2011
DOI: 10.1161/atvbaha.111.230631
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Fibrin Clot Structure and Function

Abstract: Abstract-The formation of fibrin clots that are relatively resistant to lysis represents the final step in blood coagulation. We discuss the genetic and environmental regulators of fibrin structure in relation to thrombotic disease. In addition, we discuss the implications of fibrin structure for treatment of thrombosis. Fibrin clots composed of compact, highly branched networks with thin fibers are resistant to lysis. Altered fibrin structure has consistently been reported in patients with several diseases co… Show more

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Cited by 437 publications
(223 citation statements)
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“…Henschen estimated that there could be up to 1 million different forms of fibrinogen in the blood circulation [1]. While many of the minor alterations and polymorphisms are neutral and do not influence the structure and function of fibrinogen or its multimeric form fibrin, some of the larger alterations such as splice variation and particular single nucleotide polymorphisms such as AThr312Ala and BArg448Lys have been shown to influence structure and function of the fibrin clot [2].…”
Section: Fibrinogen Structurementioning
confidence: 99%
“…Henschen estimated that there could be up to 1 million different forms of fibrinogen in the blood circulation [1]. While many of the minor alterations and polymorphisms are neutral and do not influence the structure and function of fibrinogen or its multimeric form fibrin, some of the larger alterations such as splice variation and particular single nucleotide polymorphisms such as AThr312Ala and BArg448Lys have been shown to influence structure and function of the fibrin clot [2].…”
Section: Fibrinogen Structurementioning
confidence: 99%
“…These molecules may interact with fibrinogen and change the mechanical properties of clots, which are essential to the effective function of fibrin. Clot properties that may vary include the pore size, fibrin diameter, rigidity, ease of fibrinolysis, and so on 208,396 (and some of these are correlated 361,397 ).…”
Section: -395mentioning
confidence: 99%
“…Moreover, MPO itself and MPO-derived reactive oxygen species have been shown to increase the expression of tissue factor, leading to a thrombotic state 91) , and influence erythrocyte deformation and aggregation, leading to membrane generation, rouleau formation and higher blood viscosity [92][93][94][95][96][97] . In addition, other cardiovascular risk factors (cigarette smoking, hyperglycemia) [98][99][100][101][102][103][104][105] and immune-inflammatory/oxidative stress-related factors (C-reactive protein, CD40 ligand, fibrinogen and D-dimer, lipoprotein (a)) 81, [106][107][108][109][110][111][112][113][114][115][116][117][118] have been reported to influence the platelet-fibrin clot structure and blood viscosity/erythrocyte aggregation. These findings are of considerable interest, since they suggest that some factors influencing blood thrombogenicity/ viscosity and erythrocyte properties (deformability and/or aggregability) may play important roles in the evolution of erythrocyte-rich large thrombi.…”
Section: )mentioning
confidence: 99%