Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Jun;36(2):305-329.
doi: 10.1007/s10555-017-9683-z.

Antiplatelet agents for cancer treatment: a real perspective or just an echo from the past?

Affiliations

Antiplatelet agents for cancer treatment: a real perspective or just an echo from the past?

Marek Z Wojtukiewicz et al. Cancer Metastasis Rev. 2017 Jun.

Abstract

The association between coagulation and cancer development has been observed for centuries. However, the connection between inflammation and malignancy is also well-recognized. The plethora of evidence indicates that among multiple hemostasis components, platelets play major roles in cancer progression by providing surface and granular contents for several interactions as well as behaving like immune cells. Therefore, the anticancer potential of anti-platelet therapy has been intensively investigated for many years. Anti-platelet agents may prevent cancer, decrease tumor growth, and metastatic potential, as well as improve survival of cancer patients. On the other hand, there are suggestions that antiplatelet treatment may promote solid tumor development in a phenomenon described as "cancers follow bleeding." The controversies around antiplatelet agents justify insight into the subject to establish what, if any, role platelet-directed therapy has in the continuum of anticancer management.

Keywords: Anti-platelet therapy; Cancer; Platelet.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Platelet receptors and molecules contributed to cancer dissemination. CLEC-2 C-type lectin-like receptor-2, GPIb-IX-V glycoproteins Ib-IX-V, VI, IIb-IIIa, PAR protease-activated receptors for thrombin, P2Y purigenic P2 receptors for nucleotides, TCIPA tumor cell-induced platelet aggregation

References

    1. Sierko E, Wojtukiewicz MZ. Inhibition of platelet function: does it offer a chance of better cancer progression control? Seminars in Thrombosis and Hemostasis. 2007;33(7):712–721. doi: 10.1055/s-2007-991540. - DOI - PubMed
    1. Menter DG, Tucker SC, Kopetz S, Sood AK, Crissman JD, Honn KV. Platelets and cancer: a casual or causal relationship: revisited. Cancer and Metastasis Reviews. 2014;33(1):231–269. doi: 10.1007/s10555-014-9498-0. - DOI - PMC - PubMed
    1. Wojtukiewicz MZ, Hempel D, Sierko E, Tucker SC, Honn KV. Thrombin - unique coagulation system protein with multifaceted impacts on cancer and metastasis. Cancer and Metastasis Reviews. 2016;35:213–233. doi: 10.1007/s10555-016-9626-0. - DOI - PubMed
    1. Choe KSCJ, Chan JM, Carroll PR, D’Amico AV, Liauw SL. Aspirin use and the risk of prostate cancer mortality in men treated with prostatectomy or radiotherapy. Journal of Clinical Oncology. 2012;30(28):3540–3544. doi: 10.1200/JCO.2011.41.0308. - DOI - PMC - PubMed
    1. Gerotziafas GTPC, Hatmi M, Samama MM, Elalamy I. Clinical studies with anticoagulants to improve survival in cancer patients. Pathophysiology of Haemostasis and Thrombosis. 2008;36(3–4):204–211. - PubMed

Substances