2012, Number 1
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Residente 2012; 7 (1)
Alteraciones hemostáticas, inflamación y autoinmunidad en linfoma no Hodgkin
González MAI, Vega RA, Rubio JB
Language: Spanish
References: 29
Page: 25-30
PDF size: 43.13 Kb.
ABSTRACT
Lymphoid cell neoplasms are clonal tumor B cells, T cells or NK cells, 15% of patients developed an episode of thrombosis. The tumors have alterations of hemostasis mainly over-expression tissue factor (TF). Other hemostatic markers [elevated aPTT, PT, D-dimer (DD), fibrinogen degradation products], are altered in patients with lymphomas. Inflammation is recognized as an important biological phenomenon in the presence of cancer biomarkers as proinflammatory cytokines, cell adhesion molecules, metalloproteinases and growth factors. These elements are involved in proliferation, migration, and the tumor microenvironment. Patients with malignancy showed an increase in the prevalence of antiphospholipid antibodies (aPL). Patients with NHL and aPL have a higher incidence of thrombosis when compared with the general population. The procoagulant state in aPL generated under the mechanism of inhibition of natural anticoagulants. This information supports a prothrombotic state that potentially require therapeutic intervention in these patients. The activation of the biological system of inflammation combined with the presence of circulating antibodies in some patients implies the need to understand their interactions and implications as important elements in the clinical spectrum of patients with lymphomas.
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