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  • Article
  • Open Access
4 Citations
2,109 Views
26 Pages

The Predictive Roles of Tumour Markers, Hemostasis Assessment, and Inflammation in the Early Detection and Prognosis of Gallbladder Adenocarcinoma and Metaplasia: A Clinical Study

  • Andrei Bojan,
  • Catalin Pricop,
  • Maria-Cristina Vladeanu,
  • Iris Bararu-Bojan,
  • Codruta Olimpiada Halitchi,
  • Simona Eliza Giusca,
  • Oana Viola Badulescu,
  • Manuela Ciocoiu,
  • Dan Iliescu-Halitchi and
  • Liliana Georgeta Foia

Gallbladder carcinoma (GBC) is one of the most aggressive malignancies of the biliary tract, often originating from chronic inflammation associated with gallstones and cholecystitis. Persistent inflammation plays a pivotal role in the development of...

(This article belongs to the Special Issue New Advances in Thrombosis: 3rd Edition)
  • Article
  • Open Access
5 Citations
5,816 Views
13 Pages

An Evaluation of Hemostatic Dysregulation in Canine Multicentric Lymphoma

  • Maria Ludovica Messina,
  • Fausto Quintavalla,
  • Angelo Pasquale Giannuzzi,
  • Tommaso Furlanello and
  • Marco Caldin

2 February 2024

Multiple hemostatic abnormalities are associated with paraneoplastic syndrome and some malignant tumors. Lymphoma is the most common hematopoietic neoplasm in dogs, sometimes associated with hemostatic changes. The objectives of this study were to ev...

(This article belongs to the Special Issue Advances in Comparative Oncology: Naturally Developing Tumors in Animals for Investigating Cancer Biology and Therapy)
  • Article
  • Open Access
1 Citations
1,484 Views
12 Pages

Long-Term Hemostatic and Endothelial Dysregulation Associated with Cardiovascular Events in Survivors of COVID-19 Previously Admitted to the ICU

  • Raquel Behar-Lagares,
  • Ana Virseda-Berdices,
  • Óscar Martínez-González,
  • Rafael Blancas,
  • Óscar Brochado-Kith,
  • Eva Manteiga,
  • Paula Muñoz-García,
  • María Jose Mallol Poyato,
  • Jorge Molina del Pozo and
  • Amanda Fernández-Rodríguez
  • + 4 authors

Post-acute sequelae of COVID-19 have been associated with an elevated risk of thromboembolism and adverse cardiovascular events (CVEs). We aim to evaluate whether alterations in poorly studied hemostatic and endothelial proteins are associated with C...

(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
  • Review
  • Open Access
21 Citations
9,846 Views
18 Pages

14 February 2022

This narrative review aims to describe Angiostrongylus vasorum-induced hemostatic dysfunction of dogs with emphasis on clinical and laboratory findings as well as potential therapeutic strategies for the bleeding patient. Canine angiostrongylosis (CA...

(This article belongs to the Section Parasitic Pathogens)
  • Review
  • Open Access
11 Citations
5,954 Views
19 Pages

Dysregulated Hemostasis and Immunothrombosis in Cerebral Cavernous Malformations

  • Maria Ascencion Globisch,
  • Favour Chinyere Onyeogaziri,
  • Ross Osborne Smith,
  • Maximiliano Arce and
  • Peetra Ulrica Magnusson

20 October 2022

Cerebral cavernous malformation (CCM) is a neurovascular disease that affects 0.5% of the general population. For a long time, CCM research focused on genetic mutations, endothelial junctions and proliferation, but recently, transcriptome and proteom...

(This article belongs to the Special Issue Molecular Mechanisms of Hemostasis, Thrombosis and Thrombo-Inflammation 2.0)
  • Review
  • Open Access
4 Citations
4,487 Views
17 Pages

19 December 2025

The recognition of trauma-induced coagulopathy (TIC) as an endogenous response to traumatic injuries rather than a consequence of therapeutic interventions has shifted the clinical approach toward an early and physiologically based hemostatic resusci...

