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Publication : Defective thrombus formation in mice lacking coagulation factor XII.

First Author  Renné T Year  2005
Journal  J Exp Med Volume  202
Issue  2 Pages  271-81
PubMed ID  16009717 Mgi Jnum  J:100529
Mgi Id  MGI:3588806 Doi  10.1084/jem.20050664
Citation  Renne T, et al. (2005) Defective thrombus formation in mice lacking coagulation factor XII. J Exp Med 202(2):271-81
abstractText  Blood coagulation is thought to be initiated by plasma protease factor VIIa in complex with the membrane protein tissue factor. In contrast, coagulation factor XII (FXII)-mediated fibrin formation is not believed to play an important role for coagulation in vivo. We used FXII-deficient mice to study the contributions of FXII to thrombus formation in vivo. Intravital fluorescence microscopy and blood flow measurements in three distinct arterial beds revealed a severe defect in the formation and stabilization of platelet-rich occlusive thrombi. Although FXII-deficient mice do not experience spontaneous or excessive injury-related bleeding, they are protected against collagen- and epinephrine-induced thromboembolism. Infusion of human FXII into FXII-null mice restored injury-induced thrombus formation. These unexpected findings change the long-standing concept that the FXII-induced intrinsic coagulation pathway is not important for clotting in vivo. The results establish FXII as essential for thrombus formation, and identify FXII as a novel target for antithrombotic therapy.
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