Systemic antithrombotic effects of ADAMTS13

被引:190
|
作者
Chauhan, AK
Motto, DG
Lamb, CB
Bergmeier, W
Dockal, M
Plaimauer, B
Scheiflinger, F
Ginsburg, D
Wagner, DD [1 ]
机构
[1] Harvard Univ, Sch Med, CBR Inst Biomed Res, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Dept Pathol, Boston, MA 02115 USA
[3] Univ Michigan, Dept Pediat, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Dept Internal Med, Ann Arbor, MI 48109 USA
[5] Howard Hughes Med Inst, Ann Arbor, MI 48109 USA
[6] BAxter Biosci, A-1220 Vienna, Austria
来源
JOURNAL OF EXPERIMENTAL MEDICINE | 2006年 / 203卷 / 03期
关键词
D O I
10.1084/jem.20051732
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The metalloprotease ADAMTS13 (a disintegrin-like and metalloprotease with thrombospondin type I repeats 13) cleaves highly adhesive large von Willebrand factor (VWF) multimers after their release from the endothelium. ADAMTS13 deficiency is linked to a life-threatening disorder, thrombotic thrombocytopenic purpura (TTP), characterized by platelet-rich thrombi in the microvasculature. Here, we show spontaneous thrombus formation in activated microvenules of Adamts13(-/-) mice by intravital microscopy. Strikingly, we found that ADAMTS13 down-regulates both platelet adhesion to exposed subendothelium and thrombus formation in injured arterioles. An inhibitory antibody to ADAMTS13 infused in wild-type mice prolonged adhesion of platelets to endothelium and induced thrombi formation with embolization in the activated microvenules. Absence of ADAMTS13 did not promote thrombi formation in alpha IIb beta 3 integrin-inhibited blood. Recombinant ADAMTS13 reduced platelet adhesion and aggregation in histamine-activated venules and promoted thrombus dissolution in injured arterioles. Our findings reveal that ADAMTS13 has a powerful natural antithrombotic activity and recombinant ADAMTS13 could be used as an antithrombotic agent.
引用
收藏
页码:767 / 776
页数:10
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