Receptores plaquetários P2Y12: importância na intervenção coronariana percutânea

Apart from their role in hemostasis and thrombosis, platelets are involved in many other biological processes such as wound healing and angiogenesis. Percutaneous coronary intervention is a highly thrombogenic procedure inducing platelets and monocytes activation through endothelial trauma and conta...

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Detalles Bibliográficos
Autores: Falcão, Felipe José de Andrade [UNIFESP], Carvalho, Leonardo, Chan, Mark, Alves, Claudia Maria Rodrigues [UNIFESP], Carvalho, Antonio Carlos [UNIFESP], Caixeta, Adriano [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/7924
Acceso en línea:http://dx.doi.org/10.5935/abc.20130162
http://repositorio.unifesp.br/handle/11600/7924
Access Level:acceso abierto
Palabra clave:Receptor Aggregation
Platelet Aggregation
Percutaneous Coronary Intervention
Agregação de Receptores
Agregação Plaquetária
Intervenção Coronariana Percutânea
Descripción
Sumario:Apart from their role in hemostasis and thrombosis, platelets are involved in many other biological processes such as wound healing and angiogenesis. Percutaneous coronary intervention is a highly thrombogenic procedure inducing platelets and monocytes activation through endothelial trauma and contact activation by intravascular devices. Platelet P2Y12 receptor activation by adenosine diphosphate facilitates non-ADP agonist-mediated platelet aggregation, dense granule secretion, procoagulant activity, and the phosphorylation of several intraplatelet proteins, making it an ideal drug target. However, not all compounds that target the P2Y12 receptor have similar efficacy and safety profiles. Despite targeting the same receptor, the unique pharmacologic properties of each of these P2Y12 receptor-directed compounds can lead to very different clinical effects.