Document Detail


Pathogenesis of thrombotic thrombocytopenic purpura.
MedLine Citation:
PMID:  12901144     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The recent discovery of important molecular and genetic mechanisms of thrombotic thrombocytopenic purpura and hemolytic uremic syndrome provide an opportunity to reconstruct scientific and clinical paradigms. Acquired and congenital defects of the metalloprotease ADAMTS13 are a central feature in the pathogenesis of a major type of thrombotic microangiopathy. This and other pathogenic mechanisms can redefine the terminology of thrombotic microangiopathy. Deficient activity of ADAMTS13 suggests several possible models of microvascular thrombosis. The sporadic relationship between thrombotic microangiopathy and ADAMTS13 deficiency draws attention to other critical pathologic factors that are still poorly understood. Investigation of vascular injury and mechanisms of microvascular thrombosis remain the frontiers of investigation in thrombotic microangiopathy.
Authors:
Thomas J Raife
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current hematology reports     Volume:  2     ISSN:  1540-3408     ISO Abbreviation:  Curr. Hematol. Rep.     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-08-06     Completed Date:  2003-10-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101151358     Medline TA:  Curr Hematol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  133-8     Citation Subset:  IM    
Affiliation:
Department of Pathology, C250 GH, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA. thomas-raife@uiowa.edu
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MeSH Terms
Descriptor/Qualifier:
ADAM Proteins
Blood Platelets / metabolism,  pathology
Hemolytic-Uremic Syndrome / etiology
Humans
Metalloendopeptidases / deficiency
Microcirculation / pathology
Purpura, Thrombotic Thrombocytopenic / etiology*
von Willebrand Factor / metabolism
Chemical
Reg. No./Substance:
0/von Willebrand Factor; EC 3.4.24.-/ADAM Proteins; EC 3.4.24.-/ADAMTS13 protein, human; EC 3.4.24.-/Metalloendopeptidases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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