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  • Platelets and Thrombopoiesis, Thrombosis and Hemostasis  (2)
  • Alternativmedizin  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Internist 38 (1997), S. 299-306 
    ISSN: 1432-1289
    Keywords: Schlüsselwörter Wissenschaftstheorie ; Methodologie ; Forschung ; Schulmedizin ; Alternativmedizin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Zum Thema Unterschiedliche epistemische Verfahren des Wissenserwerbs beruhen auf – zumindest partiell – miteinander nicht kompatiblen Axiomen, die ihrerseits nicht falsifizierbar sind. Die 4 Axiome des Erkenntnisgewinns in der Medizin sind: •*Axiom der Existenz von übernatürlichen Personen oder Kräften •*Axiom der Korrespondenz von Phänomenen (Analogieprinzip) •*Axiom des kausalgesetzlichen, mechanisch-deterministischen Ablaufs von Prozessen in der Natur (Grundlage der wissenschaftlichen Medizin) •*Axiom der Möglichkeit des intersubjektiven Verstehens von menschlichen Lebensäußerungen durch hermeneutische Interpretation verbaler und nonverbaler Zeichen. In der folgenden Übersicht werden diese Axiome erläutert. Unter dem letztgenannten Axiom betrachtet, sieht sich die Psychoanalyse einer epistemologischen Kritik ausgesetzt, die vor allem auf die konstruktivistischen Elemente dieser Lehre abzielt.
    Type of Medium: Electronic Resource
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  • 2
    Publication Date: 2015-05-19
    Description: Tumor-mediated procoagulatory activity leads to venous thromboembolism and supports metastasis in cancer patients. A prerequisite for metastasis formation is the interaction of cancer cells with endothelial cells (ECs) followed by their extravasation. Although it is known that activation of ECs and the release of the procoagulatory protein von Willebrand factor (VWF) is essential for malignancy, the underlying mechanisms remain poorly understood. We hypothesized that VWF fibers in tumor vessels promote tumor-associated thromboembolism and metastasis. Using in vitro settings, mouse models, and human tumor samples, we showed that melanoma cells activate ECs followed by the luminal release of VWF fibers and platelet aggregation in tumor microvessels. Analysis of human blood samples and tumor tissue revealed that a promoted VWF release combined with a local inhibition of proteolytic activity and protein expression of ADAMTS13 (a disintegrin-like and metalloproteinase with thrombospondin type I repeats 13) accounts for this procoagulatory milieu. Blocking endothelial cell activation by the low-molecular-weight heparin tinzaparin was accompanied by a lack of VWF networks and inhibited tumor progression in a transgenic mouse model. Our findings implicate a mechanism wherein tumor-derived vascular endothelial growth factor-A (VEGF-A) promotes tumor progression and angiogenesis. Thus, targeting EC activation envisions new therapeutic strategies attenuating tumor-related angiogenesis and coagulation.
    Keywords: Platelets and Thrombopoiesis, Thrombosis and Hemostasis
    Print ISSN: 0006-4971
    Electronic ISSN: 1528-0020
    Topics: Biology , Medicine
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  • 3
    Publication Date: 2015-09-18
    Description: After tissue injury, both wound sealing and apoptosis contribute to restoration of tissue integrity and functionality. Although the role of platelets (PLTs) for wound closure and induction of regenerative processes is well established, the knowledge about their contribution to apoptosis is incomplete. Here, we show that PLTs present the death receptor Fas ligand (FasL) on their surface after activation. Activated PLTs as well as the isolated membrane fraction of activated PLTs but not of resting PLTs induced apoptosis in a dose-dependent manner in primary murine neuronal cells, human neuroblastoma cells, and mouse embryonic fibroblasts. Membrane protein from PLTs lacking membrane-bound FasL (FasL m/m ) failed to induce apoptosis. Bax/Bak-mediated mitochondrial apoptosis signaling in target cells was not required for PLT-induced cell death, but increased the apoptotic response to PLT-induced Fas signaling. In vivo, PLT depletion significantly reduced apoptosis in a stroke model and an inflammation-independent model of N -methyl- d -aspartic acid-induced retinal apoptosis. Furthermore, experiments using PLT-specific PF4Cre + FasL fl/fl mice demonstrated a role of PLT-derived FasL for tissue apoptosis. Because apoptosis secondary to injury prevents inflammation, our findings describe a novel mechanism on how PLTs contribute to tissue homeostasis.
    Keywords: Platelets and Thrombopoiesis, Thrombosis and Hemostasis
    Print ISSN: 0006-4971
    Electronic ISSN: 1528-0020
    Topics: Biology , Medicine
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