2004
DOI: 10.4049/jimmunol.172.9.5693
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Endothelial Induction of fgl2 Contributes to Thrombosis during Acute Vascular Xenograft Rejection

Abstract: Thrombosis is a prominent feature of acute vascular rejection (AVR), the current barrier to survival of pig-to-primate xenografts. Fibrinogen-like protein 2 (fgl2/fibroleukin) is an inducible prothrombinase that plays an important role in the pathogenesis of fibrin deposition during viral hepatitis and cytokine-induced fetal loss. We hypothesized that induction of fgl2 on the vascular endothelium of xenografts contributes to thrombosis associated with AVR. We first examined fgl2 as a source of procoagulant act… Show more

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Cited by 95 publications
(97 citation statements)
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“…Collectively, these studies support the hypothesis that (donor) endothelial cell production of mfgl2, rather than an immune-activated infiltrating leukocyte population, accounts for the fibrin deposition in allorejection (6). These data are further supported by our recent studies in xenotransplantation in which fibrin deposition associated with xenograft rejection was largely intravascular rather than associated with infiltrating inflammatory cells (21). Furthermore, xenografts from mfgl2 Ϫ/Ϫ mice transplanted into rats were devoid of thrombosis.…”
Section: Discussionsupporting
confidence: 77%
“…Collectively, these studies support the hypothesis that (donor) endothelial cell production of mfgl2, rather than an immune-activated infiltrating leukocyte population, accounts for the fibrin deposition in allorejection (6). These data are further supported by our recent studies in xenotransplantation in which fibrin deposition associated with xenograft rejection was largely intravascular rather than associated with infiltrating inflammatory cells (21). Furthermore, xenografts from mfgl2 Ϫ/Ϫ mice transplanted into rats were devoid of thrombosis.…”
Section: Discussionsupporting
confidence: 77%
“…Fgl2 functions as a strong prothrombinase which directly cleaves prothrombin to thrombin leading to fibrin deposition in the absence of factor Ⅶ or factor Ⅹ [10] . The direct prothrombinase activity of fgl2 is implicated in the pathogenesis of several inflammatory disorders including fulminant hepatitis and severe hepatitis, alloand xeno-graft rejection [4,11,12] . Furthermore, its role is also evidenced in murine and human cytokine induced fetal loss [5,[13][14][15] and neonatal death from contractile dysfunction and rhythm abnormalities during embryonic and postnatal development [16] .…”
Section: Discussionmentioning
confidence: 99%
“…Predicted as a type II transmembrane glycoprotein [2], cell membraneassociated FGL2 was shown to exhibit novel prothrombinase activity when associated with cell membranes/phospholipid vesicles [3,4], which has been implicated in the pathogenesis of experimental and human viral-induced fulminant hepatitis [2], cytokine-induced fetal loss syndrome [5], allograft [6] and xenograft rejection [7]. The procoagulant activity was shown to depend on the serine 89 at the linear N terminal domain of FGL2 [4].…”
Section: Introductionmentioning
confidence: 99%
“…2008. 38: 3114- [7]. The procoagulant activity was shown to depend on the serine 89 at the linear N terminal domain of FGL2 [4].…”
mentioning
confidence: 99%