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Publication : Defective fibrin deposition and thrombus stability in Bambi<sup>-/-</sup> mice are mediated by elevated anticoagulant function.

First Author  Crawley JTB Year  2019
Journal  J Thromb Haemost Volume  17
Issue  11 Pages  1935-1949
PubMed ID  31351019 Mgi Jnum  J:294292
Mgi Id  MGI:6455258 Doi  10.1111/jth.14593
Citation  Crawley JTB, et al. (2019) Defective fibrin deposition and thrombus stability in Bambi(-/-) mice are mediated by elevated anticoagulant function. J Thromb Haemost 17(11):1935-1949
abstractText  BACKGROUND: Bone morphogenetic and activin membrane-bound inhibitor (BAMBI) is a transmembrane protein related to the type I transforming growth factor- beta (TGF-beta) receptor family that is present on both platelets and endothelial cells (ECs). Bambi-deficient mice exhibit reduced hemostatic function and thrombus stability characterized by an increased embolization. OBJECTIVE: We aimed to delineate how BAMBI influences endothelial function and thrombus stability. METHODS: Bambi-deficient mice were subjected to the laser-induced thrombosis model where platelet and fibrin accumulation was evaluated. Expression of thrombomodulin and tissue factor pathway inhibitor (TFPI) was also assessed in these mice. RESULTS: Thrombus instability in Bambi(-/-) mice was associated with a profound defect in fibrin deposition. Injection of hirudin into Bambi(+/+) mice prior to thrombus formation recapitulated the Bambi(-/-) thrombus instability phenotype. In contrast, hirudin had no additional effect upon thrombus formation in Bambi(-/-) mice. Deletion of Bambi in ECs resulted in mice with defective thrombus stability caused by decreased fibrin accumulation. Increased levels of the anticoagulant proteins TFPI and thrombomodulin were detected in Bambi(-/-) mouse lung homogenates. Endothelial cells isolated from Bambi(-/-) mouse lungs exhibited enhanced ability to activate protein C due to elevated thrombomodulin levels. Blocking thrombomodulin and TFPI in vivo fully restored fibrin accumulation and thrombus stability in Bambi(-/-) mice. CONCLUSIONS: We demonstrate that endothelial BAMBI influences fibrin generation and thrombus stability by modulating thrombomodulin and TFPI anticoagulant function of the endothelium; we also highlight the importance of these anticoagulant proteins in the laser-induced thrombosis model.
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