PMID- 25700433 OWN - NLM STAT- MEDLINE DCOM- 20150805 LR - 20210202 IS - 1528-0020 (Electronic) IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 125 IP - 20 DP - 2015 May 14 TI - Cellular fibronectin containing extra domain A promotes arterial thrombosis in mice through platelet Toll-like receptor 4. PG - 3164-72 LID - 10.1182/blood-2014-10-608653 [doi] AB - Cellular fibronectin containing extra domain A (Fn-EDA+), which is produced in response to tissue injury in several disease states, has prothrombotic activity and is known to interact with Toll-like-receptor 4 (TLR4). The underlying mechanism and cell types involved in mediating the prothrombotic effect of Fn-EDA+ still remain unknown. Using intravital microscopy, we evaluated susceptibility to carotid artery thrombosis after FeCl3-induced injury in mice expressing Fn lacking EDA (Fn-EDA(-/-) mice) or Fn containing EDA (Fn-EDA(+/+) mice). Fn-EDA(-/-) mice exhibited prolonged times to first thrombus formation and complete occlusion and a significant decrease in the rate of thrombus growth (P < .05 vs Fn-EDA(+/+) mice). Genetic deletion of TLR4 reversed the accelerated thrombosis in Fn-EDA(+/+) mice (P < .05) but had no effect in Fn-EDA(-/-) mice. Bone marrow transplantation experiments revealed that TLR4 expressed on hematopoietic cells contributes to accelerated thrombosis in Fn-EDA(+/+) mice. In vitro studies showed that cellular Fn-EDA+ interacts with platelet TLR4 and promotes agonist-induced platelet aggregation. Finally, Fn-EDA(+/+) mice specifically lacking platelet TLR4 exhibited prolonged times to first thrombus formation and complete occlusion (P < .05 vs Fn-EDA(+/+) mice containing platelet TLR4). We conclude that platelet TLR4 contributes to the prothrombotic effect of cellular Fn-EDA+, suggesting another link between thrombosis and innate immunity. CI - (c) 2015 by The American Society of Hematology. FAU - Prakash, Prem AU - Prakash P AUID- ORCID: 0000-0001-9501-0065 AD - Department of Internal Medicine, University of Iowa, Iowa City, IA. FAU - Kulkarni, Paresh P AU - Kulkarni PP AD - Department of Internal Medicine, University of Iowa, Iowa City, IA. FAU - Lentz, Steven R AU - Lentz SR AD - Department of Internal Medicine, University of Iowa, Iowa City, IA. FAU - Chauhan, Anil K AU - Chauhan AK AUID- ORCID: 0000-0001-8554-0898 AD - Department of Internal Medicine, University of Iowa, Iowa City, IA. LA - eng GR - P01 HL062984/HL/NHLBI NIH HHS/United States GR - R01 HL118246/HL/NHLBI NIH HHS/United States GR - R01 HL118742/HL/NHLBI NIH HHS/United States GR - HL062984/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150219 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Fibronectins) RN - 0 (Toll-Like Receptor 4) RN - 0 (extra domain A fibronectin, human) SB - IM CIN - Blood. 2015 May 14;125(20):3043-4. PMID: 25977580 MH - Animals MH - Blood Platelets/*metabolism MH - Carotid Artery, Common/metabolism/pathology MH - Disease Models, Animal MH - Female MH - Fibronectins/genetics/*metabolism MH - Immunity, Innate MH - Male MH - Mice MH - Mice, Knockout MH - Platelet Aggregation MH - Thrombosis/genetics/immunology/*metabolism MH - Toll-Like Receptor 4/*metabolism PMC - PMC4432011 EDAT- 2015/02/24 06:00 MHDA- 2015/08/06 06:00 PMCR- 2016/05/14 CRDT- 2015/02/21 06:00 PHST- 2014/10/27 00:00 [received] PHST- 2015/02/11 00:00 [accepted] PHST- 2015/02/21 06:00 [entrez] PHST- 2015/02/24 06:00 [pubmed] PHST- 2015/08/06 06:00 [medline] PHST- 2016/05/14 00:00 [pmc-release] AID - S0006-4971(20)31694-3 [pii] AID - 2014/608653 [pii] AID - 10.1182/blood-2014-10-608653 [doi] PST - ppublish SO - Blood. 2015 May 14;125(20):3164-72. doi: 10.1182/blood-2014-10-608653. Epub 2015 Feb 19.