P2Y12 Receptor Function and Response to Cangrelor in Neonates With Cyanotic Congenital Heart Disease

Autor: Elisabeth A. Kaza, MD, Matthew C. Egalka, MD, Hairu Zhou, MS, Jianchun Chen, PhD, Denise Evans, MSHS, Jayne Prats, PhD, Ruizhi Li, PhD, Scott L. Diamond, PhD, Julie A. Vincent, MD, Emile A. Bacha, MD, Thomas G. Diacovo, MD
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: JACC: Basic to Translational Science, Vol 2, Iss 4, Pp 465-476 (2017)
Druh dokumentu: article
ISSN: 2452-302X
DOI: 10.1016/j.jacbts.2017.04.002
Popis: Shunt thrombosis remains a major cause of morbidity and mortality, especially during the initial palliation for single-ventricle physiology. The authors present evidence that the P2Y12 inhibitor cangrelor may fill a therapeutic void in thromboprophylaxis. They base this theory on results showing that platelets from neonatal patients with cyanotic congenital heart disease have a robust response to adenosine diphosphate and are amenable to P2Y12 inhibition with cangrelor. Unique to this study was their ability to establish drug efficacy in an avatar mouse model that permits the in vivo evaluation of human platelet–mediated thrombus formation illustrating that this P2Y12 inhibitor yields the intended biological response.
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