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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3824-3830.
Prepublished online as a Blood First Edition Paper on August 9, 2005; DOI 10.1182/blood-2005-05-2150.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

The {alpha}C domains of fibrinogen affect the structure of the fibrin clot, its physical properties, and its susceptibility to fibrinolysis

Jean-Philippe Collet, Jennifer L. Moen, Yuri I. Veklich, Oleg V. Gorkun, Susan T. Lord, Gilles Montalescot, and John W. Weisel

From the Institut de Cardiologie, Hôpital Pitié-Salpêtrière, Assistance Publique Hôpitaux de Paris, France; the Department of Cell and Developmental Biology, University of Pennsylvania School of Medicine, Philadelphia; and the Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill.

The functions of the {alpha}C domains of fibrinogen in clotting and fibrinolysis, which have long been enigmatic, were determined using recombinant fibrinogen truncated at A{alpha} chain residue 251. Scanning electron microscopy and confocal microscopy revealed that the fibers of {alpha}251 clots were thinner and denser, with more branch points than fibers of control clots. Consistent with these results, the permeability of {alpha}251 clots was nearly half that of control clots. Together, these results suggest that in normal clot formation, the {alpha}C domains enhance lateral aggregation to produce thicker fibers. The viscoelastic properties of {alpha}251 fibrin clots differed markedly from control clots; {alpha}251 clots were much less stiff and showed more plastic deformation, indicating that interactions between the {alpha}C domains in normal clots play a major role in determining the clot's mechanical properties. Comparing factor XIIIa cross-linked {alpha}251 and control clots showed that {gamma} chain cross-linking had a significant effect on clot stiffness. Plasmin-catalyzed lysis of {alpha}251 clots, monitored with both macroscopic and microscopic methods, was faster than lysis of control clots. In conclusion, these studies provide the first definitive evidence that the {alpha}C domains play an important role in determining the structure and biophysical properties of clots and their susceptibility to fibrinolysis.


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