Molecular mechanisms of hemostasis impairment in oncology

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Abstract

Malignant neoplasms are characterized by the presence of the hemostasis system pathology, predisposing cancer patients to thrombohemorrhagic complications. The pathogenesis of cancer-associated coagulopathy is complex and involves a variety of mechanisms. Tumor cells have the ability to activate the host’s hemostasis system, and this phenomenon is controlled by the same oncogenes that are responsible for neoplastic transformation. In addition to predisposing factors to impaired hemostasis from the side of the disease, the anticancer drugs themselves carry risks of developing coagulation disorders. The pathophysiological basis of this kind of disorders caused by chemotherapy is associated with damage to the endothelium, imbalance of coagulation and anticoagulant proteins, platelet dysfunction and their deficiency. In this article, the authors set themselves the goal of generalizing and updating the current knowledge of the molecular mechanisms that cause thrombohemorrhagic risk in cancer. 

About the authors

E. M. Koltsova

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation;
Center for Theoretical Problems of Physicochemical Pharmacology, Russian Academy of Sciences

Author for correspondence.
Email: ekaterina_koltsova@bk.ru
ORCID iD: 0000-0003-0167-6726

leading researcher of the Laboratory of Translational Medicine, 1 Samory Mashela St., Moscow 117997;

Deputy Director of Science–Scientific Secretary, Moscow

Russian Federation

G. S. Svidelskaya

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation;
Center for Theoretical Problems of Physicochemical Pharmacology, Russian Academy of Sciences

ORCID iD: 0000-0001-9744-9629

1 Samory Mashela St., Moscow 117997

Russian Federation

Yu. A. Shifrin

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation

ORCID iD: 0000-0002-0053-0146

1 Samory Mashela St., Moscow 117997

Russian Federation

F. I. Ataullakhanov

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology of Ministry of Healthcare of the Russian Federation;
Center for Theoretical Problems of Physicochemical Pharmacology, Russian Academy of Sciences

ORCID iD: 0000-0003-3403-181X

1 Samory Mashela St., Moscow 117997

Russian Federation

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Copyright (c) 2021 Koltsova E.M., Svidelskaya G.S., Shifrin Y.A., Ataullakhanov F.I.

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