Fibrin(ogen) deficiency (Fg -/-) was shown previously to be compatible with rapid thrombus growth within injured arterioles, but platelet fibronectin content was increased and newly formed thrombi were unstable. To further define the role of fibrin(ogen) in thrombus formation and stabilization, platelet biology was examined in mice expressing a form of fibrinogen that clots normally but lacks the ␥ chain C-terminal binding site for ␣IIb3 (Fg␥⌬5). Thrombus growth within the arterioles of Fg␥⌬5 mice appeared faster than in wild-type mice despite a far greater emboli formation. Unlike Fg -/-mice, the emboli were relatively small and released from the top of thrombi, rather than by fracture at the vessel wall. The fibronectin content in Fg␥⌬5 platelets was also dramatically increased through a 3 integrindependent mechanism. The following has been concluded: (1) Fibrin formation contributes to, but is not sufficient for, the stabilization of arterial thrombi. Platelet receptor engagement of the C-terminal of the Fg ␥ chain contributes to the stable incorporation of platelets into thrombi.
IntroductionArrest of bleeding at the site of injury is mediated by the adhesion and aggregation of platelets and the formation of the polymerized fibrin matrix. The same general process contributes to the generation of inopportune thrombi within atherosclerotic arteries. Thrombosis in coronary or cerebral arteries is a major cause of morbidity and mortality worldwide. It has been demonstrated that platelet membrane glycoprotein (GP) Ib complex and its ligand, von Willebrand factor (VWF), are involved in initiating platelet adhesion, particularly at high shear. 1 Subsequent stable platelet adhesion and aggregation are mediated by several integrin receptors and their ligands, such as ␣21/collagen and ␣IIb3/fibrinogen (Fg) or VWF. 1,2 The GPIb complex is also involved in platelet aggregation. [3][4][5] In contrast to static or low shear conditions, where fibrinogen is necessary for platelet aggregation, 6,7 at high shear efficient platelet aggregation can occur independently of Fg 8-10 and even independently of both VWF and Fg. 10 Under these conditions, fibronectin (Fn) 11 and perhaps other molecules are able to support platelet aggregation. However, fibrinogen and the local conversion of fibrinogen to fibrin by thrombin are generally thought to be indispensable in stabilizing the thrombus. 9,10 Fibrinogen is a 340-kDa glycoprotein dimer consisting of 2 sets of 3 polypeptide chains, termed the A␣, B, and ␥ chains. Fibrinogen both provides the fundamental building block for assembly of provisional fibrin matrices and supports cell adhesion through specific integrin and nonintegrin receptor binding motifs. The C-terminal of the ␥ chain contains a critical binding site for the platelet integrin receptor, ␣IIb3 (GPIIbIIIa), which has been demonstrated to be required for platelet aggregation. 12,13 Fg from Fg␥⌬5 mice, carrying the genetically modified form of the ␥ chain gene, which eliminates the last 5 residues (QAGDV) of the ␥ ...