Open AccessDependence of clot contraction (retraction) on the molecular and cellular blood composition
Author(s) -
Alina D. Peshkova,
Пешкова Алина Дмитриевна,
Andrey Lozhkin,
Ложкин Андрей Петрович,
L S Fathullina,
Фатхуллина Люция Суляймановна,
Dmitry V. Malyasev,
Малясёв Дмитрий Владимирович,
Р. А. Бредихин,
Бредихин Роман Александрович,
Rustem I. Litvinov,
Литвинов Рустем Игоревич
Publication year - 2016
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17750/kmj2016-70
Subject(s) - contraction (grammar) , platelet , fibrin , clot retraction , fibrinogen , chemistry , thrombin , whole blood , hemostasis , pharmacology , biophysics , medicine , biochemistry , immunology , biology
Aim. To study the effect of the blood components on clot contraction dynamics in vitro.Methods. The original method based on the optical detection of changes in the blood clot volume over time was used. Whole blood, as well as reconstructed samples using washed platelets, erythrocytes, purified fibrinogen, platelet-poor and platelet-rich plasma were studied.Results. Blood clot contraction has a non-linear kinetics, reflecting the complexity of the underlying mechanisms. Platelets increase the blood clot contraction, while the red blood cells have an inhibitory effect. Blocking the fibrin and platelets interaction using the RGDS peptide, an integrin αIIbβ3 antagonist, reduces the extent and rate of clot contraction. The exogenous Ca2+ is not required for contraction, but its addition stabilizes clots by inhibiting the erythrocytes. Thrombin has a dose-dependent effect and increases the rate and extent of contraction. In blood samples of patients taking warfarin, blood clot contraction was delayed.Conclusion. The blood clot contraction is a process which depends on many factors, including the blood cell composition, amount of fibrinogen, the endogenous thrombin activity and platelets interaction with fibrin; understanding the mechanisms of the blood clot contraction could form the basis for the development of novel approaches to the hemostatic disorders treatment.