Table 4.

Novel methods of modulating cellular interactions in sickle cell disease.

AgentMechanismReference
Abbreviations: vWF, von Willebrand factor; NOS, nitric oxide synthase 
Sulfasalazine NF-κB inhibitor; decreases endothelial activation 19,20  
αVβ3 antibodies Block vWF and thrombospondin mediated adherence 21  
Anionic polysaccharides Inhibit thrombospondin-mediated adhesion to the endothelium 22  
Oxygenated perflubron-
 based fluorocarbon emulsion Increase O2 delivery and unsickle deformed cells 23  
IgG Inhibit WBC adherence and WBC-RBC interaction 24  
Heparin Inhibits P-selectin–RBC interaction 25  
Statins Inhibit tissue factor expression; induce NOS 26  
AgentMechanismReference
Abbreviations: vWF, von Willebrand factor; NOS, nitric oxide synthase 
Sulfasalazine NF-κB inhibitor; decreases endothelial activation 19,20  
αVβ3 antibodies Block vWF and thrombospondin mediated adherence 21  
Anionic polysaccharides Inhibit thrombospondin-mediated adhesion to the endothelium 22  
Oxygenated perflubron-
 based fluorocarbon emulsion Increase O2 delivery and unsickle deformed cells 23  
IgG Inhibit WBC adherence and WBC-RBC interaction 24  
Heparin Inhibits P-selectin–RBC interaction 25  
Statins Inhibit tissue factor expression; induce NOS 26  

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