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Blood, 30 April 2009, Vol. 113, No. 18, pp. 4431-4439.
Prepublished online as a Blood First Edition Paper on December 12, 2008; DOI 10.1182/blood-2008-07-169433.


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THROMBOSIS AND HEMOSTASIS

Caveolin-1–dependent apoptosis induced by fibrin degradation products

Yi-He Guo1, Irene Hernandez1, Berend Isermann1, Tae-bong Kang2, Leonid Medved3, Rashmi Sood1, Edward J. Kerschen1, Trudy Holyst1, Michael W. Mosesson1, and Hartmut Weiler1

1 Blood Research Institute, BloodCenter of Wisconsin, Milwaukee; 2 Department of Biological Chemistry, The Weizmann Institute of Science, Rehovot, Israel; and 3 Center for Vascular and Inflammatory Diseases and the Department of Biochemistry and Molecular Biology, University of Maryland School of Medicine, Baltimore

In mice lacking the blood coagulation regulator thrombomodulin, fibrinolytic degradation products (FDP) of fibrin induce apoptotic cell death of a specialized cell type in the placenta, polyploid trophoblast giant cells. Here, we document that this bioactivity of FDP is conserved in human FDP, is not limited to trophoblast cells, and is associated with an A{alpha}-chain segment of fibrin fragment E (FnE). The majority of proapoptotic activity is arginine-glycine-aspartic acid (RGD)-independent and requires caveolin-1–dependent cellular internalization of FnE. Internalization through caveoli is mediated by an epitope contained within A{alpha}52-81 that is necessary and sufficient for cellular uptake of FnE. A{alpha}52-81 does not cause apoptosis itself, and competitively inhibits FnE internalization and apoptosis induction. Apoptotic activity per se resides within A{alpha}17-37 and requires the N-terminal neoepitope generated by release of fibrinopeptide A. Cellular internalization of FnE elicits depression of mitochondrial function and consequent apoptosis that is strictly dependent on the activity of caspases 9 and 3. These findings describe the molecular details of a novel mechanism linking fibrin degradation to cell death in the placenta, which may also contribute to pathologic alterations in nonplacental vascular beds that are associated with fibrinolysis.


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How can fibrinolysis induce cell death?
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Blood 2009 113: 4134-4135. [Full Text] [PDF]



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