Chemotherapy and hemostasis disorders

Cancer patients are at risk of developing arterial and venous thrombosis during chemotherapy (CT) and after its cessation. A prothrombotic risk may arise via pathogenetic pathways such as activation of external and internal coagulation pathways, decreased anticoagulant levels, platelet activation, f...

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Main Authors: E. V. Slukhanchuk, V. O. Bitsadze, A. G. Solopova, J. Kh. Khizroeva, K. N. Grigoreva, N. R. Gashimova, N. A. Makatsariya, D. V. Blinov, V. N. Galkin, A. Yu. Shatilina, E. M. Lyadnova, N. A. Shulga, L. T. Toguzaeva, S. Morkos, J.-C. Gris, I. Elalamy, G. Gerotziafas, A. D. Makatsariya
Format: Article
Language:Russian
Published: IRBIS LLC 2025-01-01
Series:Акушерство, гинекология и репродукция
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Online Access:https://www.gynecology.su/jour/article/view/2288
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author E. V. Slukhanchuk
V. O. Bitsadze
A. G. Solopova
J. Kh. Khizroeva
K. N. Grigoreva
N. R. Gashimova
N. A. Makatsariya
D. V. Blinov
V. N. Galkin
A. Yu. Shatilina
E. M. Lyadnova
N. A. Shulga
L. T. Toguzaeva
S. Morkos
J.-C. Gris
I. Elalamy
G. Gerotziafas
A. D. Makatsariya
author_facet E. V. Slukhanchuk
V. O. Bitsadze
A. G. Solopova
J. Kh. Khizroeva
K. N. Grigoreva
N. R. Gashimova
N. A. Makatsariya
D. V. Blinov
V. N. Galkin
A. Yu. Shatilina
E. M. Lyadnova
N. A. Shulga
L. T. Toguzaeva
S. Morkos
J.-C. Gris
I. Elalamy
G. Gerotziafas
A. D. Makatsariya
author_sort E. V. Slukhanchuk
collection DOAJ
description Cancer patients are at risk of developing arterial and venous thrombosis during chemotherapy (CT) and after its cessation. A prothrombotic risk may arise via pathogenetic pathways such as activation of external and internal coagulation pathways, decreased anticoagulant levels, platelet activation, fibrinolysis blockade, etc. Chemotherapeutic agents exert direct cytotoxicity, as well as indirectly suppress cellular processes necessary for tumor cell proliferation. CT-related cytotoxicity act on both tumor and healthy body cells. Available targeted drugs with improved selectivity for tumor cells are also associated with thrombosis risk. Low molecular weight heparins, which effectively reduce the risk of venous thromboembolism, have not yet been officially recommended for routine use during CT. Here, we discuss the prothrombotic effects of various antitumor agents aimed at gaining deeper understanding of the underlying mechanisms that may allow to develop new strategies for prevention and treatment of such formidable complications.
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record_format Article
series Акушерство, гинекология и репродукция
spelling doaj-art-e02514cbda88407d85d6cceca6e72ca12025-08-20T03:19:14ZrusIRBIS LLCАкушерство, гинекология и репродукция2313-73472500-31942025-01-0118683584610.17749/2313-7347/ob.gyn.rep.2024.579937Chemotherapy and hemostasis disordersE. V. Slukhanchuk0V. O. Bitsadze1A. G. Solopova2J. Kh. Khizroeva3K. N. Grigoreva4N. R. Gashimova5N. A. Makatsariya6D. V. Blinov7V. N. Galkin8A. Yu. Shatilina9E. M. Lyadnova10N. A. Shulga11L. T. Toguzaeva12S. Morkos13J.-C. Gris14I. Elalamy15G. Gerotziafas16A. D. Makatsariya17Sechenov UniversitySechenov UniversitySechenov UniversitySechenov UniversitySechenov UniversitySechenov UniversitySechenov Universityinstitute for Preventive and Social Medicine; Moscow Haass Medical - Social Institute; Federal Scientific and Clinical Center for Medical Rehabilitation and BalneologyYudin City Clinical Hospital, Moscow Healthcare DepartmentSechenov UniversitySechenov UniversityLomonosov Moscow State UniversityAcademician Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Health Ministry of Russian FederationAl Zahra HospitalSechenov University; University of MontpellierSechenov University; Medicine Sorbonne University; Hospital TenonSechenov University; Medicine Sorbonne University; Hospital TenonSechenov UniversityCancer patients are at risk of developing arterial and venous thrombosis during chemotherapy (CT) and after its cessation. A prothrombotic risk may arise via pathogenetic pathways such as activation of external and internal coagulation pathways, decreased anticoagulant levels, platelet activation, fibrinolysis blockade, etc. Chemotherapeutic agents exert direct cytotoxicity, as well as indirectly suppress cellular processes necessary for tumor cell proliferation. CT-related cytotoxicity act on both tumor and healthy body cells. Available targeted drugs with improved selectivity for tumor cells are also associated with thrombosis risk. Low molecular weight heparins, which effectively reduce the risk of venous thromboembolism, have not yet been officially recommended for routine use during CT. Here, we discuss the prothrombotic effects of various antitumor agents aimed at gaining deeper understanding of the underlying mechanisms that may allow to develop new strategies for prevention and treatment of such formidable complications.https://www.gynecology.su/jour/article/view/2288cancervenous thromboembolismthrombosischemotherapyст
spellingShingle E. V. Slukhanchuk
V. O. Bitsadze
A. G. Solopova
J. Kh. Khizroeva
K. N. Grigoreva
N. R. Gashimova
N. A. Makatsariya
D. V. Blinov
V. N. Galkin
A. Yu. Shatilina
E. M. Lyadnova
N. A. Shulga
L. T. Toguzaeva
S. Morkos
J.-C. Gris
I. Elalamy
G. Gerotziafas
A. D. Makatsariya
Chemotherapy and hemostasis disorders
Акушерство, гинекология и репродукция
cancer
venous thromboembolism
thrombosis
chemotherapy
ст
title Chemotherapy and hemostasis disorders
title_full Chemotherapy and hemostasis disorders
title_fullStr Chemotherapy and hemostasis disorders
title_full_unstemmed Chemotherapy and hemostasis disorders
title_short Chemotherapy and hemostasis disorders
title_sort chemotherapy and hemostasis disorders
topic cancer
venous thromboembolism
thrombosis
chemotherapy
ст
url https://www.gynecology.su/jour/article/view/2288
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