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Blood, 15 March 2004, Vol. 103, No. 6, pp. 1995-2002.
Prepublished online as a Blood First Edition Paper on November 26, 2003; DOI 10.1182/blood-2003-10-3401.

Submitted October 3, 2003
Accepted November 6, 2003
Antibody blockade or mutation of the fibrinogen chain C-terminus are more effective in inhibiting murine arterial thrombus formation than complete absence of fibrinogen
Marketa Jirouskova*, Igor Chereshnev, Heikki Vaananen, Jay L Degen, and Barry S Coller
Laboratory of Blood and Vascular Biology, Rockefeller University, New York, NY, USA
Cardiovascular Institute, Mount Sinai School of Medicine, New York, NY, USA
Department of Physiology and Biophysics, Mount Sinai School of Medicine, New York, NY, USA
Children's Hospital Medical Center, Cincinnati, OH, none
* Corresponding author; email: marketa{at}rockefeller.edu.
Elevated plasma fibrinogen is a risk factor for thrombotic cardiovascular disease, but which of fibrinogen's functions is responsible for the increased risk is unknown. To define better the contribution of fibrinogen to large vessel thrombus formation, we studied carotid artery thrombosis in wild-type mice, mice lacking fibrinogen (fbg -/-), mice treated with 7E9 (a blocking antibody to the fibrinogen chain C-terminus), and mice expressing a mutant fibrinogen ( 5) that lacks the chain platelet binding motif QADGV. In control mice, thrombus formation resulted in occlusion in 8 ± 2 min (mean ± SD). In fbg -/- mice, thrombi grew to large sizes, but then they abruptly embolized, confirming previous observations by others in arteriolar thrombus model. In contrast, mice treated with 7E9 and  5 mice developed only small, nonoclusive mural thrombi and embolization was limited. These findings reveal that a fibrinogen antibody, 7E9, or a fibrinogen mutant retaining clotting function, can limit thrombus formation more effectively than the complete absence of fibrinogen. We hypothesize that the smaller thrombi in these animals result from the ability of fibrin to bind and sequester thrombin and/or the ability of the altered fibrinogen molecules, which cannot recruit platelets, to bind to and passivate the surface.

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