The recruitment of phagocytic leukocytes to sites of vessel wall injury plays an important role in thrombus dissolution by proteases elaborated on their adhesion. However, leukocyte adhesion to the fibrin clot can be detrimental at the early stages of wound healing when hemostatic plug integrity is critical for preventing blood loss. Adhesion of circulating leukocytes to the insoluble fibrin(ogen) matrix is mediated by integrins and occurs in the presence of a high concentration of plasma fibrinogen. In this study, the possibility that soluble fibrinogen could protect fibrin from excessive adhesion of leukocytes was examined. Fibrinogen was a potent inhibitor of adhesion of U937 monocytoid cells and neutrophils to fibrin gel and immobilized fibrin(ogen). An investigation of the mechanism by which soluble fibrinogen exerts its influence on leukocyte adhesion indicated that it did not block integrins but rather associated with the fibrin(ogen) substrate. Consequently, leukocytes that engage fibrinogen molecules loosely bound to the surface of fibrin(ogen) matrix are not able to consolidate their grip on the substrate;
IntroductionThe recruitment of phagocytic leukocytes to sites of injured vessel wall plays an important role in thrombus remodeling during normal vascular repair and in the pathophysiology of thrombosis. Fibrinogen and fibrin, present in the thrombus, function as potent adhesive substrates for neutrophils and monocytes. They support cellular attachment by binding cell-surface receptors that belong to the  2 subfamily of integrins, including ␣ M  2 (Mac-1, CD11b/CD18), ␣ X  2 (CD11c/CD18), and ␣ D  2 (CD11d/CD18). 1-3 Furthermore, integrin ␣ 5  1 on neutrophils contributes to adhesion to fibrin. 4 Numerous in vitro studies performed under static and flow conditions demonstrated that either stimulated or unstimulated neutrophils and monocytes adhere to the surface-bound fibrinogen and fibrin with alacrity. [5][6][7] Furthermore, stimulated cells are capable of binding soluble plasma fibrinogen, whereas integrins expressed on resting leukocytes do not bind soluble protein. 1,8,9 The prerequisite for its binding is activation of leukocytes with agonists that induce conformational changes in integrins and their transition into a high-affinity state. 10 The ability of surface-bound fibrinogen to support adhesion of resting leukocytes, as well as of other cells such as platelets, is incompletely understood but is believed to derive from its capacity to induce integrin clustering. In addition, the conformational changes in fibrinogen, which occur on its immobilization or transformation into fibrin, and which are associated with unmasking of integrin binding sites, can contribute to adhesion of unstimulated cells. 11 Although fibrin clots and deposits of fibrinogen are highly adhesive for resting leukocytes in vitro, they seem to be much less adhesive in vivo, at least in the first hours after thrombus formation. Several studies using experimental models of thrombosis have shown that few leukocytes adhe...