(This article belongs to the Section Intensive Care)
  • Review
  • Open Access
19 Citations
7,982 Views
11 Pages

Bleeding Disorders in Primary Fibrinolysis

  • Massimo Franchini,
  • Marco Zaffanello and
  • Pier Mannuccio Mannucci

Fibrinolysis is a complex enzymatic process aimed at dissolving blood clots to prevent vascular occlusions. The fibrinolytic system is composed of a number of cofactors that, by regulating fibrin degradation, maintain the hemostatic balance. A dysreg...

(This article belongs to the Special Issue The Role of Fibrinolytic System in Health and Disease 2.0)
  • Review
  • Open Access
586 Views
32 Pages

Assessment of Hypercoagulability After Orthopedic Trauma Surgery Using Coagulation Biomarkers and TEG/ROTEM

  • Bogdan Huzum,
  • Dan Viorel Cionca,
  • Daniel Ciupilan,
  • Dragos-Florin Tesoi,
  • Cornelia Mircea and
  • Oana-Viola Badulescu

Orthopedic trauma surgery is associated with an increased risk of postoperative hypercoagulability, predisposing patients to potentially life-threatening thromboembolic complications, including deep vein thrombosis (DVT) and pulmonary embolism (PE)....

(This article belongs to the Special Issue New Advances in Thrombosis: 4th Edition)
  • Article
  • Open Access
2,241 Views
14 Pages

Procoagulant Status and Fibrinolytic Activity in COVID-19 Patients during Illness and Convalescence

  • Olga S. Beznoshchenco,
  • Andrey Yu. Romanov,
  • Nataliya V. Dolgushina,
  • Elena A. Gorodnova,
  • Tatiana Yu. Ivanets,
  • Ekaterina L. Yarotskaya,
  • Aleksey V. Pyregov,
  • Sergej V. Grachev and
  • Gennady T. Sukhikh

SARS-CoV-2 (Severe Acute Respiratory Syndrome-related CoronaVirus 2) activates the immune system, causing thrombin dysregulation and tissue damage and reduces endothelium anticoagulant function, leading to excessive thrombin formation. Hypercoagulabi...

(This article belongs to the Special Issue The End of the COVID-19 Pandemic—What Is Currently Known and What Could Have Been Useful Four Years Ago?)
  • Review
  • Open Access
15 Citations
6,254 Views
16 Pages

Dual Antiplatelet Therapy and Cancer; Balancing between Ischemic and Bleeding Risk: A Narrative Review

  • Grigorios Tsigkas,
  • Angeliki Vakka,
  • Anastasios Apostolos,
  • Eleni Bousoula,
  • Nikolaos Vythoulkas-Biotis,
  • Eleni-Evangelia Koufou,
  • Georgios Vasilagkos,
  • Ioannis Tsiafoutis,
  • Michalis Hamilos and
  • Periklis Davlouros
  • + 1 author

Cardiovascular (CV) events in patients with cancer can be caused by concomitant CV risk factors, cancer itself, and anticancer therapy. Since malignancy can dysregulate the hemostatic system, predisposing cancer patients to both thrombosis and hemorr...

(This article belongs to the Special Issue New Insights into Antithrombotic Therapy for Cardio- and Cerebrovascular Disease: From Molecular Mechanisms to Clinical Application)
  • Review
  • Open Access
4 Citations
1,127 Views
29 Pages

Methodological and Pathophysiological Considerations in Obesity-Associated Thrombosis

  • Julia Gniewek,
  • Sebastian Krych,
  • Marta Stępień-Słodkowska,
  • Maria Adamczyk,
  • Tomasz Hrapkowicz and
  • Paweł Kowalczyk

18 February 2026

Obesity is a major risk factor for both venous and arterial thrombosis, largely mediated by chronic oxidative stress and hemostatic dysregulation. Excess adipose tissue enhances the production of reactive oxygen species (ROS) from adipocytes and infi...

