title: Relative involvement of GPIb/IX-vWF axis and GPIIb/IIIa in thrombus growth at high shear rates in the guinea pig.
abstract: The relative involvement of the glycoprotein (GP) Ib/IX-von Willebrand factor (vWF) axis and GPIIb/IIIa in thrombus growth at high shear rates was assessed and compared by testing the pharmacological effects of VCL, a recombinant GPIb-binding fragment of vWF (residues 504-728), aurintricarboxylic acid (ATA), which binds to the 509-695 disulfide loop of vWF, and lamifiban, a specific synthetic GPIIb/IIIa antagonist. In vivo, their effects were evaluated in guinea pig mesenteric arteries, in a model of a laser-induced cyclic thrombotic process, and ex vivo, at a shear rate of 1800 s(-1), in a capillary perfusion chamber model, in which collagen-adherent platelets are exposed to nonanticoagulated guinea pig blood. In vivo, VCL, ATA, and lamifiban administered 2 minutes after intimal injuries stopped thrombus growth, prevented the cyclic thrombotic process, and induced gradual thrombus dissolution. Ex vivo, at 1800 s(-1), collagen exposure to untreated blood for 2 minutes, 4 minutes, or two consecutive periods of 2 minutes each resulted in similar platelet adhesion, 56%, 59%, and 61%, respectively, with an average thrombus volume of 6, 19, and 17.5 microm3/microm2, respectively, without any fibrin formation. This indicated that the two consecutive perfusions did not affect the dynamic process of thrombus growth. When collagen-adherent platelets deposited after the first 2-minute perfusion were perfused for 2 minutes with VCL-, ATA-, or lamifiban-treated blood, thrombus growth was prevented and platelet adhesion remained unchanged, but fibrin formation increased on and around the predeposited platelets. These results suggest that both the GPIb/IX-vWF axis and GPIIb/IIIa are involved in in vivo platelet-to-platelet interactions at high shear rates in the guinea pig.
authors.affiliation: INSERM U353, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: André
authors.forename: P
authors.initials: P
authors.lastname: Hainaud
authors.forename: C
authors.initials: C
authors.lastname: Bal dit Sollier
authors.forename: L I
authors.initials: LI
authors.lastname: Garfinkel
authors.forename: J P
authors.initials: JP
authors.lastname: Caen
authors.forename: L O
authors.initials: LO
authors.lastname: Drouet
mesh_terms: D000085:Acetates / Q000494:pharmacology; D000818:Animals; D000925:Anticoagulants / Q000494:pharmacology; D001312:Aurintricarboxylic Acid / Q000494:pharmacology; D001777:Blood Coagulation; D001792:Blood Platelets / Q000502:physiology*; D006168:Guinea Pigs; D018056:Hemorheology; D008297:Male; D010446:Peptide Fragments / Q000494:pharmacology; D010973:Platelet Adhesiveness; D019038:Platelet Glycoprotein GPIb-IX Complex / Q000502:physiology*; D011994:Recombinant Proteins / Q000494:pharmacology; D014443:Tyrosine / Q000031:analogs & derivatives / Q000494:pharmacology; D014841:von Willebrand Factor / Q000502:physiology*
chemical_list: D000085:Acetates; D000925:Anticoagulants; D010446:Peptide Fragments; D019038:Platelet Glycoprotein GPIb-IX Complex; D011994:Recombinant Proteins; D014841:von Willebrand Factor; D014443:Tyrosine; D001312:Aurintricarboxylic Acid; C084062:lamifiban