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Blood, Vol. 93 No. 6 (March 15), 1999:
pp. 1825-1830
RAPID COMMUNICATION
Vitronectin Inhibits the Thrombotic Response to Arterial Injury in Mice
William P. Fay,
Andrew C. Parker,
Maria N. Ansari,
Xianxian Zheng, and
David Ginsburg
From the Departments of Internal Medicine and Human Genetics and the
Howard Hughes Medical Institute, University of Michigan, Ann Arbor, MI.
Vitronectin (VN) binds to plasminogen activator inhibitor-1 (PAI-1)
and integrins and may play an important role in the vascular response
to injury by regulating fibrinolysis and cell migration. However, the
role of VN in the earliest response to vascular injury, thrombosis, is
not well characterized. The purpose of this study was to test the
hypothesis that variation in vitronectin expression alters the
thrombotic response to arterial injury in mice. Ferric chloride
(FeCl3) injury was used to induce platelet-rich thrombi in
mouse carotid arteries. Wild-type (VN +/+, n = 14) and
VN-deficient (VN / , n = 15) mice, matched for age and
gender, were studied. Time to occlusion after FeCl3 injury
was determined by application of a Doppler flowprobe to the carotid
artery. Occlusion times of VN / mice were significantly
shorter than those of VN +/+ mice (6.0 ± 1.2 minutes
v 17.8 ± 2.3 minutes, respectively, P < .001).
Histologic analysis of injured arterial segments showed that thrombi
from VN +/+ and VN / mice consisted of dense
platelet aggregates. In vitro studies of murine VN +/+ and
VN / platelets showed no significant differences in
ADP-induced aggregation, but a trend towards increased thrombin-induced
aggregation in VN / platelets. Purified, denatured VN
inhibited thrombin-induced platelet aggregation, whereas native VN did
not. Thrombin times of plasma from VN / mice (20.5 ± 2.1 seconds, n = 4) were significantly shorter than those of
VN +/+ mice (34.2 ± 6.7 seconds, n = 4, P < .01), and the addition of purified VN to VN / plasma
prolonged the thrombin time into the normal range, suggesting that VN
inhibits thrombin-fibrinogen interactions. PAI-1-deficient mice (n = 6) did not demonstrate significantly enhanced arterial thrombosis compared with wild-type mice (n = 6), excluding a potential indirect antithrombin function of VN mediated by interactions with PAI-1 as an
explanation for the accelerated thrombosis observed in VN / mice. These results suggest that vitronectin plays a previously unappreciated antithrombotic role at sites of arterial injury and that
this activity may be mediated, at least in part, by inhibiting platelet-platelet interactions and/or thrombin procoagulant activity.

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