(This article belongs to the Section Molecular Biology)
  • Article
  • Open Access
721 Views
16 Pages

Akhirin Preserves Hemostatic Wound Repair Through Non-Hematopoietic Regulation of the Vascular Injury Microenvironment

  • Mohammad Badrul Anam,
  • Mikiko Kudo,
  • Terumasa Umemoto,
  • Keisuke Yamashita,
  • Rie Kawano and
  • Kunimasa Ohta

7 September 2026

Hemostasis and wound healing are highly coordinated processes that involve rapid clot formation followed by controlled remodeling of the injured tissue microenvironment. Prior work on Akhirin (AKH), a secreted extracellular matrix protein containing...

(This article belongs to the Special Issue Mechanisms of Morphogenesis, Degeneration, and Regeneration)
  • Article
  • Open Access
7 Citations
1,875 Views
14 Pages

Placental Dysfunction Is Associated with Dysregulated Fibrinolytic System Activation

  • Tetiana Yatsenko,
  • Iryna Us,
  • Daria Korolova,
  • Svitlana Zhuk,
  • Halyna Dziuba,
  • Alona Nalbat,
  • Svitlana Kharchenko,
  • Sandor George Vari and
  • Volodymyr Chernyshenko

24 September 2025

During pregnancy, the maternal hemostatic system undergoes significant changes to support placental angiogenesis, maintain fetal blood flow, and ensure safe delivery. This study investigates the dysregulation of hemostasis in placental insufficiency...

(This article belongs to the Special Issue Common Mechanisms in Gestational Diabetes, Preeclampsia, and Coronavirus Disease 2019)
  • Review
  • Open Access
56 Citations
12,721 Views
26 Pages

8 September 2021

The plasma glycoprotein von Willebrand factor (VWF) is exclusively synthesized in endothelial cells (ECs) and megakaryocytes, the precursor cells of platelets. Its primary function lies in hemostasis. However, VWF is much more than just a “fishing ho...

  • Review
  • Open Access
25 Citations
5,401 Views
21 Pages

Plasminogen System in the Pathophysiology of Sepsis: Upcoming Biomarkers

  • Filomena Napolitano,
  • Valentina Giudice,
  • Carmine Selleri and
  • Nunzia Montuori

3 August 2023

Severe hemostatic disturbances and impaired fibrinolysis occur in sepsis. In the most serious cases, the dysregulation of fibrinolysis contributes to septic shock, disseminated intravascular coagulation (DIC), and death. Therefore, an analysis of cir...

(This article belongs to the Special Issue Diagnostic and Therapeutic Advances in the Management of Sepsis and Septic Shock)
  • Article
  • Open Access
1 Citations
1,430 Views
15 Pages

Exploratory Analysis of Coagulation and Fibrinolysis Trajectories After IL-6 Antagonist Therapy in COVID-19: A Case Series

  • Emőke Henrietta Kovács,
  • Máté Rottler,
  • Zoltán Ruszkai,
  • Csanád Geréd,
  • Tamás Kiss,
  • Margit Csata,
  • Barbara Réger,
  • Rita Jakabfi-Csepregi,
  • István Papp and
  • Krisztián Tánczos
  • + 4 authors

Background/Objectives: Severe COVID-19 is marked by IL-6-driven inflammation, endothelial injury, and dysregulated coagulation. Although IL-6 antagonists improve clinical outcomes, their effects on the temporal evolution of coagulation and fibrinolys...

(This article belongs to the Special Issue The End of the COVID-19 Pandemic—What Is Currently Known and What Could Have Been Useful Four Years Ago? (2nd Edition))
  • Review
  • Open Access
730 Views
23 Pages

The Role of Platelets in Pulmonary Hypertension: From Activation to Pulmonary Vascular Remodeling—A Review Article

  • Patrycja Wszelaki,
  • Aleksandra Karczmarska,
  • Szymon Szymoniuk,
  • Grzegorz Grześk,
  • Zbigniew Włodarczyk and
  • Joanna Sikora

The article presents the results of a structured literature review of the past decade and focuses on the crucial role of platelets in the pathogenesis of pulmonary arterial hypertension (PAH). It explores how endothelial dysfunction initiates early p...

