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Review
. 2021 Sep 1;28(5):285-291.
doi: 10.1097/MOH.0000000000000664.

Thrombosis in myeloproliferative neoplasms: update in pathophysiology

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Review

Thrombosis in myeloproliferative neoplasms: update in pathophysiology

Brandi N Reeves et al. Curr Opin Hematol. .

Abstract

Purpose of review: This review summarizes high-impact research in myeloproliferative neoplasms (MPN) from the last 18 months, with a particular focus on basic science findings.

Recent findings: A pseudo-hypoxia state with stabilization of hypoxia-inducible factor (HIFα exists that is central to cell growth, cell renewal, inflammation, and thrombotic potential in MPN hematopoietic cells.

Summary: HIFα and inflammatory pathways are new therapeutic targets in MPN, with the potential to ameliorate thrombotic risk and perhaps eradicate mutant progenitor cells.

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References

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    1. Van Egeren D, Escabi J, Nguyen M, et al. Reconstructing the lineage histories and differentiation trajectories of individual cancer cells in myeloproliferative neoplasms. Cell Stem Cell 2021; 28:514–523. e9.
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    1. Gupta N, Sahu A, Prabhakar A, et al. Activation of NLRP3 inflammasome complex potentiates venous thrombosis in response to hypoxia. Proc Natl Acad Sci USA 2017; 114:4763–4768.

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