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10.1007/s11239-020-02224-2

http://scihub22266oqcxt.onion/10.1007/s11239-020-02224-2
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32676883!7365308!32676883
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suck abstract from ncbi


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pmid32676883      J+Thromb+Thrombolysis 2021 ; 51 (2): 313-329
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  • COVID-19: the role of excessive cytokine release and potential ACE2 down-regulation in promoting hypercoagulable state associated with severe illness #MMPMID32676883
  • Du F; Liu B; Zhang S
  • J Thromb Thrombolysis 2021[Feb]; 51 (2): 313-329 PMID32676883show ga
  • The novel coronavirus disease (COVID-19) has become a universally prevalent infectious disease. The causative virus of COVID-19 is severe acute respiratory syndrome coronavirus type 2. Recent retrospective clinical studies have established a significant association between the incidence of vascular thrombotic events and the severity of COVID-19. The enhancement in serum levels of markers that reflect a hypercoagulable state has been suggested to indicate a poor prognosis. Therefore, at present, it is crucial to understand the mechanisms that foster the hypercoagulable state in COVID-19. Over-activated inflammatory response, which is manifested as excessive cytokine release in COVID-19 patients, is also associated with COVID-19 severity. This review discusses the immuno-pathological basis of the excessive cytokine release in COVID-19. Besides, this article reviews the role of pro-inflammatory or anti-inflammatory cytokines, whose significant elevations in their serum levels have been consistently detected in multiple different clinical studies, in promoting the hypercoagulable state. Since the expression of angiotensin-converting enzyme 2 (ACE2) is potentially down-regulated in COVID-19, as proposed by a recent bio-informatic analysis, mechanisms through which reduced ACE2 expressions promote vascular thrombosis are summarized. In addition, the reciprocal-enhancing effects of the excessive cytokine release and the downregulated ACE2 expression on their pro-thrombotic activities are further discussed. Here, based on currently available evidence, we review the pathogenic mechanisms of the hypercoagulable state associated with severe cases of COVID-19 to give insights into prevention and treatment of the vascular thrombotic events in COVID-19.
  • |*Down-Regulation[MESH]
  • |Angiotensin-Converting Enzyme 2/*biosynthesis[MESH]
  • |Biomarkers/blood[MESH]
  • |COVID-19/*blood[MESH]
  • |Cytokines/*blood[MESH]
  • |Humans[MESH]
  • |SARS-CoV-2/*metabolism[MESH]
  • |Severity of Illness Index[MESH]


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