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Cited by 341

The DOI matches its Crossref record; 101 of the 101 references it cites were found in a registry or an index.

COVID-19, immunothrombosis and venous thromboembolism: biological mechanisms

Open access
Loo, Joan, Spittle, Daniella A, Newnham, Michael·2021·Thorax

Abstract

Thrombotic events that frequently occur in COVID-19 are predominantly venous thromboemboli (VTE) and are associated with increasing disease severity and worse clinical outcomes. Distinctive microvascular abnormalities in COVID-19 include endothelial inflammation, disruption of intercellular junctions and microthrombi formation. A distinct COVID-19-associated coagulopathy along with increased cytokines and activation of platelets, endothelium and complement occur in COVID-19, which is more frequent with worsening disease severity. This proinflammatory milieu may result in immunothrombosis, a host defence mechanism that can become dysregulated, leading to excess formation of immunologically mediated thrombi which predominantly affect the microvasculature. The haemostatic and immune systems are intricately linked, and multifactorial processes are likely to contribute to VTE and immunothrombosis in COVID-19. This state-of-the-art review will explore the pathobiological mechanisms of immunothrombosis and VTE in COVID-19 focusing on: COVID-19-associated coagulopathy, pathology, endothelial dysfunction and haemostasis, the immune system and thrombosis, genetic associations and additional thrombotic mechanisms. An understanding of the complex interplay between these processes is necessary for developing and assessing how new treatments affect VTE and immunothrombosis in COVID-19.

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Crossref · 10.1136/thoraxjnl-2020-216243

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Metadata

Authors
Loo, J., Spittle, D. A., & Newnham, M.
Venue
Thorax
Publisher
BMJ
Published
2021-01-06
Volume
76
Issue
4
Pages
412-420
ISSN
  • 0040-6376 (ISSN-L)
  • 1468-3296
OpenAlex
W3120200144
Cited by
341
References
101
FWCI
22.36
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: COVID-19, immunothrombosis and venous thromboembolism: biological mechanisms. https://app.cochat.ai/papers/10.1136/thoraxjnl-2020-216243
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Loo, J., Spittle, D. A., & Newnham, M. (2021). COVID-19, immunothrombosis and venous thromboembolism: biological mechanisms. Thorax. https://doi.org/10.1136/thoraxjnl-2020-216243

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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