J Korean Med Sci.  2020 Jul;35(29):e213. 10.3346/jkms.2020.35.e213.

Neutrophil-mediated Thrombosis and NETosis in Behçet's Disease: a Hypothesis

Affiliations
  • 1Division of Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey


Figure

  • Fig. 1 Schematic representation of thromboinflammation in Behçet's disease. Activated neutrophils produce ROS, which induces NETosis. NETs cause endothelial damage, activate platelets, and induce thrombin generation. Activated platelet degranulate and release pro-inflammatory cytokines that stimulate neutrophils further. Platelet aggregation also damages endothelium and induces thrombin generation, which finally leads to the formation of the fibrin clot. Besides, ROS produced by neutrophils modifies fibrinogen, which makes the fibrin clot more resistant to plasmin-induced lysis.ROS = reactive oxygen species, NETs = neutrophil extracellular traps.


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