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10.1126/sciadv.abh2434

http://scihub22266oqcxt.onion/10.1126/sciadv.abh2434
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34516880!8442885!34516880
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suck abstract from ncbi

pmid34516880      Sci+Adv 2021 ; 7 (37): eabh2434
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  • Platelets amplify endotheliopathy in COVID-19 #MMPMID34516880
  • Barrett TJ; Cornwell M; Myndzar K; Rolling CC; Xia Y; Drenkova K; Biebuyck A; Fields AT; Tawil M; Luttrell-Williams E; Yuriditsky E; Smith G; Cotzia P; Neal MD; Kornblith LZ; Pittaluga S; Rapkiewicz AV; Burgess HM; Mohr I; Stapleford KA; Voora D; Ruggles K; Hochman J; Berger JS
  • Sci Adv 2021[Sep]; 7 (37): eabh2434 PMID34516880show ga
  • Given the evidence for a hyperactive platelet phenotype in COVID-19, we investigated effector cell properties of COVID-19 platelets on endothelial cells (ECs). Integration of EC and platelet RNA sequencing revealed that platelet-released factors in COVID-19 promote an inflammatory hypercoagulable endotheliopathy. We identified S100A8 and S100A9 as transcripts enriched in COVID-19 platelets and were induced by megakaryocyte infection with SARS-CoV-2. Consistent with increased gene expression, the heterodimer protein product of S100A8/A9, myeloid-related protein (MRP) 8/14, was released to a greater extent by platelets from COVID-19 patients relative to controls. We demonstrate that platelet-derived MRP8/14 activates ECs, promotes an inflammatory hypercoagulable phenotype, and is a significant contributor to poor clinical outcomes in COVID-19 patients. Last, we present evidence that targeting platelet P2Y(12) represents a promising candidate to reduce proinflammatory platelet-endothelial interactions. Together, these findings demonstrate a previously unappreciated role for platelets and their activation-induced endotheliopathy in COVID-19.
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