Rupture of blood clots : Mechanics and pathophysiology

Copyright © 2020 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC)..

Fibrin is the three-dimensional mechanical scaffold of protective blood clots that stop bleeding and pathological thrombi that obstruct blood vessels. Fibrin must be mechanically tough to withstand rupture, after which life-threatening pieces (thrombotic emboli) are carried downstream by blood flow. Despite multiple studies on fibrin viscoelasticity, mechanisms of fibrin rupture remain unknown. Here, we examined mechanically and structurally the strain-driven rupture of human blood plasma-derived fibrin clots where clotting was triggered with tissue factor. Toughness, i.e., resistance to rupture, quantified by the critical energy release rate (a measure of the propensity for clot embolization) of physiologically relevant fibrin gels was determined to be 7.6 ± 0.45 J/m2. Finite element (FE) simulations using fibrin material models that account for forced protein unfolding independently supported this measured toughness and showed that breaking of fibers ahead the crack at a critical stretch is the mechanism of rupture of blood clots, including thrombotic embolization.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:6

Enthalten in:

Science advances - 6(2020), 35 vom: 23. Aug., Seite eabc0496

Sprache:

Englisch

Beteiligte Personen:

Tutwiler, Valerie [VerfasserIn]
Singh, Jaspreet [VerfasserIn]
Litvinov, Rustem I [VerfasserIn]
Bassani, John L [VerfasserIn]
Purohit, Prashant K [VerfasserIn]
Weisel, John W [VerfasserIn]

Links:

Volltext

Themen:

9001-31-4
Fibrin
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 12.04.2022

Date Revised 30.03.2024

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.1126/sciadv.abc0496

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM314957227