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Platelet and fibrin deposition at the damaged vessel wall: cooperative
substrates for neutrophil adhesion under flow conditions
PH Kuijper, HI Gallardo Torres, JW Lammers, JJ Sixma, L Koenderman and JJ Zwaginga
Department of Haematology, University Hospital Utrecht, The Netherlands.
At sites of vessel wall damage, the primary hemostatic reaction involves
platelet and fibrin deposition. At these sites, circulating leukocytes
marginate and become activated. Adhered platelets can support leukocyte
localization; however, the role of fibrin in this respect is not known. We
studied the adhesion of human neutrophils (polymorphonuclear leukocytes
[PMNs]) to endothelial extracellular matrix (ECM)-bound fibrin and
platelets under flow conditions. ECM alone did not show PMN adhesion.
ECM-coated cover slips were perfused with plasma to form a surface-bound
fibrin network, and/or with whole blood to allow platelet adhesion.
Unstimulated PMNs adhered to fibrin at moderate shear stress (20 to 200
mPa). ECM-bound platelets induced rolling adhesion and allowed more PMNs to
adhere at higher shear (320 mPa). ECM coated with both platelets and fibrin
induced more static and shear-resistant PMN adhesion. PMN adhesion to
fibrin alone but not to platelet/fibrin surfaces was inhibited by soluble
fibrinogen. Adhesion to fibrin alone was inhibited by CD11b and CD18
blocking antibodies. Furthermore, fibrin formed under flow conditions
showed up to threefold higher PMN adhesion compared with fibrin formed
under static conditions, due to structural differences. These results
indicate that circulating PMNs adhere to fibrin in an integrin-dependent
manner at moderate shear stresses. However, at higher shear rates (> 200
mPa), additional mechanisms (ie, activated platelets) are necessary for an
interaction of PMNs with a fibrin network.
Volume 89,
Issue 1,
pp. 166-175,
01/01/1997
Copyright © 1997 by The American Society of Hematology

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