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Blood, 1 December 2005, Vol. 106, No. 12, pp. 3824-3830.
Prepublished online as a Blood First Edition Paper on August 9, 2005; DOI 10.1182/blood-2005-05-2150.
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Submitted May 31, 2005
Accepted August 2, 2005
The 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*
Institut de Cardiologie, Hopital Pitie-Salpetriere, Assistance Publique Hopitaux de Paris, Paris, France; Department of Cell and Developmental Biology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, NC, USA
Department of Cell and Developmental Biology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Institut de Cardiologie, Hopital Pitie-Salpetriere, Assistance Publique Hopitaux de Paris, Paris, France
* Corresponding author; email: weisel{at}mail.med.upenn.edu.
The functions of the C domains of fibrinogen in clotting and fibrinolysis, which have long been enigmatic, were determined using recombinant fibrinogen truncated at A chain residue 251. Scanning electron microscopy and confocal microscopy revealed that the fibers of 251 clots were thinner and denser, with more branch points than fibers of control clots. Consistent with these results, the permeability of 251 clots was nearly half that of control clots. Together, these results suggest that in normal clot formation the C domains enhance lateral aggregation to produce thicker fibers. The viscoelastic properties of 251 fibrin clots differed markedly from control clots; 251 clots were much less stiff and showed more plastic deformation, indicating that interactions between the C domains in normal clots play a major role in determining the clot's mechanical properties. Comparing Factor XIIIa cross-linked 251 and control clots showed that chain cross-linking had a significant effect on clot stiffness. Plasmin-catalyzed lysis of 251 clots, monitored with both macroscopic and microscopic methods, was faster than lysis of control clots. In conclusion, these studies provide the first definitive evidence that the C domains play an important role in determining the structure and biophysical properties of clots and their susceptibility to fibrinolysis.

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