TY - JOUR
T1 - Vitronectin promotes immunothrombotic dysregulation in the venular microvasculature
AU - Uhl, Bernd
AU - Haring, Florian
AU - Slotta-Huspenina, Julia
AU - Luft, Joshua
AU - Schneewind, Vera
AU - Hildinger, Jonas
AU - Wu, Zhengquan
AU - Steiger, Katja
AU - Smiljanov, Bojan
AU - Batcha, Aarif M.N.
AU - Keppler, Oliver T.
AU - Hellmuth, Johannes C.
AU - Lahmer, Tobias
AU - Stock, Konrad
AU - Weiss, Bernhard G.
AU - Canis, Martin
AU - Stark, Konstantin
AU - Bromberger, Thomas
AU - Moser, Markus
AU - Schulz, Christian
AU - Weichert, Wilko
AU - Zuchtriegel, Gabriele
AU - Reichel, Christoph A.
N1 - Publisher Copyright:
Copyright © 2023 Uhl, Haring, Slotta-Huspenina, Luft, Schneewind, Hildinger, Wu, Steiger, Smiljanov, Batcha, Keppler, Hellmuth, Lahmer, Stock, Weiss, Canis, Stark, Bromberger, Moser, Schulz, Weichert, Zuchtriegel and Reichel.
PY - 2023/2/8
Y1 - 2023/2/8
N2 - Microvascular immunothrombotic dysregulation is a critical process in the pathogenesis of severe systemic inflammatory diseases. The mechanisms controlling immunothrombosis in inflamed microvessels, however, remain poorly understood. Here, we report that under systemic inflammatory conditions the matricellular glycoproteinvitronectin (VN) establishes an intravascular scaffold, supporting interactions of aggregating platelets with immune cells and the venular endothelium. Blockade of the VN receptor glycoprotein (GP)IIb/IIIa interfered with this multicellular interplay and effectively prevented microvascular clot formation. In line with these experimental data, particularly VN was found to be enriched in the pulmonary microvasculature of patients with non-infectious (pancreatitis-associated) or infectious (coronavirus disease 2019 (COVID-19)-associated) severe systemic inflammatory responses. Targeting the VN-GPIIb/IIIa axis hence appears as a promising, already feasible strategy to counteract microvascular immunothrombotic dysregulation in systemic inflammatory pathologies.
AB - Microvascular immunothrombotic dysregulation is a critical process in the pathogenesis of severe systemic inflammatory diseases. The mechanisms controlling immunothrombosis in inflamed microvessels, however, remain poorly understood. Here, we report that under systemic inflammatory conditions the matricellular glycoproteinvitronectin (VN) establishes an intravascular scaffold, supporting interactions of aggregating platelets with immune cells and the venular endothelium. Blockade of the VN receptor glycoprotein (GP)IIb/IIIa interfered with this multicellular interplay and effectively prevented microvascular clot formation. In line with these experimental data, particularly VN was found to be enriched in the pulmonary microvasculature of patients with non-infectious (pancreatitis-associated) or infectious (coronavirus disease 2019 (COVID-19)-associated) severe systemic inflammatory responses. Targeting the VN-GPIIb/IIIa axis hence appears as a promising, already feasible strategy to counteract microvascular immunothrombotic dysregulation in systemic inflammatory pathologies.
KW - SIRS
KW - immunothrombosis
KW - microvasculature
KW - neutrophils
KW - platelets
KW - systemic inflammation
KW - vitronectin
UR - http://www.scopus.com/inward/record.url?scp=85148640913&partnerID=8YFLogxK
U2 - 10.3389/fimmu.2023.1078005
DO - 10.3389/fimmu.2023.1078005
M3 - Article
AN - SCOPUS:85148640913
SN - 1664-3224
VL - 14
JO - Frontiers in Immunology
JF - Frontiers in Immunology
M1 - 1078005
ER -