Tilburg Julia, Coenen Daniëlle M, Zirka Gaia, Dólleman Sophie, van Oeveren-Rietdijk Annemarie M, Karel Mieke F A, de Boer Hetty C, Cosemans Judith M E M, Versteeg Henri H, Morange Pierre E, van Vlijmen Bart J M, Maracle Chrissta X, Thomas Grace M
Division of Thrombosis and Hemostasis, Department of Internal Medicine, Einthoven Laboratory for Vascular and Regenerative Medicine, Leiden University Medical Center, Leiden, the Netherlands.
Department of Biochemistry, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, the Netherlands.
J Thromb Haemost. 2020 Jul;18(7):1714-1727. doi: 10.1111/jth.14835. Epub 2020 May 15.
Genome wide association studies (GWAS) identified SLC44A2 as a novel susceptibility gene for venous thrombosis (VT) and previous work established that SLC44A2 contributed to clot formation upon vascular injury.
To further investigate the role of SLC44A2 in VT by utilizing SLC44A2 deficient mice (Slc44a2 ) in two representative disease models.
Mice were included in a hypercoagulability model driven by siRNA-mediated hepatic gene silencing of anticoagulants Serpinc1 (antithrombin) and Proc (protein C) and a flow restriction (stenosis) model induced by partial ligation of the inferior vena cava.
In the hypercoagulability model, no effect in onset was observed in Slc44a2 animals; however, a drop in plasma fibrinogen and von Willebrand factor coinciding with an increase in blood neutrophils was recorded. In the neutrophil dependent stenosis model after 48 hours, Slc44a2 mice had significantly smaller thrombi both in length and weight with less platelet accumulation as a percentage of the total thrombus area. During the initiation of thrombosis at 6 hours post-stenosis, Slc44a2 mice also had smaller thrombi both in length and weight, with circulating platelets remaining elevated in Slc44a2 animals. Platelet activation and aggregation under both static- and venous and arterial shear conditions were normal for blood from Slc44a2 mice.
These studies corroborate the original GWAS findings and establish a contributing role for SLC44A2 during the initiation of VT, with indications that this may be related to platelet-neutrophil interaction. The precise mechanism however remains elusive and warrants further investigation.
全基因组关联研究(GWAS)确定SLC44A2是静脉血栓形成(VT)的一个新的易感基因,并且先前的研究证实SLC44A2在血管损伤时促进血栓形成。
通过在两个具有代表性的疾病模型中使用SLC44A2基因缺陷小鼠(Slc44a2-/-)进一步研究SLC44A2在VT中的作用。
将小鼠纳入由siRNA介导的抗凝剂Serpinc1(抗凝血酶)和Proc(蛋白C)肝脏基因沉默驱动的高凝模型以及下腔静脉部分结扎诱导的血流受限(狭窄)模型。
在高凝模型中,未观察到Slc44a2-/-动物在发病方面有影响;然而,记录到血浆纤维蛋白原和血管性血友病因子下降,同时血液中性粒细胞增加。在中性粒细胞依赖性狭窄模型中,48小时后,Slc44a2-/-小鼠的血栓在长度和重量上均显著较小,作为总血栓面积百分比的血小板积聚较少。在狭窄后6小时血栓形成开始时,Slc44a2-/-小鼠的血栓在长度和重量上也较小,Slc44a2-/-动物的循环血小板仍保持升高。Slc44a2-/-小鼠血液在静态以及静脉和动脉剪切条件下的血小板活化和聚集均正常。
这些研究证实了最初的GWAS结果,并确定了SLC44A2在VT起始过程中的作用,表明这可能与血小板-中性粒细胞相互作用有关。然而,确切机制仍然难以捉摸,值得进一步研究。