Endothelial CD40 Mediates Microvascular von Willebrand Factor-Dependent Platelet Adhesion Inducing Inflammatory Venothrombosis in ADAMTS13 Knockout Mice

Sibgha Tahir; Andreas H. Wagner; Steffen Dietzel; Hanna Mannell; Joachim Pircher; Ludwig T. Weckbach; Markus Hecker; Ulrich Pohl

doi:10.1055/s-0040-1702228

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 2020; 120(03): 466-476
DOI: 10.1055/s-0040-1702228

Blood Cells, Inflammation and Infection

Georg Thieme Verlag KG Stuttgart · New York

Endothelial CD40 Mediates Microvascular von Willebrand Factor-Dependent Platelet Adhesion Inducing Inflammatory Venothrombosis in ADAMTS13 Knockout Mice

Sibgha Tahir

¹Walter Brendel Centre of Experimental Medicine and Biomedical Center, Ludwig-Maximilians-University of Munich, Germany

²Division of Cardiovascular Physiology, Institute of Physiology and Pathophysiology, Heidelberg University, Germany

³German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany

,

Andreas H. Wagner

²Division of Cardiovascular Physiology, Institute of Physiology and Pathophysiology, Heidelberg University, Germany

,

Steffen Dietzel

¹Walter Brendel Centre of Experimental Medicine and Biomedical Center, Ludwig-Maximilians-University of Munich, Germany

,

Hanna Mannell

¹Walter Brendel Centre of Experimental Medicine and Biomedical Center, Ludwig-Maximilians-University of Munich, Germany

,

Joachim Pircher

¹Walter Brendel Centre of Experimental Medicine and Biomedical Center, Ludwig-Maximilians-University of Munich, Germany

³German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany

⁴Medizinische Klinik und Poliklinik I, Klinikum der Universität, Ludwig-Maximilians-University, Munich, Germany

,

Ludwig T. Weckbach

¹Walter Brendel Centre of Experimental Medicine and Biomedical Center, Ludwig-Maximilians-University of Munich, Germany

³German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany

⁴Medizinische Klinik und Poliklinik I, Klinikum der Universität, Ludwig-Maximilians-University, Munich, Germany

,

Markus Hecker^*

²Division of Cardiovascular Physiology, Institute of Physiology and Pathophysiology, Heidelberg University, Germany

⁵German Centre for Cardiovascular Research, Partner Site Heidelberg-Mannheim, Heidelberg, Germany

,

Ulrich Pohl^*

¹Walter Brendel Centre of Experimental Medicine and Biomedical Center, Ludwig-Maximilians-University of Munich, Germany

³German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany

› Author Affiliations

Abstract

Background von Willebrand factor (vWF) plays an important role in platelet activation. CD40–CD40 ligand (CD40L) induced vWF release has been described in large vessels and cultured endothelium, but its role in the microcirculation is not known. Here, we studied whether CD40 is expressed in murine microvessels in vivo, whether CD40L induces platelet adhesion and leukocyte activation, and how deficiency of the vWF cleaving enzyme ADAMTS13 affects these processes.

Methods and Results The role of CD40L in the formation of beaded platelet strings reflecting their adhesion to ultralarge vWF fibers (ULVWF) was analyzed in the murine cremaster microcirculation in vivo. Expression of CD40 and vWF was studied by immunohistochemistry in isolated and fixed cremasters. Microvascular CD40 was only expressed under inflammatory conditions and exclusively in venous endothelium. We demonstrate that CD40L treatment augmented the number of platelet strings, reflecting ULVWF multimer formation exclusively in venules and small veins. In ADAMTS13 knockout mice, the number of platelet strings further increased to a significant extent. As a consequence extensive thrombus formation was induced in venules of ADAMTS13 knockout mice. In addition, circulating leukocytes showed primary and rapid adherence to these platelet strings followed by preferential extravasation in these areas.

Conclusion CD40L is an important stimulus of microvascular endothelial ULVWF release, subsequent platelet string formation and leukocyte extravasation but only in venous vessels under inflammatory conditions. Here, the lack of ADAMTS13 leads to severe thrombus formation. The results identify CD40 expression and ADAMTS13 activity as important targets to prevent microvascular inflammatory thrombosis.

Keywords

von Willebrand factor - CD40–CD40 ligand - ADAMTS13 - platelets - endothelium - leukocytes - thrombosis - microcirculation

Full Text

References

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Supplementary Material

Supplementary Material