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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3680.
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HEMOSTASIS
Comment on Collet et al, page 3824
Another fibrin C scene unmasked
Dennis K. Galanakis
STATE UNIVERSITY OF NEW YORK AT STONY BROOK
In this issue, Collet and colleagues identified C as the major determinant of viscoelastic clot properties and unambiguously highlighted its polymerization and fibrinolysis roles.
Fibrinogen1 consists of 3 pairs of disulfide-linked polypeptide chains, A ,B , and , and possesses globular regions at each end and in its N terminal center. The carboxyl terminal A -chain region, commencing with residue 220, is termed C and is required for certain fibrin functions (see figure). Following release by thrombin of amino terminal fibrinopeptides, fibrin monomers formed polymerize in a half-staggered manner, the central domain of one binding the outer domain of another. When 600 to 800 nm long, the 2-stranded, twisting protofibrils assemble laterally forming fibrils. Lateral contact pairs include B knobsb holes; C C; and possibly2 (350-360)(370-380).
Viscoelastic properties of thrombus are regarded essential to its physiologic functions.3 The markedly decreased storage modulus (stiffness) by 251 clots implies that interactions among juxtaposed molecules via their C domains largely determine the normal level of clot stiffness. Additionally, C domains play a significant role in minimizing the irreversible deformation (plasticity) of clots. Also, - bonds confer appreciable stiffness even before clots are cross-linked. Thus, C- C compared with - bonds constitute the major determinant of stiffness.
Other likely minor determinants are - and A knoba hole bonds.4 Not surprisingly, stiffness from the first 2 sets of determinants is maximized by factor XIIIacatalyzed cross-links.
Decreased porosity in 251 clots, relative to that of normal clots, underscores the role of C. Under certain in vivo conditions (eg, variable thrombin concentrations), a thrombus is likely to contain both increased and decreased porosity domains. The latter may be enhanced by the high-fibrinogen excess at blood-thrombus interface(s). Decreased porosity domains, by limiting intrathrombus circulatory flow, may shield intrathrombus microenvironments and by extension enhance hemostatic/tissue repair effectiveness and limit fibrinolysis. Along with decreased porosity, the distinctly fine 251 networks are consistent with long-held views on the network of fibrin lack C, while emphasizing the C role in lateral polymerization. The latter process is poorly understood, in contrast to protofibril formation and branching. The C pair, self-associated at their ends and tethered to the central region, become untethered following fibrinopeptide B release. Whether they participate in lateral polymerization in tethered, untethered, or both forms remains unclear. Reptilase clots display ample lateral polymerization, suggesting that either tethered C participates by an unknown mechanism or other parts of the molecule are involved. Be that as it may, participation in lateral polymerization, while significant, may not be a major function of C domains.
Decreased plasmin resistance by fibrin 251 clots appears inconsistent with reports of increased plasmin resistance by normal fine network clots. However, fibrin 251 results imply that interactions among C domains are more important for plasmin resistance than other clot network structure(s). Additionally, C regulates fibrinolysis, evident from its binding of an impressive array of plasminogen activation and inhibitory proteins.5 These new results, moreover, support the view that the C domains contribute directly to fibrinolysis resistance. The impressive C repertoire tempts speculation that more scenes remain undiscovered.
References
- Weisel JW. Fibrinogen and fibrin. Adv Protein Chem. 2004;70: 247-299.
- Yang Z, Mochalkin I, Doolittle RF. A model of fibrin formation based on crystal structures of fibrinogen and fibrin fragments complexed with synthetic peptides. Proc Natl Acad Sci U S A. 2000;97: 14156-14161.[Abstract/Free Full Text]
- Weisel JW. The mechanical properties of fibrin for basic scientists and clinicians. Biophys Chem. 2004;112: 267-276.[CrossRef][Medline]
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- Litvinov RI, Gorkun OV, Owen SF, Shuman H, Weisel JW. Polymerization of fibrin: specificity, strength, and stability of knob:hole interactions studied at the single molecule level. Blood. Prepublished on July 5, 2005, as DOI 10.1182/blood-2005-05-2039.[Abstract/Free Full Text]
- Mossesson MW. Fibrinogen and fibrin structure and function. J Thromb Haemost. 2005;3: 1894-1904.[CrossRef][Medline]
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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
Blood 2005 106: 3824-3830.
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