Sustained depletion of FXIII-A by inducing acquired FXIII-B deficiency.


Journal

Blood
ISSN: 1528-0020
Titre abrégé: Blood
Pays: United States
ID NLM: 7603509

Informations de publication

Date de publication:
17 12 2020
Historique:
received: 21 01 2020
accepted: 06 07 2020
pubmed: 18 7 2020
medline: 7 4 2021
entrez: 18 7 2020
Statut: ppublish

Résumé

The activated form of coagulation factor XIII (FXIII-A2B2), FXIII-A*, is a hemostatic enzyme essential for inhibiting fibrinolysis by irreversibly crosslinking fibrin and antifibrinolytic proteins. Despite its importance, there are no modulatory therapeutics. Guided by the observation that humans deficient in FXIII-B have reduced FXIII-A without severe bleeding, we hypothesized that a suitable small interfering RNA (siRNA) targeting hepatic FXIII-B could safely decrease FXIII-A. Here we show that knockdown of FXIII-B with siRNA in mice and rabbits using lipid nanoparticles resulted in a sustained and controlled decrease in FXIII-A. The concentration of FXIII-A in plasma was reduced by 90% for weeks after a single injection and for more than 5 months with repeated injections, whereas the concentration of FXIII-A in platelets was unchanged. Ex vivo, crosslinking of α2-antiplasmin and fibrin was impaired and fibrinolysis was enhanced. In vivo, reperfusion of carotid artery thrombotic occlusion was also enhanced. Re-bleeding events were increased after challenge, but blood loss was not significantly increased. This approach, which mimics congenital FXIII-B deficiency, provides a potential pharmacologic and experimental tool to modulate FXIII-A2B2 activity.

Identifiants

pubmed: 32678423
pii: S0006-4971(20)77870-5
doi: 10.1182/blood.2020004976
pmc: PMC9710420
doi:

Substances chimiques

RNA, Small Interfering 0
Factor XIII 9013-56-3
factor XIIIb 97089-56-0
Factor XIIIa EC 2.3.2.13

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2946-2954

Subventions

Organisme : NCI NIH HHS
ID : R01 CA204058
Pays : United States
Organisme : CIHR
ID : MSH-130166
Pays : Canada
Organisme : CIHR
ID : FDN-148370
Pays : Canada

Informations de copyright

© 2020 by The American Society of Hematology.

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Auteurs

Amy W Strilchuk (AW)

Michael Smith Laboratories.
Centre for Blood Research, and.
Department of Biochemistry and Molecular Biology, University of British Columbia, Vancouver, BC, Canada.

Scott C Meixner (SC)

Centre for Blood Research, and.

Jerry Leung (J)

Michael Smith Laboratories.
Centre for Blood Research, and.
Department of Biochemistry and Molecular Biology, University of British Columbia, Vancouver, BC, Canada.

Nooshin S Safikhan (NS)

Centre for Blood Research, and.

Jayesh A Kulkarni (JA)

Department of Biochemistry and Molecular Biology, University of British Columbia, Vancouver, BC, Canada.

Hannah M Russell (HM)

Pathobiology and Molecular Medicine, Department of Internal Medicine, The University of Cincinnati College of Medicine, Cincinnati, OH; and.

Roy van der Meel (R)

Department of Biochemistry and Molecular Biology, University of British Columbia, Vancouver, BC, Canada.

Michael R Sutherland (MR)

Centre for Blood Research, and.

A Phillip Owens (AP)

Pathobiology and Molecular Medicine, Department of Internal Medicine, The University of Cincinnati College of Medicine, Cincinnati, OH; and.

Joseph S Palumbo (JS)

Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Edward M Conway (EM)

Centre for Blood Research, and.

Edward L G Pryzdial (ELG)

Centre for Blood Research, and.

Pieter R Cullis (PR)

Department of Biochemistry and Molecular Biology, University of British Columbia, Vancouver, BC, Canada.

Christian J Kastrup (CJ)

Michael Smith Laboratories.
Centre for Blood Research, and.
Department of Biochemistry and Molecular Biology, University of British Columbia, Vancouver, BC, Canada.

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Classifications MeSH