COX Inhibitors and Thromboregulation
- 26 September 2002
- journal article
- review article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 347 (13) , 1025-1026
- https://doi.org/10.1056/nejmcibr021805
Abstract
Prostacyclin inhibits platelets and dilates blood vessels, whereas thromboxane A2 activates platelets and constricts vessels. In mice lacking receptors for prostacyclin, intimal injury provokes a severe reaction within the artery, whereas in mice lacking thromboxane A2 receptors the response is subdued. These findings are relevant to clinical concerns that cyclooxygenase-2 inhibitors, which specifically impair the formation of prostacyclin, may increase susceptibility to cardiovascular events. Aspirin, which inhibits both prostacyclin and thromboxane A2, protects against arterial thrombosis.Keywords
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