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Sustained VWF-ADAMTS-13 axis imbalance and endotheliopathy in long COVID syndrome is related to immune dysfunction.

Helen FogartySoracha E WardLiam TownsendEllie KarampiniStephanie ElliottNiall ConlonJean DunneRachel KierseyAifric NaughtonMary GardinerMary B ByrneColm BerginJamie M O'SullivanIgnacio Martín-LoechesParthiban NadarajanCiaran BannanPatrick W G MallonGerard F CurleyRoger J S PrestonAisling M RehillRoss Ian BakerClíona Ní CheallaighJames S O'Donnellnull null
Published in: Journal of thrombosis and haemostasis : JTH (2022)
Our data provide insights into sustained EC activation, dysregulated angiogenesis, and VWF/ADAMTS-13 axis imbalance in convalescent COVID-19. In keeping with the pivotal role of immunothrombosis in acute COVID-19, our findings support the hypothesis that abnormal T cell and monocyte populations may be important in the context of persistent EC activation and hemostatic dysfunction during convalescence.
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