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Zawartość zarchiwizowana w dniu 2022-12-23

Mechanisms underlying coronary arterial thrombosis and on the means for dispersion and inhibition of such thrombi

Cel



PL920055, a grant obtained for Biomed I, provided support for coordination of the concerted action (300,000ECUs over 3 years). The present proposal allows participation in this programme of centres from Eastern European Countries. Coronary atheroma is invisaged as a build-up over many years of layers of organized thrombus. This offers the possiblity of final control of the disease through control of the final common mechanism. Such control is predicted to be much more efficient and cost-effective than attempts to control the multiple primary factors individually. The final manifestations of the process, i.e.the acute coronary syndromes, are known to be thrombotic in nature and to be controllable through anti-thrombotic medication and will be studied by angioscopy (Rotterdam) and other techniques applicable during coronary angiography (Rotterdam and Brussels). The stenosed coronary artery with endothelial damage will be used as an animal model in which the efficacy of anti-thrombotic action will be tested (London, Dublin). Homocysteinaemia provides a human model of rapidly progressive disease in which the effect of antithrombotic treatment on the progress of arterial atheroma will be assessed (Dublin). A number of possible ways of inhibiting thrombosis will be tested; we anticipate the possibility to test within the Westerr European Centres, SHT2 antagonism, aspirin and thromboxane system inhibition, and thrombin inhibition. The participation of the Eastern European centres will permit us to undertake a much more comprehensive study of platelet function and its changes in CAD. The relationship of such platelet function studies to the information coming from the laboratories in London, Rotterdam and Dublin, will be of paticular importance. We are particularly keen to study platelets from those patients in whom the presence of thrombus has been identified by coronary angiography (e.g.Kobzar Tallinn, Estonia).
The interaction of platelets with the vessel wall and their effects on blood rheology (Mircioiu, Bucharest) is another additional aspect not covered by the original group; this should include the field of microparticle separation (Zakharov, Novosibirsk). These studies are also relevant to our objective to explore antithrombotic (including antiplatelet) therapies as a means of controlling CAD. Non-platelet antithrombotic therapeutic possibilities include chromium bioactive compounds which early studies suggest may mobilize cholester plaques (Beran, Prague). Patients for especial targeting in these therapeutic efforts are those identified by electrical mapping (Czerwinska, Warsawa).

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System finansowania

CSC - Cost-sharing contracts

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IMPERIAL COLLEGE OF SCIENCE, TECHNOLOGY AND MEDICINE
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