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Prepublished online as a Blood First Edition Paper on July 10, 2003; DOI 10.1182/blood-2003-03-0850.

Submitted March 20, 2003
Accepted July 3, 2003
Control of thrombus embolization and fibronectin internalization by integrin IIb 3 engagement of the fibrinogen chain
Heyu Ni*, Jessie M Papalia, Jay L Degen, and Denisa D Wagner
The Center for Blood Research, Boston, MA, USA; Department of Pathology, Harvard Medical School, Boston, MA, USA
Children's Hospital Research Foundation, University of Cincinnati, Cincinnati, OH, USA
* Corresponding author; email: nih{at}smh.toronto.on.ca.
Fibrin(ogen) deficiency (Fg-/-) was shown previously to be compatible with rapid thrombus growth within injured arterioles, but platelet fibronectin content was increased and newly formed thrombi were unstable. To further define the role of fibrin(ogen) in thrombus formation and stabilization, platelet biology was examined in mice expressing a form of fibrinogen that clots normally but lacks the chain C-terminal binding site for IIb 3 (Fg 5). Thrombus growth within the arterioles of Fg 5 mice appeared faster than in wild-type mice despite a far greater emboli formation. Unlike Fg-/- mice, the emboli were relatively small and released from the top of thrombi, rather than by fracture at the vessel wall. The fibronectin content in Fg 5 platelets was also dramatically increased through a 3 integrin-dependent mechanism. It is concluded that: 1) Fibrin formation contributes to, but is not sufficient for, the stabilization of arterial thrombi. Platelet receptor engagement of the C-terminal of the Fg chain contributes to the stable incorporation of platelets into thrombi; 2) Alternative ligands to fibrinogen can support efficient thrombus growth; and 3) Fibrinogen is internalized through IIb 3 engagement of the fibrinogen chain element and this interaction secondarily controls the fibronectin content of platelets.

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