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Publication : Platelet protein S limits venous but not arterial thrombosis propensity by controlling coagulation in the thrombus.

First Author  Calzavarini S Year  2020
Journal  Blood Volume  135
Issue  22 Pages  1969-1982
PubMed ID  32276277 Mgi Jnum  J:289700
Mgi Id  MGI:6432541 Doi  10.1182/blood.2019003630
Citation  Calzavarini S, et al. (2020) Platelet protein S limits venous but not arterial thrombosis propensity by controlling coagulation in the thrombus. Blood 135(22):1969-1982
abstractText  Anticoagulant protein S (PS) in platelets (PSplt) resembles plasma PS and is released on platelet activation, but its role in thrombosis has not been elucidated. Here we report that inactivation of PSplt expression using the Platelet factor 4 (Pf4)-Cre transgene (Pros1lox/loxPf4-Cre+) in mice promotes thrombus propensity in the vena cava, where shear rates are low, but not in the carotid artery, where shear rates are high. At a low shear rate, PSplt functions as a cofactor for both activated protein C and tissue factor pathway inhibitor, thereby limiting factor X activation and thrombin generation within the growing thrombus and ensuring that highly activated platelets and fibrin remain localized at the injury site. In the presence of high thrombin concentrations, clots from Pros1lox/loxPf4-Cre- mice contract, but not clots from Pros1lox/loxPf4-Cre+ mice, because of highly dense fibrin networks. Thus, PSplt controls platelet activation as well as coagulation in thrombi in large veins, but not in large arteries.
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