New therapeutic treatments for covid 19 related blood clots |
COVID-19 blood clots are most commonly seen in persons who
have been hospitalized with the condition. However, blood clots can form even
when there is no injury. This is potentially harmful since the clot might
impede blood flow within your blood arteries, potentially leading to
consequences such as stroke or heart attack. Research states new therapeutic
options for COVID-19-related blood clots. According to a short study conducted
by Yale Cancer Center researchers, blood clots or thromboembolic problems in
COVID-19 patients are associated with elevated levels of several proteins.
These proteins are the reasons for blood clotting, this result is derived after
comparison with blood clots (nonrelated to COVID-19). This research could lead
to new therapeutic methods for people with COVID-19-related blood clots. The
outcomes and findings were presented on 14th Decemeber in Atlanta,
Georgia, at the 2021 American Society of Hematology (ASH) Annual Meeting &
Exposition.
Blood was drawn from 48 inpatients between December 2020 and
February 2021. Of these, 24 had a confirmed diagnosis of COVID-19 infection and
arterial or venous thromboembolism. 17 had a COVID-19 infection but no arterial
thrombosis and no venous thromboembolism. While 7 had arterial or venous
thromboembolism but no COVID-19 infection. Researchers discovered that patients
with COVID-19 who also had blood clots had greater levels of (many) proteins.
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Tissue factor (One of these proteins), is traditionally
linked with an injury to the vascular lining (endothelium), and the fact that
it was higher in the blood of COVID-19 patients suggests a more substantial
insult to the endothelium. Pentraxin-3 (Another protein), was shown to be
greater in patients who had blood clots in the presence of COVID-19.
Endothelial cells produce this protein during inflammation, making it a sign of endothelial damage. Researchers discovered that two additional proteins, C2 and C5a, as well as lipocalin-2 and resistin, were elevated in COVID-19 patients who formed blood clots. Previous research has found that these proteins are markers of neutrophil activation in COVID-19 patients and that higher levels are related to more severe illnesses.
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Furthermore, levels of the proteins SAA and PECAM-1 were
higher in patients who developed blood clots after taking COVID-19."Moving
forward, we would like to assess a much larger number of proteins and include
more patients in future trials," stated senior author Alexander B Pine,
MD, Ph.D., Assistant Professor of Medicine (Hematology) at Yale Cancer Center.
He also said that "A similar proteomics method could also be used to analyze mechanisms and variables involved in the development of thrombosis in inflammatory illnesses other than COVID-19." Kelly Borges, Marcus Shallow, Prerak Juthani, Stephen Wang, MD MPH, Akash Gupta, MD, Hyung Chun, MD, and Alfred Lee, MD, Ph.D. are also Yale authors on the paper.
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