Collet J P, Nagaswami C, Farrell D H, Montalescot G, Weisel J W
Department of Cardiology, Pitié-Salpêtrière Hospital, Paris, France.
Arterioscler Thromb Vasc Biol. 2004 Feb;24(2):382-6. doi: 10.1161/01.ATV.0000109748.77727.3e. Epub 2003 Dec 1.
A splice variant of fibrinogen, gamma', has an altered C-terminal sequence in its gamma chain. This gammaA/gamma' fibrin is more resistant to lysis than gammaA/gammaA fibrin. Whether the physical properties of gamma' and gammaA fibrin may account for the difference in their fibrinolysis rate remains to be established.
Mechanical and morphological properties of cross-linked purified fibrin, including permeability (Ks, in cm2) and clot stiffness (G', in dyne/cm2), were measured after clotting gammaA and gamma' fibrinogens (1 mg/mL). gamma'/gamma' fibrin displayed a non-significant decrease in the density of fibrin fibers and slightly thicker fibers than gammaA/gammaA fibrin (12+/-2 fiber/10(-3) nm3 versus 16+/-2 fiber/10(-3) nm3 and 274+/-38 nm versus 257+/-41 nm for gamma'/gamma' and gammaA/gammaA fibrin, respectively; P=NS). This resulted in a 20% increase of the permeability constant (6.9+/-1.7 10(-9) cm2 versus 5.5+/-1.9 10(-9) cm2, respectively; P=NS). Unexpectedly, gamma' fibrin was found to be 3-times stiffer than gammaA fibrin (72.6+/-2.6 dyne/cm2 versus 25.1+/-2.3 dyne/cm2; P<0.001). Finally, there was a 10-fold decrease of the fibrin fiber lysis rate.
Fibrinolysis resistance that arises from the presence of gammaA/gamma' fibrinogen in the clot is related primarily to an increase of fibrin cross-linking with only slight modifications of the clot architecture.
纤维蛋白原的一种剪接变体γ',其γ链的C末端序列发生了改变。这种γA/γ'纤维蛋白比γA/γA纤维蛋白更耐溶解。γ'和γA纤维蛋白的物理性质是否能解释它们纤溶速率的差异仍有待确定。
在使γA和γ'纤维蛋白原(1mg/mL)凝固后,测量交联纯化纤维蛋白的力学和形态学性质,包括通透性(Ks,单位为cm2)和凝块硬度(G',单位为达因/cm2)。γ'/γ'纤维蛋白的纤维密度无显著降低,且纤维比γA/γA纤维蛋白略粗(γ'/γ'和γA/γA纤维蛋白分别为12±2根纤维/10(-3)nm3和16±2根纤维/10(-3)nm3,以及274±38nm和257±41nm;P=无显著性差异)。这导致通透性常数增加了20%(分别为6.9±1.7×10(-9)cm2和5.5±1.9×10(-9)cm2;P=无显著性差异)。出乎意料的是,发现γ'纤维蛋白的硬度是γA纤维蛋白的3倍(72.6±2.6达因/cm2对25.1±2.3达因/cm2;P<0.001)。最后,纤维蛋白纤维的溶解速率降低了10倍。
凝块中存在γA/γ'纤维蛋白原导致的纤溶抗性主要与纤维蛋白交联增加有关,而凝块结构仅有轻微改变。