Current state and novel approaches of antiplatelet therapy

An unresolved problem with clinical use of antiplatelet therapy is that a significant number of individuals either still get thrombosis or run the risk of life-threatening bleeding. Antiplatelet drugs are widely used clinically, either chronically for people at risk of athero/thrombotic disease or t...

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Main Authors: Metharom, P., Berndt, Michael, Baker, R., Andrews, R.
Format: Journal Article
Published: Lippincott Williams and Wilkins 2015
Online Access:http://hdl.handle.net/20.500.11937/27777
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author Metharom, P.
Berndt, Michael
Baker, R.
Andrews, R.
author_facet Metharom, P.
Berndt, Michael
Baker, R.
Andrews, R.
author_sort Metharom, P.
building Curtin Institutional Repository
collection Online Access
description An unresolved problem with clinical use of antiplatelet therapy is that a significant number of individuals either still get thrombosis or run the risk of life-threatening bleeding. Antiplatelet drugs are widely used clinically, either chronically for people at risk of athero/thrombotic disease or to prevent thrombus formation during surgery. However, a subpopulation may be resistant to standard doses, while the platelet targets of these drugs are also critical for the normal hemostatic function of platelets. In this review, we will briefly examine current antiplatelet therapy and existing targets while focusing on new potential approaches for antiplatelet therapy and improved monitoring of effects on platelet reactivity in individuals, ultimately to improve antithrombosis with minimal bleeding. Primary platelet adhesion-signaling receptors, glycoprotein (GP)Ib-IX-V and GPVI, that bind von Willebrand factor/collagen and other prothrombotic factors are not targeted by drugs in clinical use, but they are of particular interest because of their key role in thrombus formation at pathological shear.
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spelling curtin-20.500.11937-277772017-09-13T15:11:56Z Current state and novel approaches of antiplatelet therapy Metharom, P. Berndt, Michael Baker, R. Andrews, R. An unresolved problem with clinical use of antiplatelet therapy is that a significant number of individuals either still get thrombosis or run the risk of life-threatening bleeding. Antiplatelet drugs are widely used clinically, either chronically for people at risk of athero/thrombotic disease or to prevent thrombus formation during surgery. However, a subpopulation may be resistant to standard doses, while the platelet targets of these drugs are also critical for the normal hemostatic function of platelets. In this review, we will briefly examine current antiplatelet therapy and existing targets while focusing on new potential approaches for antiplatelet therapy and improved monitoring of effects on platelet reactivity in individuals, ultimately to improve antithrombosis with minimal bleeding. Primary platelet adhesion-signaling receptors, glycoprotein (GP)Ib-IX-V and GPVI, that bind von Willebrand factor/collagen and other prothrombotic factors are not targeted by drugs in clinical use, but they are of particular interest because of their key role in thrombus formation at pathological shear. 2015 Journal Article http://hdl.handle.net/20.500.11937/27777 10.1161/ATVBAHA.114.303413 Lippincott Williams and Wilkins unknown
spellingShingle Metharom, P.
Berndt, Michael
Baker, R.
Andrews, R.
Current state and novel approaches of antiplatelet therapy
title Current state and novel approaches of antiplatelet therapy
title_full Current state and novel approaches of antiplatelet therapy
title_fullStr Current state and novel approaches of antiplatelet therapy
title_full_unstemmed Current state and novel approaches of antiplatelet therapy
title_short Current state and novel approaches of antiplatelet therapy
title_sort current state and novel approaches of antiplatelet therapy
url http://hdl.handle.net/20.500.11937/27777