(This article belongs to the Special Issue Platelets in Human Health and Diseases)
  • Article
  • Open Access
3 Citations
1,714 Views
20 Pages

The Association of Elevated Factor VIII and von Willebrand Factor (vWF) Levels with SYNTAX Score in Patients with Chronic Coronary Syndrome

  • Predrag Djuric,
  • Zorica Mladenovic,
  • Zoran Jovic,
  • Snjezana Vukotic,
  • Marijan Spasic,
  • Mirjana Mijuskovic,
  • Brankica Terzic,
  • Zoran Radojicic,
  • Nina Radisavljevic and
  • Dragan Djuric
  • + 1 author

17 September 2025

Background and Objectives: Factor VIII (FVIII) and the von Willebrand factor (vWF) are key components of hemostatic balance. Disruption of the vWF-ADAMTS13 axis, characterized by elevated vWF and reduced ADAMTS13 activity has been implicated in throm...

(This article belongs to the Special Issue Cardiovascular and Metabolic Disease: New Treatment and Future Directions—4th Edition)
  • Review
  • Open Access
31 Citations
10,961 Views
15 Pages

Severe Trauma-Induced Coagulopathy: Molecular Mechanisms Underlying Critical Illness

  • Christian Zanza,
  • Tatsiana Romenskaya,
  • Fabrizio Racca,
  • Eduardo Rocca,
  • Fabio Piccolella,
  • Andrea Piccioni,
  • Angela Saviano,
  • George Formenti-Ujlaki,
  • Gabriele Savioli and
  • Yaroslava Longhitano
  • + 1 author

Trauma remains one of the leading causes of death in adults despite the implementation of preventive measures and innovations in trauma systems. The etiology of coagulopathy in trauma patients is multifactorial and related to the kind of injury and n...

(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
  • Article
  • Open Access
2 Citations
2,643 Views
14 Pages

The Influence of Zearalenone on Selected Hemostatic Parameters in Sexually Immature Gilts

  • Ewa Jakimiuk,
  • Justyna Radwińska,
  • Maciej Woźny,
  • Andrzej Pomianowski,
  • Paweł Brzuzan,
  • Paweł Wojtacha,
  • Kazimierz Obremski and
  • Łukasz Zielonka

6 September 2021

Vascular toxicity induced by xenobiotics is associated with dysfunctions or damage to endothelial cells, changes in vascular permeability or dysregulation of the vascular redox state. The aim of this study was to determine whether per os administrati...

(This article belongs to the Section Mycotoxins)
  • Article
  • Open Access
245 Views
25 Pages

Dysregulation of the Heparanase/TFPI-2/Heparan Sulfate Axis in Recurrent Pregnancy Loss

  • Chen Yanovich,
  • Nadin Sabbah,
  • Keren Asayag,
  • Yonatan Crispel,
  • Haim Cohen,
  • Anat Keren-Politansky and
  • Yona Nadir

15 September 2026

Recurrent pregnancy loss (RPL) is a clinically heterogeneous reproductive disorder, and in many women the underlying mechanism remains unexplained by standard thrombophilia evaluation. Pregnancy is characterized by a tightly regulated hemostatic bala...

(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
  • Review
  • Open Access
29 Citations
6,287 Views
28 Pages

Neutrophils present the host’s first line of defense against bacterial infections. These immune effector cells are mobilized rapidly to destroy invading pathogens by (a) reactive oxygen species (ROS)-mediated oxidative bursts and (b) via phagoc...

(This article belongs to the Special Issue Neutrophil in Cell Biology and Diseases 2.0)
  • Perspective
  • Open Access
2 Citations
1,335 Views
19 Pages

Chronic Subdural Hematoma Is Not Subdural: Anatomical, Biological, and Therapeutic Implications of a Misleading Definition

  • Matteo De Simone,
  • Elena Ciaglia,
  • Alessandro Santurro,
  • Anis Choucha,
  • Benedetta Messuti,
  • Stefano Fasolino,
  • Rosario De Feo,
  • Daniele Giuseppe Romano,
  • Germano Guerra and
  • Giorgio Iaconetta
  • + 1 author

Chronic subdural hematoma (CSDH) is traditionally described as a post-traumatic blood collection within the subdural space; however, both its anatomical localization and pathophysiology have been increasingly questioned. Ultrastructural and histopath...

