Thromb Haemost 2009; 102(05): 916-924
DOI: 10.1160/TH09-01-0023
Review Article
Schattauer GmbH

The role of monocytes in thrombotic disorders

Insights from tissue factor, monocyte-platelet aggregates and novel mechanisms
Eduard Shantsila
1   Haemostasis, Thrombosis and Vascular Biology Unit, University of Birmingham Centre for Cardiovascular Science, City Hospital, Birmingham, UK
,
Gregory Y. H. Lip
1   Haemostasis, Thrombosis and Vascular Biology Unit, University of Birmingham Centre for Cardiovascular Science, City Hospital, Birmingham, UK
› Author Affiliations
Further Information

Publication History

Received: 12 January 2009

Accepted after minor revision: 23 August 2009

Publication Date:
27 November 2017 (online)

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Summary

Although, the main physiological role of monocytes is attributed to innate immunity (that is, phagocytosis) and the development of tissue macrophages and dendritic cells, the pathophysiological role of these goes far behind these (simplistic) limits. Indeed, monocytes constitute a major source of blood tissue factor, a key element of the extrinsic coagulation cascade. Monocytes actively bind to platelets, thus forming very prothrombotic monocyte-platelet aggregates. Additionally, these cells link inflammation and the procoagulant state observed in various prothrombotic conditions. However, monocytes are also crucial for successful thrombus recanalisation. In this article, we review the available data on potential mechanisms that link monocytes with thrombosis-related processes.