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新型抗凝药Ⅺ因子抑制剂监测方法及逆转策略研究进展

dvances in Monitoring and Reversal Strategies for the Novel Anticoagulants Factor Ⅺ Inhibitors

中文摘要英文摘要

Ⅺ因子(F Ⅺ)在血栓形成中扮演关键角色,而在止血过程中的作用较为有限。这种作用差异为预防和治疗血栓性疾病开辟了新的途径,即靶向 F Ⅺ可能是一种更为安全的抗凝策略。目前,越来越多的 F Ⅺ抑制剂进入Ⅲ期临床试验,尽管这些抑制剂展现出巨大的临床潜力,但其监测和逆转策略尚未明确,这给实验室监测和临床实践带来了新的挑战。本文在 F Ⅺ的生理功能和 F Ⅺ抑制剂在研药物的基础上,系统地探讨了 F Ⅺ抑制剂的实验室检测抗凝活性证据,结合遗传性Ⅺ因子缺乏患者的治疗方案总结了 F Ⅺ抑制剂的逆转方法,为制定临床治疗方案及逆转策略提供一定的参考。

Factor F plays a major role in thrombus amplification and an ancillary role in hemostasis. This differential contribution is expected to provide new ideas for the prevention and treatment of thrombotic diseases by targeting F as a potentially safer anticoagulation strategy. Currentlyan increasing number of F inhibitors are entering phase clinical trialsand although these inhibitors showed promising clinical potentialthe strategies for monitoring and reversing the effects of these inhibitors remain unclearwhich poses new challenges for laboratory monitoring and clinical practice. This reviewbased on the physiological function of F and F inhibitors under studysystematically explored the laboratory evidence of coagulation activity linked to these inhibitorssummarized potential methods of reversal in combination with the treatment protocols of inherited F deficiencywhich provided certain references for the development of clinical treatment protocols and reversal strategies.

张冯江、赵麟茜、吴超敏、唐志峰、王颖、孙大伟、姚媛媛、陈越秀

10.12114/j.issn.1007-9572.2024.0046

医药卫生理论医学研究方法临床医学

抗凝药因子Ⅺ血栓性疾病抗凝治疗药物监测逆转

张冯江,赵麟茜,吴超敏,唐志峰,王颖,孙大伟,姚媛媛,陈越秀.新型抗凝药Ⅺ因子抑制剂监测方法及逆转策略研究进展[EB/OL].(2024-09-10)[2025-07-25].https://chinaxiv.org/abs/202409.00118.点此复制

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