• Critical care clinics · Apr 2020

    Review

    Platelet Activation and Endothelial Cell Dysfunction.

    • Tom van der Poll and Robert I Parker.
    • Amsterdam University Medical Centers, Location Academic Medical Center, University of Amsterdam, Center of Experimental and Molecular Medicine & Division of Infectious Diseases, Meibergdreef 9, Room G2-130, Amsterdam 1105AZ, the Netherlands.
    • Crit Care Clin. 2020 Apr 1; 36 (2): 233-253.

    AbstractIn sepsis, coagulation is activated and there is an increased risk of developing a consumptive coagulopathy with attendant increase in mortality. The processes that regulate hemostasis evolved as a component of the inflammatory response to infection. Many points of interaction occur on the endothelial cell surface linking the 2 cell types in the initiation and regulation of hemostasis and inflammation. Consequently, inflammation stimulates both platelets and endothelial cells in ways that affect both hemostasis and the immune response. Platelets are also prime drivers of the inflammatory response. This article discusses the pathways wherein inflammation regulates platelet and endothelial cell function.Copyright © 2019 Elsevier Inc. All rights reserved.

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