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Blood, 15 March 2007, Vol. 109, No. 6, pp. 2424-2429. Prepublished online as a Blood First Edition Paper on November 21, 2006; DOI 10.1182/blood-2006-06-028241.
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY von Willebrand factor and factor VIII are independently required to form stable occlusive thrombi in injured veins1 CBR Institute for Biomedical Research and 2 Department of Pathology, Harvard Medical School, Boston, MA
von Willebrand factor (VWF) protects factor VIII (FVIII) from proteolysis and mediates the initial contact of platelets with the injured vessel wall, thus playing an important role in hemostasis and thrombosis. VWF is crucial for the formation of occlusive thrombi at arterial shear rates. However, with only a few conflicting studies published, the role of VWF in venous thrombosis is still unclear. Using gene-targeted mice, we show that in ferric chlorideinjured veins platelet adhesion to subendothelium is decreased and thrombus growth is impaired in VWF/ mice when compared with wild type (WT). We also observed increased embolization in the VWF/ mice, which was due to lower FVIII levels in these mice as recombinant factor VIII (r-FVIII) restored thrombus stability. Despite normalization of blood clotting time and thrombus stability after r-FVIII infusion, the VWF/ venules did not occlude. Transgenic platelets lacking the VWF receptor GPIb
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