and Angiology, Goethe University Frankfurt, University Hospital, Frankfurt, GermanyGerman Center for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, GermanyGerman Center for Cardiovascular Research (DZHK), Partner Site Munich Heart Alliance, Munich, GermanyInstitute for Cardiovascular Prevention, Institut für Prophylaxe und Epidemiologie der Kreislaufkrankheiten (IPEK), Ludwig-Maximilians-Universität München, Munich, GermanyBlood clotting is a finely regulated process that is essential for hemostasis. However, when dysregulated or spontaneous, it promotes thrombotic disorders. The fact that these are triggered, accompanied and amplified by inflammation is reflected in the term thromboinflammation that includes chemokines. The role of chemokines in thrombosis is therefore illuminated from a cellular perspective, where endothelial cells, platelets, red blood cells, and leukocytes may be both the source and target of chemokines. Chemokine-dependent prothrombotic processes may thereby occur independently of chemokine receptors or be mediated by chemokine receptors, although the binding and activation of classical G protein-coupled receptors and their signaling pathways differ from those of atypical chemokine receptors, which do not function via cell activation and recruitment. Regardless of binding to their receptors, chemokines can induce thrombosis by forming platelet-activating immune complexes with heparin or other polyanions that are pathognomonic for HIT and VITT. In addition, chemokines can bind to NETs and alter their structure. They also change the electrical charge of the cell surface of platelets and interact with coagulation factors, thereby modulating the balance of fibrinolysis and coagulation. Moreover, CXCL12 activates CXCR4 on platelets independently of classical migratory chemokine activity and causes aggregation and thrombosis via the PI3Kβ and Btk signaling pathways. In contrast, typical chemokine-chemokine receptor interactions are involved in the processes that contribute to the adhesiveness of the endothelium in the initial phase of venous thrombosis, where neutrophils and monocytes subsequently accumulate in massive numbers. Later, the reorganization and resolution of a thrombus require coordinated cell migration and invasion of the thrombus, and, as such, indeed, chemokines recruit leukocytes to existing thrombi. Therefore, chemokines contribute in many independent ways to thrombosis.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1276353/fullplateletatherothrombosisinflammationleukocytered blood cellendothelial cell
spellingShingle Julian Leberzammer
Julian Leberzammer
Julian Leberzammer
Philipp von Hundelshausen
Philipp von Hundelshausen
Chemokines, molecular drivers of thromboinflammation and immunothrombosis
Frontiers in Immunology
platelet
atherothrombosis
inflammation
leukocyte
red blood cell
endothelial cell
title Chemokines, molecular drivers of thromboinflammation and immunothrombosis
title_full Chemokines, molecular drivers of thromboinflammation and immunothrombosis
title_fullStr Chemokines, molecular drivers of thromboinflammation and immunothrombosis
title_full_unstemmed Chemokines, molecular drivers of thromboinflammation and immunothrombosis
title_short Chemokines, molecular drivers of thromboinflammation and immunothrombosis
title_sort chemokines molecular drivers of thromboinflammation and immunothrombosis
topic platelet
atherothrombosis
inflammation
leukocyte
red blood cell
endothelial cell
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1276353/full
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