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- ItemAcesso aberto (Open Access)Receptores plaquetários P2Y12: importância na intervenção coronariana percutânea(Sociedade Brasileira de Cardiologia - SBC, 2013-09-01) Falcão, Felipe José de Andrade [UNIFESP]; Carvalho, Leonardo; Chan, Mark; Alves, Claudia Maria Rodrigues [UNIFESP]; Carvalho, Antonio Carlos [UNIFESP]; Caixeta, Adriano [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); National University of Singapore Yong Loo Lin School of MedicinaApart from their role in hemostasis and thrombosis, platelets are involved in many other biological processes such as wound healing and angiogenesis. Percutaneous coronary intervention is a highly thrombogenic procedure inducing platelets and monocytes activation through endothelial trauma and contact activation by intravascular devices. Platelet P2Y12 receptor activation by adenosine diphosphate facilitates non-ADP agonist-mediated platelet aggregation, dense granule secretion, procoagulant activity, and the phosphorylation of several intraplatelet proteins, making it an ideal drug target. However, not all compounds that target the P2Y12 receptor have similar efficacy and safety profiles. Despite targeting the same receptor, the unique pharmacologic properties of each of these P2Y12 receptor-directed compounds can lead to very different clinical effects.