Video_1_Functional Alterations Involved in Increased Bleeding in Hereditary Hemorrhagic Telangiectasia Mouse Models.MPG

التفاصيل البيبلوغرافية
العنوان: Video_1_Functional Alterations Involved in Increased Bleeding in Hereditary Hemorrhagic Telangiectasia Mouse Models.MPG
المؤلفون: Cristina Egido-Turrión, Elisa Rossi, Claudia Ollauri-Ibáñez, María L. Pérez-García, María A. Sevilla, José María Bastida, José Ramón González-Porras, Alicia Rodríguez-Barbero, Carmelo Bernabeu, José M. Lopez-Novoa, Miguel Pericacho
سنة النشر: 2022
المجموعة: Frontiers: Figshare
مصطلحات موضوعية: Dermatology, Emergency Medicine, Gastroenterology and Hepatology, Geriatrics and Gerontology, Intensive Care, Medical Genetics (excl. Cancer Genetics), Nephrology and Urology, Nuclear Medicine, Orthopaedics, Otorhinolaryngology, Pathology (excl. Oral Pathology), Radiology and Organ Imaging, Foetal Development and Medicine, Obstetrics and Gynaecology, Family Care, Primary Health Care, Medical and Health Sciences not elsewhere classified, bleeding, hemostasia, Hereditary Hemorrhagic Telangiectasia (HHT), ALK1 (ACVRL1), endoglin (CD105)
الوصف: Hereditary Hemorrhagic Telangiectasia (HHT) is an autosomal-dominant genetic disorder involving defects in two predominant genes known as endoglin (ENG; HHT-1) and activin receptor-like kinase 1 (ACVRL1/ALK1; HHT-2). It is characterized by mucocutaneous telangiectases that, due to their fragility, frequently break causing recurrent epistaxis and gastrointestinal bleeding. Because of the severity of hemorrhages, the study of the hemostasis involved in these vascular ruptures is critical to find therapies for this disease. Our results demonstrate that HHT patients with high bleeding, as determined by a high Epistaxis Severity Score (ESS), do not have prolonged clotting times or alterations in clotting factors. Considering that coagulation is only one of the processes involved in hemostasis, the main objective of this study was to investigate the overall mechanisms of hemostasis in HHT-1 (Eng +/− ) and HHT-2 (Alk1 +/− ) mouse models, which do not show HHT vascular phenotypes in the meaning of spontaneous bleeding. In Eng +/− mice, the results of in vivo and in vitro assays suggest deficient platelet-endothelium interactions that impair a robust and stable thrombus formation. Consequently, the thrombus could be torn off and dragged by the mechanical force exerted by the bloodstream, leading to the reappearance of hemorrhages. In Alk1 +/− mice, an overactivation of the fibrinolysis system was observed. These results support the idea that endoglin and Alk1 haploinsufficiency leads to a common phenotype of impaired hemostasis, but through different mechanisms. This contribution opens new therapeutic approaches to HHT patients' epistaxis.
نوع الوثيقة: dataset
اللغة: unknown
Relation: https://figshare.com/articles/media/Video_1_Functional_Alterations_Involved_in_Increased_Bleeding_in_Hereditary_Hemorrhagic_Telangiectasia_Mouse_Models_MPG/19791655
DOI: 10.3389/fmed.2022.871903.s005
الاتاحة: https://doi.org/10.3389/fmed.2022.871903.s005
https://figshare.com/articles/media/Video_1_Functional_Alterations_Involved_in_Increased_Bleeding_in_Hereditary_Hemorrhagic_Telangiectasia_Mouse_Models_MPG/19791655
Rights: CC BY 4.0
رقم الانضمام: edsbas.C21B1193
قاعدة البيانات: BASE
الوصف
DOI:10.3389/fmed.2022.871903.s005