The role of platelets in thrombus fibrosis and vessel wall remodeling after venous thrombosis
Standard
The role of platelets in thrombus fibrosis and vessel wall remodeling after venous thrombosis. / DeRoo, Elise; Martinod, Kimberly; Cherpokova, Deya; Fuchs, Tobias; Cifuni, Stephen; Chu, Long; Staudinger, Caleb; Wagner, Denisa D.
in: J THROMB HAEMOST, Jahrgang 19, Nr. 2, 02.2021, S. 387-399.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - The role of platelets in thrombus fibrosis and vessel wall remodeling after venous thrombosis
AU - DeRoo, Elise
AU - Martinod, Kimberly
AU - Cherpokova, Deya
AU - Fuchs, Tobias
AU - Cifuni, Stephen
AU - Chu, Long
AU - Staudinger, Caleb
AU - Wagner, Denisa D
N1 - © 2020 International Society on Thrombosis and Haemostasis.
PY - 2021/2
Y1 - 2021/2
N2 - PURPOSE: Platelets are known to play an important role in venous thrombogenesis, but their role in thrombus maturation, resolution, and postthrombotic vein wall remodeling is unclear. The purpose of this study was to determine the role that circulating platelets play in the later phases of venous thrombosis.METHODS: We used a murine inferior vena cava (IVC) stenosis model. Baseline studies in untreated mice were performed to determine an optimal postthrombotic time point for tissue harvest that would capture both thrombus maturation/resolution and postthrombotic vein wall remodeling. This time point was found to be postoperative day 10. After undergoing IVC ultrasound on day 2 to confirm venous thrombus formation, mice were treated with a daily injection of platelet-depleting antibody (anti-GP1bα) to maintain thrombocytopenia or with control IgG until postoperative day 10, at which time IVC and thrombi were harvested and thrombus length, volume, fibrosis, neovascularization, and smooth muscle cell invasion analyzed. Vein wall fibrosis and intimal thickening were also determined.RESULTS: Mice that were made thrombocytopenic after venous thrombogenesis had thrombi that were less fibrotic, with fewer invading smooth muscle cells. Furthermore, thrombocytopenia in the setting of venous thrombosis resulted in less postthrombotic vein wall intimal thickening. Thrombus volume did not differ between thrombocytopenic mice and their control peers.CONCLUSIONS: This work suggests that circulating platelets contribute to venous thrombus maturation, fibrosis, and adverse vein wall remodeling, and that that inhibition of platelet recruitment may decrease thrombus and vein wall fibrosis, thus helping thrombolysis and preventing postthrombotic syndrome.
AB - PURPOSE: Platelets are known to play an important role in venous thrombogenesis, but their role in thrombus maturation, resolution, and postthrombotic vein wall remodeling is unclear. The purpose of this study was to determine the role that circulating platelets play in the later phases of venous thrombosis.METHODS: We used a murine inferior vena cava (IVC) stenosis model. Baseline studies in untreated mice were performed to determine an optimal postthrombotic time point for tissue harvest that would capture both thrombus maturation/resolution and postthrombotic vein wall remodeling. This time point was found to be postoperative day 10. After undergoing IVC ultrasound on day 2 to confirm venous thrombus formation, mice were treated with a daily injection of platelet-depleting antibody (anti-GP1bα) to maintain thrombocytopenia or with control IgG until postoperative day 10, at which time IVC and thrombi were harvested and thrombus length, volume, fibrosis, neovascularization, and smooth muscle cell invasion analyzed. Vein wall fibrosis and intimal thickening were also determined.RESULTS: Mice that were made thrombocytopenic after venous thrombogenesis had thrombi that were less fibrotic, with fewer invading smooth muscle cells. Furthermore, thrombocytopenia in the setting of venous thrombosis resulted in less postthrombotic vein wall intimal thickening. Thrombus volume did not differ between thrombocytopenic mice and their control peers.CONCLUSIONS: This work suggests that circulating platelets contribute to venous thrombus maturation, fibrosis, and adverse vein wall remodeling, and that that inhibition of platelet recruitment may decrease thrombus and vein wall fibrosis, thus helping thrombolysis and preventing postthrombotic syndrome.
KW - Animals
KW - Blood Platelets
KW - Disease Models, Animal
KW - Fibrosis
KW - Mice
KW - Vena Cava, Inferior/diagnostic imaging
KW - Venous Thrombosis/pathology
U2 - 10.1111/jth.15134
DO - 10.1111/jth.15134
M3 - SCORING: Journal article
C2 - 33058430
VL - 19
SP - 387
EP - 399
JO - J THROMB HAEMOST
JF - J THROMB HAEMOST
SN - 1538-7933
IS - 2
ER -