Abstract | BACKGROUND:
Plasminogen activator inhibitor-1 (PAI-1) regulates fibrinolysis and has been reported to be an independent risk factor for ischemic cardiovascular events. This study describes the age-dependent development of spontaneous coronary arterial thrombi that are associated with evidence of subendocardial myocardial infarction in mice transgenic for human PAI-1. METHODS AND RESULTS: We generated two independent transgenic mice founder lines that express a stable variant of active human PAI-1 under control of the murine preproendothelin-1 (mPPET-1) promoter. Backcrossed homozygous transgenic animals from founder line I had plasma PAI-1 levels of 23+/-12 ng/mL. PAI-1 transgenic animals younger than 4 months do not exhibit any evidence of arterial or venous thrombosis. Ninety percent of transgenic animals (n=10) older than 6 months developed spontaneous occlusions of typically multiple, penetrating coronary arteries, with histological evidence of subendocardial infarction identified in 50% of animals. CONCLUSIONS: This study shows that chronically elevated levels of PAI-1 are associated with age-dependent coronary arterial thrombosis in mice transgenic for human PAI-1. This is the first study of a murine model of coronary thrombosis that occurs in the absence of severe hypercholesterolemia or multiple genetic manipulations. These findings provide new evidence to support the hypothesis that PAI-1 excess contributes to the development of coronary arterial thrombosis.
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Authors | Mesut Eren, Corrie A Painter, James B Atkinson, Paul J Declerck, Douglas E Vaughan |
Journal | Circulation
(Circulation)
Vol. 106
Issue 4
Pg. 491-6
(Jul 23 2002)
ISSN: 1524-4539 [Electronic] United States |
PMID | 12135951
(Publication Type: Journal Article, Research Support, U.S. Gov't, Non-P.H.S., Research Support, U.S. Gov't, P.H.S.)
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Chemical References |
- Plasminogen Activator Inhibitor 1
- Protein C
- RNA, Messenger
- Plasminogen Activators
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Topics |
- Age Factors
- Animals
- Coronary Thrombosis
(blood, etiology, pathology)
- Coronary Vessels
(chemistry)
- Female
- Fibrosis
- Humans
- Immunohistochemistry
- Male
- Mice
- Mice, Transgenic
- Myocardial Infarction
(etiology, pathology)
- Plasminogen Activator Inhibitor 1
(genetics, immunology, metabolism)
- Plasminogen Activators
(blood)
- Protein C
(analysis)
- RNA, Messenger
(biosynthesis)
- Tissue Distribution
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