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Lytic resistance of fibrin containing red blood cells


Wohner, N and Sotonyi, P and Machovich, R and Szabo, L and Tenekedjiev, K and Silva, MMCG and Longstaff, C and Kolev, K, Lytic resistance of fibrin containing red blood cells, Arteriosclerosis, Thrombosis, and Vascular Biology, 31, (10) pp. 2306-2313. ISSN 1079-5642 (2011) [Refereed Article]

Copyright Statement

Copyright 2011 American Heart Association, Inc.

DOI: doi:10.1161/ATVBAHA.111.229088


Objective: Arterial thrombi contain variable amounts of red blood cells (RBCs), which interact with fibrinogen through an eptifibatide-sensitive receptor and modify the structure of fibrin. In this study, we evaluated the modulator role of RBCs in the lytic susceptibility of fibrin.

Methods and Results: If fibrin is formed at increasing RBC counts, scanning electron microscopy evidenced a decrease in fiber diameter from 150 to 96 nm at 40% (v/v) RBCs, an effect susceptible to eptifibatide inhibition (restoring 140 nm diameter). RBCs prolonged the lysis time in a homogeneous-phase fibrinolytic assay with tissue plasminogen activator (tPA) by up to 22.7±1.6%, but not in the presence of eptifibatide. Confocal laser microscopy using green fluorescent protein–labeled tPA and orange fluorescent fibrin showed that 20% to 40% (v/v) RBCs significantly slowed down the dissolution of the clots. The fluorescent tPA variant did not accumulate on the surface of fibrin containing RBCs at any cell count above 10%. The presence of RBCs in the clot suppressed the tPA-induced plasminogen activation, resulting in 45% less plasmin generated after 30 minutes of activation at 40% (v/v) RBCs.

Conclusion: RBCs confer lytic resistance to fibrin resulting from modified fibrin structure and impaired plasminogen activation through a mechanism that involves eptifibatide-sensitive fibrinogen-RBC interactions.

Item Details

Item Type:Refereed Article
Keywords:enzime kinetics
Research Division:Information and Computing Sciences
Research Group:Information systems
Research Field:Decision support and group support systems
Objective Division:Expanding Knowledge
Objective Group:Expanding knowledge
Objective Field:Expanding knowledge in the information and computing sciences
UTAS Author:Tenekedjiev, K (Professor Kiril Tenekedjiev)
ID Code:127962
Year Published:2011
Web of Science® Times Cited:82
Deposited By:Governance Office
Deposited On:2018-08-26
Last Modified:2018-09-13

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