Hamostaseologie 2019; 39(02): 180-187
DOI: 10.1055/s-0038-1676130
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Thromboinflammation and Vascular Dysfunction

Susanne Karbach
1   Center for Thrombosis and Hemostasis, University Medical Center, Johannes Gutenberg University, Mainz, Germany
2   Center for Cardiology – Cardiology I, University Medical Center, Johannes Gutenberg University, Mainz, Germany
3   German Center for Cardiovascular Research (DZHK), partner site Rhine-Main, University Medical Center, Johannes Gutenberg University, Mainz, Germany
,
Jérémy Lagrange
1   Center for Thrombosis and Hemostasis, University Medical Center, Johannes Gutenberg University, Mainz, Germany
,
Philip Wenzel
1   Center for Thrombosis and Hemostasis, University Medical Center, Johannes Gutenberg University, Mainz, Germany
2   Center for Cardiology – Cardiology I, University Medical Center, Johannes Gutenberg University, Mainz, Germany
3   German Center for Cardiovascular Research (DZHK), partner site Rhine-Main, University Medical Center, Johannes Gutenberg University, Mainz, Germany
› Author Affiliations

Funding This work was supported by the German Ministry for Education and Research (BMBF 01EO1503), the German Research Foundation (DFG KA-4035/1–1 and WE 4361/7–1), the Center for Translational Vascular Biology at the University Medical Center Mainz and the Boehringer Ingelheim Foundation.
Further Information

Publication History

02 July 2018

09 October 2018

Publication Date:
04 December 2018 (online)

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Abstract

Thromboinflammation and vascular dysfunction are inseparably combined with the innate and the adaptive immune response. While the role of this interplay has gained considerable attention in the arena of atherosclerosis/atherothrombosis and in deep vein thrombosis, its role in other forms of vascular disease and risk factors is currently emerging. In this brief review, we will focus on thromboinflammation with regard to cytokine signalling as well as on the novel role of a vascular coagulation-inflammatory circuit in arterial hypertension.

Zusammenfassung

Thrombo-Inflammation und vaskuläre Dysfunktion sind untrennbar mit dem angeborenen und dem erworbenen Immunsystem verbunden. Dieses Zusammenspiel wurde im Rahmen der Atherosklerose / Atherothrombose und der tiefen Venenthrombose bereits ausführlich untersucht. Das Zusammenspiel zwischen Inflammation und der Gerinnungskaskade rückt für das Verständnis der Entstehung der vaskulären Dysfunktion immer mehr in den Mittelpunkt des Interesses. In diesem Übersichtsartikel stellen wir das Thema Thrombo-Inflammation dar, auch und besonders in Hinblick auf Zytokin-Signalwege. Außerdem erläutern wir die neue Rolle eines Gefäß-Gerinnungs-Inflammations-Kreislaufs bei der Entstehung des arteriellen Hypertonus.