Blood coagulation in the 21st century: existing knowledge, current strategies for treatment and perspective

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Abstract

Disorders in the blood coagulation system are the leading cause of death and disability in the modern world. So the search for new drugs that can prevent pathological thrombosis, while not affecting normal hemostasis, becomes more relevant than ever. Recent studies has been a revolution in the understanding of the principles of work and the regulation of blood coagulation. In addition, new, more effective approaches to drug development have now appeared. For example computer simulation methods that can significantly reduce the time and resources spent on the search for new candidate molecules. In the review, the blood clotting system, the molekular mechanisms of thrombosis, the role of blood coagulation factors Xa and XIa, and the urgency of developing new inhibitors of these targets are shown, and the most interesting inhibitors of factors Xa and XIa are presented.

About the authors

N. A. Podoplelova

Russian Children's Clinical Hospital of the Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian Federation;
Center for Theoretical Problems of Physicochemical Pharmakology

ORCID iD: 0000-0001-8013-1112
Moscow Russian Federation

V. B. Sulimov

Research Computing Center, Moscow State University;
LLC Dimonta

ORCID iD: 0000-0002-7102-6107
Moscow Russian Federation

I. S. Ilin

Research Computing Center, Moscow State University;
LLC Dimonta

ORCID iD: 0000-0001-8701-5472
Moscow Russian Federation

A. S. Tashilova

Research Computing Center, Moscow State University;
LLC Dimonta

ORCID iD: 0000-0002-3612-393X
Moscow Russian Federation

M. A. Panteleev

Russian Children's Clinical Hospital of the Pirogov Russian National Research Medical University of the Ministry of Healthcare of the Russian Federation;
Center for Theoretical Problems of Physicochemical Pharmakology;
Lomonosov Moscow State University;
Moscow Institute of Physics and Technology (State University)

Author for correspondence.
Email: mapanteleev@yandex.ru
ORCID iD: 0000-0002-8128-7757

PhD, DSc, Head of the Laboratory of cellular hemostasis and trombosis,

117997, Moscow, Samory Mashela st., 1

Russian Federation

I. V. Ledeneva

Voronezh State University

ORCID iD: 0000-0002-4277-5838
Voronezh Russian Federation

Kh. S. Shikhaliev

Voronezh State University

ORCID iD: 0000-0002-6576-0305
Voronezh Russian Federation

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Copyright (c) 2020 Podoplelova N.A., Sulimov V.B., Ilin I.S., Tashilova A.S., Panteleev M.A., Ledeneva I.V., Shikhaliev K.S.

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This work is licensed under a Creative Commons Attribution 4.0 International License.