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Altered fibrinogen γ-chain cross-linking in mutant fibrinogen-γΔ5 mice drives acute liver injury

Hepatic deposition of cross-linked fibrin(ogen) occurs alongside platelet accumulation as a hallmark of acetaminophen (APAP)-induced liver injury. We sought to define the precise role of the fibrinogen γ-chain C-terminal integrin αIIbβ3 binding domain in APAP-induced liver injury. Mice expressing mu...

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Published in:Journal of thrombosis and haemostasis 2023-08, Vol.21 (8), p.2175-2188
Main Authors: Poole, Lauren G., Schmitt, Lauren R., Schulte, Anthony, Groeneveld, Dafna J., Cline, Holly M., Sang, Yaqiu, Hur, Woosuk S., Wolberg, Alisa S., Flick, Matthew J., Hansen, Kirk C., Luyendyk, James P.
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Language:English
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Summary:Hepatic deposition of cross-linked fibrin(ogen) occurs alongside platelet accumulation as a hallmark of acetaminophen (APAP)-induced liver injury. We sought to define the precise role of the fibrinogen γ-chain C-terminal integrin αIIbβ3 binding domain in APAP-induced liver injury. Mice expressing mutant fibrinogen incapable of engaging integrin αIIbβ3 due to a C-terminal fibrinogen γ-chain truncation (mutant fibrinogen-γΔ5 [FibγΔ5] mice) and wild-type mice were challenged with APAP (300 mg/kg, intraperitoneally). We observed an altered pattern of fibrin(ogen) deposition in the livers of APAP-challenged FibγΔ5 mice. This led to the unexpected discovery that fibrinogen γ-chain cross-linking was altered in the livers of APAP-challenged FibγΔ5 mice compared with that in wild-type mice, including absence of γ-γ dimer and accumulation of larger molecular weight cross-linked γ-chain complexes. This finding was not unique to the injured liver because activation of coagulation did not produce γ-γ dimer in plasma from FibγΔ5 mice or purified FibγΔ5 fibrinogen. Sanger sequencing predicted that the fibrinogen-γΔ5 γ-polypeptide would terminate at lysine residue 406, but liquid chromatography tandem mass spectrometry analysis revealed that this critical lysine residue was absent in purified fibrinogen-γΔ5 protein. Interestingly, hepatic deposition of this uniquely aberrantly cross-linked fibrin(ogen) in FibγΔ5 mice was associated with exacerbated hepatic injury, an effect not recapitulated by pharmacologic inhibition of integrin αIIbβ3. The results indicate that fibrinogen-γΔ5 lacks critical residues essential to form γ-γ dimer in response to thrombin and suggest that hepatic accumulation of abnormally cross-linked fibrin(ogen) can exacerbate hepatic injury. •Mutant fibrinogen-γΔ5 (FibγΔ5) lacks the γ-chain C-terminal integrin αIIBβ3 binding domain.•The role of this domain in acetaminophen-induced liver injury is unknown.•FibγΔ5 lacks lysine 406 required for γ-γ dimer formation and forms altered cross-links.•Altered fibrin(ogen) cross-linking in FibγΔ5 mice is associated with elevated acute liver injury.
ISSN:1538-7836
1538-7836
DOI:10.1016/j.jtha.2023.04.003