{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T04:38:59Z","timestamp":1769834339054,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2017,10,9]],"date-time":"2017-10-09T00:00:00Z","timestamp":1507507200000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Veneto Region, Italy","award":["497\/2012"],"award-info":[{"award-number":["497\/2012"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Entry criteria included patients who developed sinusoidal obstruction syndrome (<jats:styled-content style=\"fixed-case\">SOS<\/jats:styled-content>) at a single centre from January 2000 to December 2011. Patients who underwent haemopoietic stem cell transplantation or actinomicyn\u2010based chemotherapy for nephroblastoma were selected. The study group comprised five patients with <jats:styled-content style=\"fixed-case\">SOS<\/jats:styled-content> who were compared with a control group of seven patients without <jats:styled-content style=\"fixed-case\">SOS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To study the relationships between endothelial extracellular vesicles (<jats:styled-content style=\"fixed-case\">EV<\/jats:styled-content>) and plasminogen\u2010activator inhibitor type 1(<jats:styled-content style=\"fixed-case\">PAI<\/jats:styled-content>\u20101) to assess their modification in the early phase of <jats:styled-content style=\"fixed-case\">SOS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive blood samples were tested for cell\u2010derived <jats:styled-content style=\"fixed-case\">EV<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">PAI<\/jats:styled-content>\u20101 and coagulation parameters. Any statistically significant correlation between all datasets was searched.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Antithrombin level and platelet count were statistically significantly reduced in <jats:styled-content style=\"fixed-case\">SOS<\/jats:styled-content> patients, suggesting a consumption status. <jats:styled-content style=\"fixed-case\">PAI<\/jats:styled-content>\u20101:Ag and <jats:styled-content style=\"fixed-case\">PAI<\/jats:styled-content>\u20101:act showed an inverse relationship with platelet counts (coef. \u22120.034, <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\u2009=\u20090.016; <jats:italic>P<\/jats:italic>\u2009=\u20090.041 and \u22120.052, <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\u2009=\u20090.019; <jats:italic>P<\/jats:italic>\u2009=\u20090.011 respectively). During follow up, <jats:styled-content style=\"fixed-case\">PAI<\/jats:styled-content>\u20101:Ag was inversely related to <jats:styled-content style=\"fixed-case\">EV CD144<\/jats:styled-content>+ (coef. \u22120.261, <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\u2009=\u20090.094; <jats:italic>P<\/jats:italic>\u2009=\u20090.007) and antithrombin (coef \u22120.509, <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\u2009=\u20090.175; <jats:italic>P<\/jats:italic>\u2009=\u20090.005). <jats:styled-content style=\"fixed-case\">PAI<\/jats:styled-content>\u20101:act showed an inverse association with <jats:styled-content style=\"fixed-case\">EV CD144<\/jats:styled-content>+ (coef.\u22120.251, <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\u2009= 0.121; <jats:italic>P<\/jats:italic>\u2009=\u20090.043), <jats:styled-content style=\"fixed-case\">EV CD31<\/jats:styled-content>+\/<jats:styled-content style=\"fixed-case\">CD41<\/jats:styled-content>+ (coef. \u22120.004, <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\u2009=\u20090.002; <jats:italic>P<\/jats:italic>\u2009=\u20090.026) and antithrombin (coef. \u22120.470, <jats:styled-content style=\"fixed-case\">SE<\/jats:styled-content>\u2009=\u20090.220; <jats:italic>P<\/jats:italic>\u2009=\u20090.038). <jats:styled-content style=\"fixed-case\">EV<\/jats:styled-content> generated by rupture of gap junctions (<jats:styled-content style=\"fixed-case\">EV CD144<\/jats:styled-content>+) were increased in <jats:styled-content style=\"fixed-case\">SOS<\/jats:styled-content> patients and also showed a change over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrates the existence of an ongoing procoagulant and hypofibrinolytic status in <jats:styled-content style=\"fixed-case\">SOS<\/jats:styled-content>, indicating a possible role for anticoagulant therapy. Moreover, these findings suggest a role for <jats:styled-content style=\"fixed-case\">EV CD<\/jats:styled-content> 144+, either alone or in combination with <jats:styled-content style=\"fixed-case\">PAI<\/jats:styled-content>\u20101, as a new biomarker for <jats:styled-content style=\"fixed-case\">SOS<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.13550","type":"journal-article","created":{"date-parts":[[2017,7,14]],"date-time":"2017-07-14T09:32:41Z","timestamp":1500024761000},"page":"1173-1183","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["New insights into sinusoidal obstruction syndrome"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2645-8496","authenticated-orcid":false,"given":"Andrea","family":"Piccin","sequence":"first","affiliation":[{"name":"Transfusion Service San Maurizio Regional Hospital  Bolzano Italy"},{"name":"Department of Internal Medicine V Medical University  Innsbruck Austria"},{"name":"IMREST (Interdisciplinary Medical Research Center South Tyrol)  Bolzano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria T.","family":"Sartori","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Medicine  Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianni","family":"Bisogno","sequence":"additional","affiliation":[{"name":"Oncology Hematology Division, Department of Woman's and Child's Health University of Padova  Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muriel","family":"Van Schilfgaarde","sequence":"additional","affiliation":[{"name":"Haematology and Clinical Chemistry Laboratory OLVG  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graziella","family":"Saggiorato","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Medicine  Padova Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela M. 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