Enhancement of endogenous plasminogen activator-induced thrombolysis by argatroban and APC and its control by TAFI, measured in an arterial thrombolysis model in vivo using rat mesenteric arterioles

Thromb Haemost. 2002 Jan;87(1):110-3.

Abstract

Recent in vitro studies have demonstrated that thrombin inhibits fibrinolysis through thrombin-activatable fibrinolysis inhibitor (TAFI, plasma procarboxypeptidase B). We have recently shown that endogenous fibrinolysis in vivo is enhanced by activated protein C (APC) and the selective thrombin inhibitor, argatroban. The aim of the present study was to examine the role of TAFI in these fibrinolytic mechanisms in vivo using purified porcine pancreatic carboxypeptidase B (PPCPB) and a specific TAFIa inhibitor, potato tuber carboxypeptidase B inhibitor (PTCI) in a newly established arterial thrombolysis model. Non-occlusive, mural, platelet-rich thrombi were formed by helium-neon laser irradiation in rat mesenteric arterioles and thrombus size was measured by computerised image analysis. We confirmed that endogenous thrombolysis was enhanced by argatroban (2.0 mg/4 ml/kg/h) or APC (1.62 mg/ 2.31 ml/kg). PTCI (5.0 mg/2 ml/kg) also accelerated endogenous thrombolysis. PPCPB (3.5 mg/2 ml/kg) inhibited thrombolysis in the absence and presence of argatroban or APC. PTCI tended to further promote APC-induced thrombolysis but the differences did not reach statistical significance. The present findings were in keeping with the results of earlier studies and demonstrated that arterial, platelet-rich thrombi in vivo are degraded by naturally generated plasminogen activators. TAFI may play a significant role in the control of these mechanisms.

MeSH terms

  • Animals
  • Arginine / analogs & derivatives
  • Arterial Occlusive Diseases / blood*
  • Arterial Occlusive Diseases / etiology
  • Arterioles
  • Binding, Competitive
  • Carboxypeptidase B2 / antagonists & inhibitors
  • Carboxypeptidase B2 / physiology*
  • Enzyme Activation
  • Enzyme Inhibitors / pharmacology
  • Fibrinolysis / drug effects
  • Fibrinolysis / physiology*
  • Fibrinolytic Agents / pharmacology*
  • Image Processing, Computer-Assisted
  • Lasers / adverse effects
  • Male
  • Mesenteric Arteries
  • Models, Animal
  • Pipecolic Acids / pharmacology*
  • Plant Proteins / pharmacology
  • Plasminogen Activators / physiology*
  • Protease Inhibitors
  • Protein C / physiology*
  • Rats
  • Rats, Wistar
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Sulfonamides
  • Swine
  • Thrombosis / blood*
  • Thrombosis / etiology

Substances

  • Enzyme Inhibitors
  • Fibrinolytic Agents
  • Pipecolic Acids
  • Plant Proteins
  • Protease Inhibitors
  • Protein C
  • Sulfonamides
  • Arginine
  • Carboxypeptidase B2
  • Plasminogen Activators
  • argatroban