Metabolic modulation of inflammation-induced activation of coagulation.

Abstract:

:The bidirectional interaction between coagulation and inflammation, which is relevant in various disease states that are dominated by systemic inflammatory responses, such as severe infection or chronic vascular disease, is modulated by metabolic factors. Changes in lipoprotein metabolism affect the inflammation-induced activation of coagulation, which may have impact on downstream effects, including organ dysfunction and survival. Likewise, glucose and insulin seem to influence inflammation-induced effects on coagulation and fibrinolysis. Hyperglycemia affects inflammation-induced and tissue factor-driven activation of coagulation, whereas hyperinsulinemia modulates the fibrinolytic response. There are indications that this modulatory role of metabolic factors in inflammation and coagulation may also have an impact on clinical outcome in various disease states.

journal_name

Semin Thromb Hemost

authors

Levi M,Nieuwdorp M,van der Poll T,Stroes E

doi

10.1055/s-2008-1066020

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

26-32

issue

1

eissn

0094-6176

issn

1098-9064

journal_volume

34

pub_type

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