单核细胞、中性粒细胞和血小板在体内协同作用,引发和促进小鼠的静脉血栓形成。

Monocytes, neutrophils, and platelets cooperate to initiate and propagate venous thrombosis in mice in vivo.

机构信息

Deutsches Herzzentrum and I. Medizinische Klinik, Technische Universität München (TUM), 80333 Munich, Germany.

出版信息

J Exp Med. 2012 Apr 9;209(4):819-35. doi: 10.1084/jem.20112322. Epub 2012 Mar 26.

Abstract

Deep vein thrombosis (DVT) is a major cause of cardiovascular death. The sequence of events that promote DVT remains obscure, largely as a result of the lack of an appropriate rodent model. We describe a novel mouse model of DVT which reproduces a frequent trigger and resembles the time course, histological features, and clinical presentation of DVT in humans. We demonstrate by intravital two-photon and epifluorescence microscopy that blood monocytes and neutrophils crawling along and adhering to the venous endothelium provide the initiating stimulus for DVT development. Using conditional mutants and bone marrow chimeras, we show that intravascular activation of the extrinsic pathway of coagulation via tissue factor (TF) derived from myeloid leukocytes causes the extensive intraluminal fibrin formation characteristic of DVT. We demonstrate that thrombus-resident neutrophils are indispensable for subsequent DVT propagation by binding factor XII (FXII) and by supporting its activation through the release of neutrophil extracellular traps (NETs). Correspondingly, neutropenia, genetic ablation of FXII, or disintegration of NETs each confers protection against DVT amplification. Platelets associate with innate immune cells via glycoprotein Ibα and contribute to DVT progression by promoting leukocyte recruitment and stimulating neutrophil-dependent coagulation. Hence, we identified a cross talk between monocytes, neutrophils, and platelets responsible for the initiation and amplification of DVT and for inducing its unique clinical features.

摘要

深静脉血栓形成 (DVT) 是心血管死亡的主要原因。促进 DVT 的事件序列仍然不清楚,主要是因为缺乏适当的啮齿动物模型。我们描述了一种新的 DVT 小鼠模型,该模型再现了一种常见的触发因素,并且类似于人类 DVT 的时间进程、组织学特征和临床表现。我们通过活体双光子和荧光显微镜观察到,沿着静脉内皮爬行和黏附的血液单核细胞和中性粒细胞提供了 DVT 发展的起始刺激。通过使用条件性突变体和骨髓嵌合体,我们表明,源自髓样白细胞的组织因子 (TF) 通过血管内激活外源性凝血途径导致 DVT 特有的广泛管腔内纤维蛋白形成。我们证明,血栓内驻留的中性粒细胞通过结合因子 XII (FXII) 并通过释放中性粒细胞胞外陷阱 (NETs) 支持其激活,对于随后的 DVT 传播是不可或缺的。相应地,中性粒细胞减少症、FXII 的基因缺失或 NETs 的崩解都能防止 DVT 扩增。血小板通过糖蛋白 Ibα 与先天免疫细胞结合,并通过促进白细胞募集和刺激中性粒细胞依赖性凝血来促进 DVT 进展。因此,我们确定了负责 DVT 的起始和扩增以及诱导其独特临床特征的单核细胞、中性粒细胞和血小板之间的串扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf2e/3328366/525788af2369/JEM_20112322_Fig1.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索