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10.1172/jci.insight.151527

http://scihub22266oqcxt.onion/10.1172/jci.insight.151527
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suck abstract from ncbi


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pmid34506304      JCI+Insight 2021 ; 6 (20): ä
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  • Tie2 activation protects against prothrombotic endothelial dysfunction in COVID-19 #MMPMID34506304
  • Schmaier AA; Pajares Hurtado GM; Manickas-Hill ZJ; Sack KD; Chen SM; Bhambhani V; Quadir J; Nath AK; Collier AY; Ngo D; Barouch DH; Shapiro NI; Gerszten RE; Yu XG; Peters KG; Flaumenhaft R; Parikh SM
  • JCI Insight 2021[Oct]; 6 (20): ä PMID34506304show ga
  • Endothelial dysfunction accompanies the microvascular thrombosis commonly observed in severe COVID-19. Constitutively, the endothelial surface is anticoagulant, a property maintained at least in part via signaling through the Tie2 receptor. During inflammation, the Tie2 antagonist angiopoietin-2 (Angpt-2) is released from endothelial cells and inhibits Tie2, promoting a prothrombotic phenotypic shift. We sought to assess whether severe COVID-19 is associated with procoagulant endothelial dysfunction and alterations in the Tie2/angiopoietin axis. Primary HUVECs treated with plasma from patients with severe COVID-19 upregulated the expression of thromboinflammatory genes, inhibited the expression of antithrombotic genes, and promoted coagulation on the endothelial surface. Pharmacologic activation of Tie2 with the small molecule AKB-9778 reversed the prothrombotic state induced by COVID-19 plasma in primary endothelial cells. Lung autopsies from patients with COVID-19 demonstrated a prothrombotic endothelial signature. Assessment of circulating endothelial markers in a cohort of 98 patients with mild, moderate, or severe COVID-19 revealed endothelial dysfunction indicative of a prothrombotic state. Angpt-2 concentrations rose with increasing disease severity, and the highest levels were associated with worse survival. These data highlight the disruption of Tie2/angiopoietin signaling and procoagulant changes in endothelial cells in severe COVID-19. Our findings provide rationale for current trials of Tie2-activating therapy with AKB-9778 in COVID-19.
  • |*COVID-19 Drug Treatment[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Angiopoietin-2/metabolism[MESH]
  • |Aniline Compounds[MESH]
  • |Endothelial Cells/*drug effects[MESH]
  • |Female[MESH]
  • |Gene Expression[MESH]
  • |Humans[MESH]
  • |Lung[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Protective Agents/*pharmacology[MESH]
  • |Receptor, TIE-2/genetics/*metabolism[MESH]
  • |SARS-CoV-2[MESH]
  • |Signal Transduction[MESH]
  • |Sulfonic Acids[MESH]
  • |Vascular Diseases/metabolism[MESH]


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