(This article belongs to the Section Neurosurgery and Neuroanatomy)
  • Review
  • Open Access
6 Citations
5,403 Views
23 Pages

Viscoelastic Hemostatic Assays for Orthopedic Trauma and Elective Procedures

  • Christiaan N. Mamczak,
  • Jacob Speybroeck,
  • John E. Stillson,
  • Joseph Dynako,
  • Andres Piscoya,
  • Ethan E. Peck,
  • Michael Aboukhaled,
  • Emily Cancel,
  • Michael McDonald and
  • Matthew E. Kutcher
  • + 4 authors

12 July 2022

The application of viscoelastic hemostatic assays (VHAs) (e.g., thromboelastography (TEG) and rotational thromboelastometry (ROTEM)) in orthopedics is in its relative infancy when compared with other surgical fields. Fortunately, several recent studi...

(This article belongs to the Special Issue Clinical Research on Viscoelastic Testing)
  • Article
  • Open Access
13 Citations
4,397 Views
29 Pages

miRNAs and Their Gene Targets—A Clue to Differentiate Pregnancies with Small for Gestational Age Newborns, Intrauterine Growth Restriction, and Preeclampsia

  • Angelika V. Timofeeva,
  • Ivan S. Fedorov,
  • Alexander G. Brzhozovskiy,
  • Anna E. Bugrova,
  • Vitaliy V. Chagovets,
  • Maria V. Volochaeva,
  • Natalia L. Starodubtseva,
  • Vladimir E. Frankevich,
  • Evgeny N. Nikolaev and
  • Gennady T. Sukhikh
  • + 1 author

Despite the differences in the clinical manifestations of major obstetric syndromes, such as preeclampsia (PE) and intrauterine growth restriction (IUGR), their pathogenesis is based on the dysregulation of proliferation, differentiation, and invasio...

(This article belongs to the Section Pathology and Molecular Diagnostics)
  • Review
  • Open Access
1,132 Views
28 Pages

12 August 2026

Trauma with hemorrhagic shock causes about 2.3 million deaths yearly worldwide. Improved hemostatic management has shifted the relative distribution of mortality, leaving multiorgan failure (MOF) as a leading cause of death. Clinical observations sug...

(This article belongs to the Special Issue Endothelial Function and Cardiovascular Disease: Molecular Advances and Challenges)
  • Article
  • Open Access
1,281 Views
17 Pages

Proteomic Analysis of Endothelial Activation Induced by Adult Angiostrongylus vasorum Homogenate: Insights into Vascular Remodeling and Hemostatic Imbalance

  • Manuel Collado-Cuadrado,
  • Iván Rodríguez-Escolar,
  • Alfonso Balmori-de la Puente,
  • Ana Montero-Calle,
  • Sara Vázquez-Ávila,
  • Fabio Macchioni,
  • Rodrigo Barderas,
  • Javier Sotillo,
  • Miguel Pericacho and
  • Rodrigo Morchón

15 March 2026

The interaction between Angiostrongylus vasorum and the vascular endothelium of the host plays a key role in the pathogenesis of canine angiostrongylosis. The adult stage of A. vasorum resides in right ventricles and pulmonary arteries of dogs and fo...

  • Article
  • Open Access
5 Citations
5,863 Views
20 Pages

Involvement of Pro-Inflammatory Macrophages in Liver Pathology of Pirital Virus-Infected Syrian Hamsters

  • Corey L. Campbell,
  • Aaron T. Phillips,
  • Amber Rico,
  • Amanda McGuire,
  • Tawfik A. Aboellail,
  • Sandra Quackenbush,
  • Ken E. Olson and
  • Tony Schountz

2 May 2018

New World arenaviruses cause fatal hemorrhagic disease in South America. Pirital virus (PIRV), a mammarenavirus hosted by Alston’s cotton rat (Sigmodon alstoni), causes a disease in Syrian golden hamsters (Mesocricetus auratus) (biosafety level...

