Oxidative Stress in the Pathogenesis of Antiphospholipid Syndrome: Implications for the Atherothrombotic Process

Atherothrombosis is a frequent complication of the clinical history of patients with antiphospholipid syndrome (APS). Both atherothrombosis and APS are characterized by increased oxidative stress. Oxidative modifications are implicated in the formation of antiphospholipid antibodies, which in turn m...

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Main Authors: Cristina Nocella, Simona Bartimoccia, Vittoria Cammisotto, Alessandra D’Amico, Daniele Pastori, Giacomo Frati, Sebastiano Sciarretta, Paolo Rosa, Chiara Felici, Oliviero Riggio, Antonella Calogero, Roberto Carnevale, SMiLe Group
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/10/11/1790
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author Cristina Nocella
Simona Bartimoccia
Vittoria Cammisotto
Alessandra D’Amico
Daniele Pastori
Giacomo Frati
Sebastiano Sciarretta
Paolo Rosa
Chiara Felici
Oliviero Riggio
Antonella Calogero
Roberto Carnevale
SMiLe Group
author_facet Cristina Nocella
Simona Bartimoccia
Vittoria Cammisotto
Alessandra D’Amico
Daniele Pastori
Giacomo Frati
Sebastiano Sciarretta
Paolo Rosa
Chiara Felici
Oliviero Riggio
Antonella Calogero
Roberto Carnevale
SMiLe Group
author_sort Cristina Nocella
collection DOAJ
description Atherothrombosis is a frequent complication of the clinical history of patients with antiphospholipid syndrome (APS). Both atherothrombosis and APS are characterized by increased oxidative stress. Oxidative modifications are implicated in the formation of antiphospholipid antibodies, which in turn may favour the oxidative imbalance by increasing the production of reactive oxidant species (ROS) or by a direct interaction with pro-oxidant/antioxidant enzymes. As a result of these processes, APS patients suffer from an oxidative imbalance that may contribute to the progression of the atherosclerotic process and to the onset of ischemic thrombotic complications. The aim of this review is to describe mechanisms implicated in the formation of ROS in APS patients and their involvement in the atherothrombotic process. We also provide an overview of potential therapeutic approaches to blunt oxidative stress and to prevent atherothrombotic complications in these patients.
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spelling doaj.art-5fb7f318c7aa41db855ce0f9a17aad4c2023-11-22T22:13:44ZengMDPI AGAntioxidants2076-39212021-11-011011179010.3390/antiox10111790Oxidative Stress in the Pathogenesis of Antiphospholipid Syndrome: Implications for the Atherothrombotic ProcessCristina Nocella0Simona Bartimoccia1Vittoria Cammisotto2Alessandra D’Amico3Daniele Pastori4Giacomo Frati5Sebastiano Sciarretta6Paolo Rosa7Chiara Felici8Oliviero Riggio9Antonella Calogero10Roberto Carnevale11SMiLe Group12Department of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, ItalyDepartment of General Surgery and Surgical Specialty Paride Stefanini, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Movement, Human and Health Sciences, University of Rome “Foro Italico”, 00135 Rome, ItalyDepartment of Clinical Internal, Anesthesiological and Cardiovascular Sciences, Sapienza University of Rome, 00161 Rome, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, ItalyDepartment of Translational and Precision Medicine, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, ItalyDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 04100 Latina, ItalyFaculty of Medicine and Surgery, Course E, Sapienza University of Rome, 04100 Latina, ItalyAtherothrombosis is a frequent complication of the clinical history of patients with antiphospholipid syndrome (APS). Both atherothrombosis and APS are characterized by increased oxidative stress. Oxidative modifications are implicated in the formation of antiphospholipid antibodies, which in turn may favour the oxidative imbalance by increasing the production of reactive oxidant species (ROS) or by a direct interaction with pro-oxidant/antioxidant enzymes. As a result of these processes, APS patients suffer from an oxidative imbalance that may contribute to the progression of the atherosclerotic process and to the onset of ischemic thrombotic complications. The aim of this review is to describe mechanisms implicated in the formation of ROS in APS patients and their involvement in the atherothrombotic process. We also provide an overview of potential therapeutic approaches to blunt oxidative stress and to prevent atherothrombotic complications in these patients.https://www.mdpi.com/2076-3921/10/11/1790oxidative stressthrombosisantiphospholipid syndromeantioxidant treatment
spellingShingle Cristina Nocella
Simona Bartimoccia
Vittoria Cammisotto
Alessandra D’Amico
Daniele Pastori
Giacomo Frati
Sebastiano Sciarretta
Paolo Rosa
Chiara Felici
Oliviero Riggio
Antonella Calogero
Roberto Carnevale
SMiLe Group
Oxidative Stress in the Pathogenesis of Antiphospholipid Syndrome: Implications for the Atherothrombotic Process
Antioxidants
oxidative stress
thrombosis
antiphospholipid syndrome
antioxidant treatment
title Oxidative Stress in the Pathogenesis of Antiphospholipid Syndrome: Implications for the Atherothrombotic Process
title_full Oxidative Stress in the Pathogenesis of Antiphospholipid Syndrome: Implications for the Atherothrombotic Process
title_fullStr Oxidative Stress in the Pathogenesis of Antiphospholipid Syndrome: Implications for the Atherothrombotic Process
title_full_unstemmed Oxidative Stress in the Pathogenesis of Antiphospholipid Syndrome: Implications for the Atherothrombotic Process
title_short Oxidative Stress in the Pathogenesis of Antiphospholipid Syndrome: Implications for the Atherothrombotic Process
title_sort oxidative stress in the pathogenesis of antiphospholipid syndrome implications for the atherothrombotic process
topic oxidative stress
thrombosis
antiphospholipid syndrome
antioxidant treatment
url https://www.mdpi.com/2076-3921/10/11/1790
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