Abstract
Septic shock is frequently complicated by massive activation of the coagulation system. This can occur concomitantly with biphasic changes in the fibrinolytic system, involving both activation and inhibition of plasminogen activation [1, 2]. The net result of the altered hemostatic state in septicemia is widespread microvascular thrombosis. The early events leading to these disturbances are incompletely understood, although changes in the functional properties of the vascular endothelium seem to be of pivotal importance.
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References
Marder VJ, Martin SE, Francis CW, Colman RW (1987) Consumptive thrombohemorrhagic disorders. In: Colman RW, Hirsh J, Marder VJ, Salzman EW (eds) Hemostasis and thrombosis: basic principles and clinical practice, 2nd edn. Lippincott, Philadelphia, pp 975–1015
Brandtzaeg P, Joo GB, Brusletto B, Kierulf P (1990) Plasminogen activator inhibitor 1 and 2, α-2-antiplasmin, plasminogen, and endotoxin levels in systemic meningococcal disease. Thromb Res 57:271–278
Bendtzen K (1988) Interleukin 1, interleukin 6 and tumor necrosis factor in infection, inflammation and immunity. Immunol Lett 19:183–192
Tracey KJ, Vlassara H, Cerami A (1989) Cachectin/tumour necrosis factor. Lancet I:1122–1125
Hesse DG, Tracey KJ, Fong Y, et al. (1988) Cytokine appearance in human endotoxemia and primate bacteremia. Surg Gynecol Obstet 166:147–153
Michie HR, Manogue KR, Spriggs DR, et al. (1988) Detection of circulating tumor necrosis factor after endotoxin administration. N Engl J Med 318:1481–1486
Van Deventer SJH, Büller HR, ten Cate JW, Aarden LA, Hack CE, Sturk A (1991) Experimental endotoxemia in humans: analysis of cytokine release and coagulation, fibrinolytic, and complement pathways. Blood (in press)
Waage A, Halstensen A, Espevik T (1987) Association between tumour necrosis factor in serum and fatal outcome in patients with meningococcal disease. Lancet i : 355–357
Girardin E, Grau GE, Dayer JM, et al. (1988) Tumor necrosis factor and interleukin 1 in the serum of children with severe infectious purpura. N Engl J Med 319:397–400
Tracey KJ, Fong Y, Hesse DG, et al. (1987) Anti-cachectin/TNF monoclonal antibodies prevent septic shock during lethal bacteraemia. Nature 330:662–664
Fong Y, Tracey KJ, Moldawer LL, et al. (1989) Antibodies to cachectin/tumor necrosis factor reduce interleukin 1 β and interleukin 6 appearance during lethal bacteremia. J Exp Med 170:1627–1633
Tracey KJ, Lowry SF, Fahey III TJ, et al. (1987) Cachectin/tumor necrosis factor induces lethal shock and stress hormone responses in the dog. Surg Gynecol Obstet 164:415–422
Nawroth PP, Stern DM (1986) Modulation of endothelial cell hemostatic properties by tumor necrosis factor. J Exp Med 163:740–745
Bevilacqua MP, Pober JS, Majeau GR, Fiers W, Cotran RS, Gimbrone MA Jr (1986) Recombinant tumor necrosis factor induces procoagulant activity in cultured human vascular endothelium: characterization and comparison with the actions of interleukin 1. Proc Natl Acad Sci USA 83:4533–4537
Conway EM, Rosenberg RD (1988) Tumor necrosis factor suppresses transcription of the thrombomodulin gene in endothelial cells. Mol Cell Biol 8:5588–5592
Conckling PR, Greenberg CS, Weinberg JB (1988) Tumor necrosis factor induces tissue factor-like activity in human leukemia cell line U937 and peripheral blood monocytes. Blood 72:128–133
Schleef RR, Bevilacqua MP, Sawdey M, Gimbrone MA Jr, Loskutoff DJ (1988) Cytokine activation of vascular endothelium. Effects on tissue-type plasminogen activator and type 1 plasminogen activator inhibitor. J Biol Chem 263:5797–5803
Medina R, Socher SH, Han JH, Friedman PA (1989) Interleukin-1, endotoxin or tumor necrosis factor/cachectin enhance the level of plasminogen activator inhibitor messenger RNA in bovine aortic endothelial cells. Thromb Res 54:41–52
Van Hinsbergh VWM, Kooistra T, van den Berg EA, Princen HMG, Fiers W, Emeis JJ (1988) Tumor necrosis factor increases the production of plasminogen activator inhibitor in human endothelial cells in vitro and in rats in vivo. Blood 72:1467–1473
Bevilacqua MP, Schleef RR, Gimbrone MA Jr, Loskutoff DJ (1986) Regulation of the fibrinolytic system of cultured human vascular endothelium by interleukin 1. J Clin Invest 78:587–591
Van Hinsbergh VWM, van den Berg EA, Fiers W, Dooijewaard G (1990) Tumor necrosis factor induces the production of urokinase-type plasminogen activator by human endothelial cells. Blood 75:1991–1998
Nawroth P, Hardley D, Matsueda G, et al. (1988) Tumor necrosis factor/cachectin-induced intravascular fibrin formation in meth A fibrosarcomas. J Exp Med 168:637–647
Mathison JC, Wolfson E, Ulevitch RJ (1988) Participation of tumor necrosis factor in the mediation of gram-negative bacterial lipopolysaccharide-induced injury in rabbits. J Clin Invest 81:1925–1937
Bauer KA, ten Cate H, Barzegar S, Spriggs DR, Sherman ML, Rosenberg RD (1989) Tumor necrosis factor infusions have a procoagulant effect on the hemostatic mechanism of humans. Blood 74:165–172
Van der Poll T, Büller HR, ten Cate H, et al. (1990) Activation of coagulation after administration of tumor necrosis factor to normal subjects. N Engl J Med 322:1622–1627
Drake TA, Morrissey JH, Edgington TS (1989) Selective cellular expression of tissue factor in human tissues: implications for disorders of hemostasis and thrombosis. Am J Pathol 134:1087–1097
Brett J, Gerlach H, Nawroth P, Steinberg S, Godman G, Stern D (1989) Tumor necrosis factor/cachectin increases permeability of endothelial cell monolayers by a mechanism involving regulatory G proteins. J Exp Med 169:1977–1991
Van der Poll T, van Deventer SJH, Büller HR, Sturk A, ten Cate JW (1991) Comparison of the early dynamics of coagulation activation after injection of endotoxin and tumor necrosis factor in healthy humans. In: Levin J, Sturk A, ten Cate JW (eds) Bacterial endotoxins and mediators. Wiley & Sons, New York (in press)
Van der Poll T, Levi M, Büller HR, Hack CE, van Deventer SJH, ten Cate JW (1990) Effects of tumor necrosis factor on the fibrinolytic system in healthy volunteers. Blood 76 (Suppl 1):441 (abstract)
Suffredini AF, Harpel PC, Parrillo JE (1989) Promotion and subsequent inhibition of plasminogen activation after administration of intravenous endotoxin to normal subjects. N Engl J Med 320:1165–1172
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© 1991 Springer-Verlag Berlin, Heidelberg
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van der Poll, T., Levi, M., van Deventer, J.H. (1991). Tumor Necrosis Factor and the Disbalance Between Coagulant and Anticoagulant Mechanisms in Septicemia. In: Vincent, J.L. (eds) Update 1991. Update in Intensive Care and Emergency Medicine, vol 14. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84423-2_31
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DOI: https://doi.org/10.1007/978-3-642-84423-2_31
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