(This article belongs to the Section Animal Viruses)
  • Review
  • Open Access
2 Citations
1,802 Views
17 Pages

20 May 2026

Plasminogen activator inhibitor-1 (PAI-1), encoded by SERPINE1, is the principal physiological inhibitor of tissue-type and urokinase-type plasminogen activators and a central regulator of fibrinolysis. Beyond its canonical hemostatic role, PAI-1 has...

(This article belongs to the Special Issue Targeting of Cancer Cells with Small Molecule Drugs)
  • Review
  • Open Access
4 Citations
3,075 Views
34 Pages

Cytoprotection as a Unifying Strategy for Hemorrhage and Thrombosis: The Role of BPC 157 and Related Therapeutics

  • Predrag Sikiric,
  • Ivan Barisic,
  • Mario Udovicic,
  • Martina Lovric Bencic,
  • Diana Balenovic,
  • Dean Strinic,
  • Gordana Zivanovic Posilovic,
  • Sandra Uzun,
  • Hrvoje Vranes and
  • Anita Skrtic
  • + 14 authors

12 March 2026

This review presents an innovative and timely exploration of how cytoprotection can serve as a cohesive therapeutic approach by which to address the hemorrhage–thrombosis paradox. Presenting counteraction of both hemorrhage and thrombosis as ph...

(This article belongs to the Section Biopharmaceuticals)
  • Article
  • Open Access
7 Citations
3,854 Views
11 Pages

Activation of the Carboxypeptidase U (CPU, TAFIa, CPB2) System in Patients with SARS-CoV-2 Infection Could Contribute to COVID-19 Hypofibrinolytic State and Disease Severity Prognosis

  • Karen Claesen,
  • Yani Sim,
  • An Bracke,
  • Michelle De bruyn,
  • Emilie De Hert,
  • Gwendolyn Vliegen,
  • An Hotterbeekx,
  • Alexandra Vujkovic,
  • Lida van Petersen and
  • Dirk Hendriks
  • + 9 authors

9 March 2022

Coronavirus disease 2019 (COVID-19) is a viral lower respiratory tract infection caused by the highly transmissible and pathogenic SARS-CoV-2 (severe acute respiratory-syndrome coronavirus-2). Besides respiratory failure, systemic thromboembolic comp...

(This article belongs to the Collection Coronavirus Disease 2019: Clinical Presentation, Pathogenesis and Treatment)
  • Review
  • Open Access
280 Views
38 Pages

1 October 2026

Diabetes impairs multiple stages of the wound-healing process, resulting in chronic, infection-prone wounds that pose a substantial clinical burden. Despite available therapeutic options, effective management remains challenging owing to inadequate t...

(This article belongs to the Special Issue Marine-Derived Polymers for Tissue Engineering and Drug Delivery Applications)
  • Article
  • Open Access
349 Views
17 Pages

Peripheral Leukocyte TET Protein Expression Is Associated with Plasma Coagulation Parameters in Patients with Heart Failure with Reduced Ejection Fraction: A Two-Center Cross-Sectional Study

  • Anna Wołowiec,
  • Łukasz Wołowiec,
  • Grzegorz Grześk,
  • Jacek Budzyński,
  • Joanna Banach,
  • Joanna Osiak-Gwiazdowska,
  • Albert Jaśniak,
  • Paulina Jakubowska and
  • Mariusz Kozakiewicz

30 July 2026

Background/Objectives: Heart failure with reduced ejection fraction (HFrEF) involves coexisting inflammatory and hemostatic dysregulation contributing to thromboembolic and bleeding risk. Ten-eleven translocation (TET1-3) proteins regulate immune-cel...

(This article belongs to the Section Cardiovascular Medicine)