PMID- 11885025 OWN - NLM STAT- MEDLINE DCOM- 20020913 LR - 20060307 IS - 0094-6176 (Print) IS - 0094-6176 (Linking) VI - 28 IP - 1 DP - 2002 Feb TI - Anticoagulants in thrombosis and cancer: the missing link. PG - 45-52 AB - Many cancer patients reportedly have a hypercoagulable state, with recurrent thrombosis due to the impact of cancer cells and chemotherapy on the coagulation cascade. Studies have demonstrated that unfractionated heparin (UFH) or low-molecular-weight heparin (LMWH) interferes with various processes involved in tumor growth and metastasis. These processes might include fibrin formation, binding of heparin to angiogenic growth factors such as basic fibroblast growth factor and vascular endothelial growth factor, modulation of tissue factor, and other mechanisms. Clinical trials have indicated a clinically relevant effect of LMWH as compared with UFH on the survival of cancer patients with deep vein thrombosis. Similarly, the impact of warfarin on the survival of cancer patients with thromboembolic disorders was demonstrated. Recent studies from our laboratory defined the role of an LMWH (tinzaparin), warfarin, anti-factor VIIa, and recombinant tissue factor pathway inhibitor in the modulation of angiogenesis, tumor growth, and tumor metastasis. FAU - Mousa, Shaker A AU - Mousa SA AD - Albany College of Pharmacy, Albany, New York, USA. mousa@dnamail.com LA - eng PT - Journal Article PT - Review PL - United States TA - Semin Thromb Hemost JT - Seminars in thrombosis and hemostasis JID - 0431155 RN - 0 (Anticoagulants) SB - IM MH - Animals MH - Anticoagulants/*therapeutic use MH - Humans MH - Neoplasm Metastasis/drug therapy/prevention & control MH - Neoplasms/blood/complications/*drug therapy MH - Neovascularization, Pathologic/drug therapy/prevention & control MH - Thrombosis/*drug therapy/etiology RF - 51 EDAT- 2002/03/09 10:00 MHDA- 2002/09/14 10:01 CRDT- 2002/03/09 10:00 PHST- 2002/03/09 10:00 [pubmed] PHST- 2002/09/14 10:01 [medline] PHST- 2002/03/09 10:00 [entrez] AID - 10.1055/s-2002-20559 [doi] PST - ppublish SO - Semin Thromb Hemost. 2002 Feb;28(1):45-52. doi: 10.1055/s-2002-20559.