Key result
Syk inhibition rapidly promotes arterial thrombus breakdown and reduces clot contraction under shear.
Why the study?
Understanding the pathways involved in the formation and stability of the core and shell regions of a platelet-rich arterial thrombus may lead to new ways to treat arterial thrombosis.
Does Syk inhibition reduce thrombus stability in human platelets under high shear flow?
Does Syk inhibition reduce thrombus stability in human platelets under high shear flow?
Syk regulates arterial thrombus stability in the absence of fibrin, suggesting Syk inhibition as a potential novel pathway to treat arterial thrombosis.
Answers are grounded in this paper and cite their sources.
Syk inhibition may destabilize arterial thrombi under high shear in animal models; leaves open translation to human thrombosis therapy.
Understanding the pathways involved in the formation and stability of the core and shell regions of a platelet-rich arterial thrombus may result in new ways to treat arterial thrombosis. The distinguishing feature between these two regions is the absence of fibrin in the shell which indicates that in vitro flow-based assays over thrombogenic surfaces, in the absence of coagulation, can be used to resemble this region. In this study, we have investigated the contribution of Syk tyrosine kinase in the stability of platelet aggregates (or thrombi) formed on collagen or atherosclerotic plaque homogenate at arterial shear (1000 s−1). We show that post-perfusion of the Syk inhibitor PRT-060318 over preformed thrombi on both surfaces enhances thrombus breakdown and platelet detachment. The resulting loss of thrombus stability led to a reduction in thrombus contractile score which could be detected as early as 3 min after perfusion of the Syk inhibitor. A similar loss of thrombus stability was observed with ticagrelor and indomethacin, inhibitors of platelet adenosine diphosphate (ADP) receptor and thromboxane A2 (TxA2), respectively, and in the presence of the Src inhibitor, dasatinib. In contrast, the Btk inhibitor, ibrutinib, causes only a minor decrease in thrombus contractile score. Weak thrombus breakdown is also seen with the blocking GPVI nanobody, Nb21, which indicates, at best, a minor contribution of collagen to the stability of the platelet aggregate. These results show that Syk regulates thrombus stability in the absence of fibrin in human platelets under flow and provide evidence that this involves pathways additional to activation of GPVI by collagen.
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Perrella et al. (2022) studied Arterial thrombosis (in vitro thrombus stability under high shear). PRT-060318 (Syk tyrosine kinase inhibitor) vs. Vehicle (DMSO 0.01%) and other inhibitors (dasatinib, ibrutinib, ticagrelor, indomethacin, Nb21) was evaluated on Thrombus stability assessed by aggregate morphological, contraction, and multilayer scores under arterial shear (1000 s⁻¹) (p=<0.05). Post-perfusion of the Syk inhibitor PRT-060318 (10 µM) promoted thrombus breakdown and significantly reduced contractile score within 3 min at arterial shear (1000 s⁻¹).
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