Effects of factor IX or factor XI deficiency on ferric chloride-induced carotid artery occlusion in mice

X Wang1, Q Cheng, L Xu

  • 1Department of Thrombosis Research, Bristol-Myers Squibb Company, Pennington, NJ 08534, USA. xinkand.wang@bms.com

Insights

Targeting Factor XI (FXI) or Factor IX (FIX) protects against arterial thrombosis in mice. FXI deficiency offers protection without significantly increasing bleeding risk, suggesting FXI as a viable therapeutic target.

Area of Science:

  • * Hemostasis and Thrombosis Research
  • * Vascular Biology
  • * Pharmacological Targeting of Coagulation Factors

Background:

  • * Factor XI (FXI) and Factor IX (FIX) are crucial serine proteases in hemostasis.
  • * Understanding their roles is key to developing new antithrombotic therapies.
  • * Assessing FXI and FIX as therapeutic targets requires robust preclinical models.

Purpose of the Study:

  • * To evaluate the therapeutic potential of targeting FXI and FIX.
  • * To assess their roles in arterial thrombosis using a ferric chloride (FeCl3) injury model.
  • * To compare the efficacy of FXI and FIX inhibition with existing anticoagulants like heparin and aspirin.

Main Methods:

  • * Development of a ferric chloride (FeCl3)-induced arterial thrombosis model in C57BL/6 mice.
  • * Utilized factor XI (FXI)- and factor IX (FIX)-deficient mice to assess protection against thrombosis.
  • * Compared protective effects with high-dose heparin and aspirin treatments.
  • * Evaluated bleeding risk using a tail-bleeding-time assay.

Main Results:

  • * FeCl3 induced rapid carotid artery occlusion in wild-type mice.
  • * FXI- and FIX-deficient mice showed significant protection against FeCl3-induced thrombosis.
  • * FXI and FIX deficiencies conferred protection comparable to high-dose heparin and superior to aspirin.
  • * FXI deficiency showed minimal impact on bleeding time, unlike FIX deficiency which caused severe bleeding.

Conclusions:

  • * Both FXI and FIX are critical for arterial thrombosis formation.
  • * Therapeutic inhibition of FXI presents a promising strategy for antithrombotic therapy.
  • * FXI inhibition may offer a favorable risk-benefit profile due to a milder bleeding diathesis compared to FIX inhibition.

Related Concept Videos