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纤维蛋白原的抗黏附作用:血栓稳定性的一种保障

Antiadhesive effect of fibrinogen: a safeguard for thrombus stability.

作者信息

Lishko Valeryi K, Burke Timothy, Ugarova Tatiana

机构信息

Joseph J. Jacobs Center for Thrombosis and Vascular Biology, Department of Molecular Cardiology, Lerner Research Institute, Cleveland Clinic Foundation, OH, USA.

出版信息

Blood. 2007 Feb 15;109(4):1541-9. doi: 10.1182/blood-2006-05-022764. Epub 2006 Jul 18.

Abstract

The recruitment of phagocytic leukocytes to sites of vessel wall injury plays an important role in thrombus dissolution by proteases elaborated on their adhesion. However, leukocyte adhesion to the fibrin clot can be detrimental at the early stages of wound healing when hemostatic plug integrity is critical for preventing blood loss. Adhesion of circulating leukocytes to the insoluble fibrin(ogen) matrix is mediated by integrins and occurs in the presence of a high concentration of plasma fibrinogen. In this study, the possibility that soluble fibrinogen could protect fibrin from excessive adhesion of leukocytes was examined. Fibrinogen was a potent inhibitor of adhesion of U937 monocytoid cells and neutrophils to fibrin gel and immobilized fibrin(ogen). An investigation of the mechanism by which soluble fibrinogen exerts its influence on leukocyte adhesion indicated that it did not block integrins but rather associated with the fibrin(ogen) substrate. Consequently, leukocytes that engage fibrinogen molecules loosely bound to the surface of fibrin(ogen) matrix are not able to consolidate their grip on the substrate; subsequently, cells detach. This conclusion is based on the evidence obtained in adhesion studies using various cells and performed under static and flow conditions. These findings reveal a new role of fibrinogen in integrin-mediated leukocyte adhesion and suggest that this mechanism may protect the thrombus from premature dissolution.

摘要

吞噬性白细胞募集至血管壁损伤部位,通过其黏附时所释放的蛋白酶在血栓溶解过程中发挥重要作用。然而,在伤口愈合早期,当止血栓完整性对于防止失血至关重要时,白细胞黏附于纤维蛋白凝块可能是有害的。循环白细胞与不溶性纤维蛋白(原)基质的黏附由整合素介导,且发生在高浓度血浆纤维蛋白原存在的情况下。在本研究中,检测了可溶性纤维蛋白原能否保护纤维蛋白免受白细胞过度黏附的可能性。纤维蛋白原是U937单核细胞样细胞和中性粒细胞黏附于纤维蛋白凝胶和固定化纤维蛋白(原)的有效抑制剂。对可溶性纤维蛋白原影响白细胞黏附机制的研究表明,它并未阻断整合素,而是与纤维蛋白(原)底物结合。因此,与松散结合在纤维蛋白(原)基质表面的纤维蛋白原分子结合的白细胞无法巩固其对底物的抓握;随后,细胞脱离。这一结论基于在使用各种细胞并在静态和流动条件下进行的黏附研究中获得的证据。这些发现揭示了纤维蛋白原在整合素介导的白细胞黏附中的新作用,并表明该机制可能保护血栓免于过早溶解。

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