2013
DOI: 10.1074/jbc.m112.404301
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Mechanical Stability and Fibrinolytic Resistance of Clots Containing Fibrin, DNA, and Histones

Abstract: Background: Neutrophil extracellular traps (NETs) composed of DNA and proteins form a scaffold in thrombi, supplementing the fibrin matrix.Results: DNA and histones modify the structure of fibrin and render it resistant to mechanical and enzymatic destruction.Conclusion: NET components are essential factors in thrombus stability.Significance: Therapeutic strategies could be optimized to enhance fibrinolysis in clots containing DNA and histones.

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Cited by 227 publications
(285 citation statements)
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“…Therefore, it was important to assess whether DNA modulates their effects. When complexed with DNA to resemble nucleosomes, histones maintained the inhibitory activity toward UFH and enoxaparin, although it was slightly less pronounced, probably because DNA was displaced by heparins (Longstaff et al, 2013). On the contrary, in the case of fondaparinux, histone-DNA complexes behaved differently from histones alone as they inhibited the anticoagulant and, even more, the profibrinolytic activity of the drug.…”
Section: Discussionmentioning
confidence: 96%
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“…Therefore, it was important to assess whether DNA modulates their effects. When complexed with DNA to resemble nucleosomes, histones maintained the inhibitory activity toward UFH and enoxaparin, although it was slightly less pronounced, probably because DNA was displaced by heparins (Longstaff et al, 2013). On the contrary, in the case of fondaparinux, histone-DNA complexes behaved differently from histones alone as they inhibited the anticoagulant and, even more, the profibrinolytic activity of the drug.…”
Section: Discussionmentioning
confidence: 96%
“…All the effects of histones, DNA, and histone-DNA on anticoagulants might occur in vivo, because histones and DNA, both circulating and resident in the thrombus scaffold, can exist either in complex or naked (Fuchs et al, 2010;Abrams et al, 2013;Longstaff et al, 2013), most probably as a result of a selective degradation by proteases and DNases.…”
Section: Discussionmentioning
confidence: 99%
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“…130 During clot formation, NETs colocalize with fibrin and von Willebrand factor, 135 where they provide a scaffold for thrombi that are resistant to fibrinolysis. 136,137 They bind to platelets and endothelial cells, inducing their activation, which in turn escalates further NETosis. Histones are a major constituent of NETs, enhancing activation of coagulation.…”
Section: Neutrophil Extracellular Trapsmentioning
confidence: 99%
“…At 18 h of clot lysis, the D-dimer concentration significantly increased in the control groups compared to IL-1β groups, which was in accordance with the loose and thicker clot network observed in the control groups under SEM and CM. This is further evidenced by the literature, which shows that fibrinolysis occurs much faster on a loose and thicker fibrin network rather than on a tight and thinner one (Longstaff et al, 2013;.…”
Section: Discussionmentioning
confidence: 58%