Document Detail


von Willebrand factor and occlusive arterial thrombosis. A study in normal and von Willebrand's disease pigs with diet-induced hypercholesterolemia and atherosclerosis.
MedLine Citation:
PMID:  2344301     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The thrombotic response of atherosclerotic arteries to stenosis and injury was studied in 14 pigs, eight normal and six with von Willebrand's disease (vWD). Atherosclerosis was produced by feeding a 1% to 2% cholesterol diet for 24 weeks. Both groups of pigs developed severe hypercholesterolemia, greater than five times baseline values. Coronary atherosclerosis was detected in all vWD pigs and in all but one normal pig and was not significantly different between groups. At sacrifice under general anesthesia, a Goldblatt clamp (GC) was positioned around the left anterior descending coronary (LAD) and carotid arteries to produce a stenotic segment, which was pinch-injured with needle holders. A 20 MHz Doppler velocity crystal was placed distal to the GC to detect cyclic flow reductions or permanent cessation of flow velocity indicative of occlusive thrombosis. In the phenotypically normal pigs with diet-induced atherosclerosis, occlusive thrombosis was detected in seven of seven LAD and seven of seven carotid arteries. In atherosclerotic vWD pigs, occlusive thrombosis failed to form in six LAD and 10 carotid arteries (p less than 0.003, Wilcoxon rank sum test). Scanning electron micrographs demonstrated platelet-fibrin microthrombi in both groups of pigs; only phenotypically normal pigs had occlusive thrombi. Von Willebrand factor is essential for the development of occlusive thrombosis and appears to support the progression of a mixed microthrombus to an occlusive thrombus.
Authors:
T C Nichols; D A Bellinger; D A Tate; R L Reddick; M S Read; G G Koch; K M Brinkhous; T R Griggs
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Arteriosclerosis (Dallas, Tex.)     Volume:  10     ISSN:  0276-5047     ISO Abbreviation:  Arteriosclerosis     Publication Date:    1990 May-Jun
Date Detail:
Created Date:  1990-06-25     Completed Date:  1990-06-25     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8401388     Medline TA:  Arteriosclerosis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  449-61     Citation Subset:  IM    
Affiliation:
Department of Medicine, University of North Carolina, Chapel Hill, North Carolina 27514.
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MeSH Terms
Descriptor/Qualifier:
Animals
Arterial Occlusive Diseases / etiology*
Arteries
Arteriosclerosis / complications*,  etiology,  pathology
Blood Flow Velocity
Carotid Arteries / pathology
Cholesterol / blood
Constriction, Pathologic
Coronary Vessels / pathology
Diet, Atherogenic
Hemodynamics
Hypercholesterolemia / complications*,  etiology
Male
Swine
Thrombosis / etiology*
von Willebrand Diseases / complications*
von Willebrand Factor / physiology*
Grant Support
ID/Acronym/Agency:
FDR000259/FD/FDA HHS; HL01648/HL/NHLBI NIH HHS; HL26309/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/von Willebrand Factor; 57-88-5/Cholesterol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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