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Am J Physiol Lung Cell Mol Physiol (April 28, 2006). doi:10.1152/ajplung.00157.2006
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Submitted on April 24, 2006
Accepted on April 25, 2006

Bench to Bedside: Targeting Coagulation and Fibrinolysis in Acute Lung Injury

Lorraine B Ware1*, Eric Camerer2, Karen E Welty-Wolf3, Marcus J Schultz4, and Michael A. Matthay5

1 Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, United States
2 Cardiovascular Research Institute, UCSF, California, United States
3 Pulmonary and Critical Care Medicine, Duke University Medical Center, Durham, North Carolina, United States
4 Department of Intensive Care and Laboratory for Experimental Intensive Care and Anesthesiology, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands
5 Cardiovascular Research Institute and Departments of Medicine and Anesthesia, UCSF, San Francisco, California, United States

* To whom correspondence should be addressed. E-mail: lorraine.ware{at}vanderbilt.edu.

Substantial progress has been made in understanding the contribution of alterations in coagulation and fibrinolysis to the pathogenesis of acute lung injury. Findings from mouse, rat, baboon and human studies indicate that alterations in coagulation and fibrinolysis may be of major pathogenetic importance in acute lung injury and other inflammatory conditions in the lung including pneumonia, sepsis and ventilator-induced lung injury. Therapies targeted at both activation of coagulation through the extrinsic coagulation cascade and modulation of coagulation through the protein C system have the potential to favorably impact clinical ALI/ARDS.




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