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Blood, 15 February 2005, Vol. 105, No. 4, pp. 1492-1499.
Prepublished online as a Blood First Edition Paper on October 26, 2004; DOI 10.1182/blood-2004-06-2391.
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Submitted June 23, 2004
Accepted September 26, 2004
Relative antithrombotic effect of soluble GPVI dimer versus anti-GPVI antibodies in mice
Sabine Gruner, Miroslava Prostredna, Martina Koch, Yoshiki Miura, Valerie Schulte, Stephanie M Jung, Masaaki Moroi, and Bernhard Nieswandt*
Rudolf Virchow Center, DFG Research Center for Experimental Biomedicine, University of Wurzburg, Wurzburg, Germany
Department of Protein Biochemistry, Institute of Life Science, Kurume University, Kurume, Fukuoka, Japan
* Corresponding author; email: bernhard.nieswandt{at}virchow.uni-wuerzburg.de.
Glycoprotein (GP)VI is an essential platelet collagen receptor; therefore, the inhibition of GPVI-collagen interactions may be an attractive antithrombotic strategy. We have previously shown that targeting of GPVI with antibodies leads to depletion of the receptor and long-term antithrombotic protection in mice. An alternative agent to interfere with GPVI-collagen interactions might be soluble GPVI acting as a competitive inhibitor, thereby avoiding undesired effects on platelets. To test this, we expressed soluble dimeric human GPVI, comprising the extracellular domain of the receptor fused to human immunoglobulin Fc domain (GPVI-Fc) and compared its antithrombotic potential with that of anti-GPVI antibodies in mice. In contrast to a recent report, we found by intravital fluorescence microscopy and ultrasonic flow measurements that GPVI-Fc had no effect on platelet adhesion and thrombus formation at the injured arterial wall whereas anti-GPVI antibodies profoundly inhibited these processes. Similar results were obtained with a fusion protein comprising the extracellular domain of mouse GPVI and human IgG-Fc. This indicates that direct targeting of GPVI provides signifiantly stronger protection against arterial thrombosis than soluble GPVI dimer.

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