Antiphospholipid Syndrome: Molecular Mechanisms and Novel Therapies

A special issue of Cells (ISSN 2073-4409). This special issue belongs to the section "Cellular Pathology".

Deadline for manuscript submissions: closed (20 January 2025) | Viewed by 1246

Special Issue Editors


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Guest Editor
Department of Experimental Medicine, “Sapienza” University of Rome, Rome, Italy
Interests: pathogenetic effect of antiphospholipid antibodies

E-Mail Website
Guest Editor
Department of Internal Medicine and Medical Specialities, “Sapienza” University of Rome, Rome, Italy
Interests: antiphospholipid syndrome

Special Issue Information

Dear Colleagues,

The Special Issue "Antiphospholipid Syndrome: New Diagnostic Markers, Molecular Mechanisms and Novel Therapies" will focus on advances in the characterization, diagnosis, molecular mechanisms, pathophysiology, and treatment of antiphospholipid syndrome (APS).

APS is a systemic autoimmune disease characterized by heterogeneous clinical manifestations mainly involving vascular thrombosis (affecting arterial, venous and microvascular circuits) and obstetric complications, found in association with the presence of circulating antiphospholipid antibodies (aPLs). If not diagnosed and adequately treated, APS could have a negative impact on the patient's quality of life. In this context, there is a need to explore new methods to refine the diagnosis process and assess disease risk stratification; thus, the identification of new tests for classical criteria aPL assays and non-criteria assays utilizing novel antigenic targets is of great interest. Moreover, new knowledge on the pathogenetic mechanisms of the disease could lead to new treatments that are able to improve the prognosis. Patients with APS show different aPL profiles, which may possibly explain the heterogeneity of the molecular mechanisms underlying the pathophysiology of APS. Nowadays, although it is well documented that these autoantibodies are not only disease markers but are also responsible for the induction of a procoagulant phenotype, the study of their precise contribution in the clinical manifestations of APS is constantly evolving. Various mechanisms have been proposed and others are emerging, contributing to the identification of new therapeutic targets for the management of APS disease using different and personalized therapeutic approaches for patients.

This Special Issue invites investigators to submit original articles or reviews and it may include both basic science and clinical research studies with a translational approach. The collection of papers featured in this Special Issue will support the management of APS in order to prevent inaccurate diagnoses and deleterious consequences for patients.

Dr. Antonella Capozzi
Dr. Simona Truglia
Guest Editors

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Keywords

  • antiphospholipid syndrome
  • pathophysiology
  • management
  • treatment
  • antiphospholipid antibodies
  • molecular mechanisms
  • new biomarkers
  • diagnostic tests

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Published Papers (1 paper)

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Review

23 pages, 1427 KiB  
Review
Statins as an Adjunctive Antithrombotic Agent in Thrombotic Antiphospholipid Syndrome: Mechanisms and Clinical Implications
by Tommaso Bucci, Danilo Menichelli, Ilaria Maria Palumbo, Daniele Pastori, Paul R. J. Ames, Gregory Y. H. Lip and Pasquale Pignatelli
Cells 2025, 14(5), 353; https://doi.org/10.3390/cells14050353 - 28 Feb 2025
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Abstract
The thrombotic physiopathology of antiphospholipid syndrome (APS) is complex, heterogeneous, and dynamic. While venous thromboembolism (VTE) is the most common initial presentation, arterial thrombotic events (ATE) become more frequent in advanced stages and are associated with high morbidity and mortality. Despite the use [...] Read more.
The thrombotic physiopathology of antiphospholipid syndrome (APS) is complex, heterogeneous, and dynamic. While venous thromboembolism (VTE) is the most common initial presentation, arterial thrombotic events (ATE) become more frequent in advanced stages and are associated with high morbidity and mortality. Despite the use of oral anticoagulants (OACs), thrombotic APS remains associated with a high risk of recurrent thrombosis. Given their potential antithrombotic effects capable of reducing the risk of both VTE and ATE, statins have been proposed as an adjunctive therapy to OACs for patients with APS and recurrent thrombosis. However, this recommendation is primarily based on studies not specifically conducted in APS populations, with only preclinical data or evidence from retrospective observational studies available from APS patients cohorts. For these reasons, this narrative review aims to synthesise the studies evaluating the potential antithrombotic effects of statins in patients with APS, highlighting the progress made and identifying areas for future research. Full article
(This article belongs to the Special Issue Antiphospholipid Syndrome: Molecular Mechanisms and Novel Therapies)
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