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Real-time analysis of platelet aggregation and procoagulant activity during thrombus formation in vivo

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Abstract

The exact mechanism of blood vessel thrombus formation remains to be defined. Here, we introduce a new approach to probe thrombus formation in blood vessels of living animals using intravital microscopy in green fluorescent protein (GFP)-transgenic mice to simultaneously monitor platelet aggregation and procoagulant activity. To this end, GFP-expressing platelets and annexin A5 labeled with a fluorescent dye were employed to visualize and analyze platelet aggregation and markers of procoagulant activity (platelet surface phosphatidylserine (PS)). Laser-induced thrombi increased and then decreased in size with time in vessels of living animals, whereas platelet surface PS initiated at the site of injury and then penetrated into the thrombus. PS-positive platelets were predominantly localized in the center of the thrombus, as was fibrin generation. The experimental system proposed here is a valuable tool not only for investigating mechanisms of thrombus formation but also to assess the efficacy of antithrombotic drugs within the vasculature.

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Abbreviations

PS:

phosphatidylserine

ANX:

annexin A5

IMC:

ionomycin

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Acknowledgement

We greatly appreciate the gift of four calcium-binding site mutant of annexin 5A from Dr. Francoise Russo-Marie (Institut Cochin de Ge´ne´tiqueMole´culaire, Unite´ INSERM U332, 75014 Paris, France). We thank Dr. Satoshi Nakamura (Director for Finance and Hospital, Hamamatsu University School of Medicine) for critical discussion and Dr. Yuko Suzuki (Department of Physiology) for technical advice. This work was supported by Grant-in-Aid for Young Scientists (B: 17790885) to T.H., Grant-in-Aid for Scientific Research (C: 18590204) to T.U. from the Japan Society for the Promotion of Science (JSPS), a grant from the Smoking Research Foundation to T.U., and a grants from Takeda Science Foundation to H.M.

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Correspondence to Hideo Mogami.

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Figure S1; Movie 1

Dual monitoring of [Ca2+]i and surface-exposed PS. Fluo-4-loaded platelets on fibrinogen-coated glass-bottomed dishes were perfused with solution containing 100 nM ANX. Application of 10 μM ionomycin resulted in a rapid increase in the fluorescence intensity of fluo-4 followed by that of ANX. The fluo-4-loaded platelets developed many filopodial projections and shrank into rounded shapes with sudden loss of fluo-4 dye. The movie was made from merged images of fluo-4 and ANX captured every 5 s for 10 min (MOV 1.34 MB)

Figure S2; Movie 2

A laser-induced thrombus in the mesenteric venule of a GFP mouse. Platelets are accumulating at the site of injury. Images were taken every 27 ms for 11 s at the same focal plane (MOV 2.44 MB)

Figure S3

Optical slices of a laser-induced thrombus in the mesenteric venule of a GFP mouse. Focal plane images along the z axis from the vessel wall to the luminal face of a thrombus were taken at 33 ms per frame. Nine representative images were selected from 28 z-sections at 1.4-μm optical slice thickness. Scale bar, 10 μm (GIF 175 KB)

High-resolution image (TIFF 245 KB)

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Hayashi, T., Mogami, H., Murakami, Y. et al. Real-time analysis of platelet aggregation and procoagulant activity during thrombus formation in vivo. Pflugers Arch - Eur J Physiol 456, 1239–1251 (2008). https://doi.org/10.1007/s00424-008-0466-9

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  • DOI: https://doi.org/10.1007/s00424-008-0466-9

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