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Updated: Jul 14, 2026

Mouse Complete Stasis Model of Inferior Vena Cava Thrombosis
Published on: June 15, 2011
Plasmin inhibition increases MMP-9 activity and decreases vein wall stiffness during venous thrombosis resolution
Nicholas A Dewyer1, Vikram Sood, Erin M Lynch
1Jobst Vascular Surgery Laboratory, Section of Vascular Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Introduction:
Deep venous thrombosis (DVT) resolution involves the plasmin and the matrix metalloproteinase (MMP) system. This study tested the hypothesis that pharmacological inhibition of the plasmin system would impair DVT resolution and worsen vein wall damage.
Methods:
A rat model of stasis DVT by inferior vena cava (IVC) ligation was performed with intravenous control saline or aprotinin (AP; 2.8 mg/kg at operation), and harvest of thrombosed IVC at 7 days. After laser Doppler imaging, DVT were separated and weighed, and vein wall stiffness was assessed by tensiometry. Thrombus and vein wall tissue analysis included total collagen by colorimetric assay, cytokines, chemokines, and d-dimer by ELISA, urokinase-plasminogen activator (uPA), and plasminogen activator inhibitor-1 (PAI-1) by immuno-blotting, MMP-2 and -9 by zymography, and neutrophil (PMN) and monocyte (ED-1) leukocytes by immunohistochemistry.
Results:
DVT weights were 2-fold greater in the AP-treated rats (P < 0.05), but no significant differences in thrombus perfusion, collagen, or d-dimer levels were found. Vein wall stiffness was reduced 50% (P < 0.05), suggesting less biomechanical injury. The total vein wall MMP-9 was increased (P < 0.05) 5-fold in the AP group compared with controls, while MMP-2 was elevated but did not reach significance. No difference was found in vein wall tumor necrosis factor-alpha, tissue growth factor-beta, vein wall or thrombus monocytes, PMN, or uPA/PAI-1 ratio between groups.
Discussion:
AP inhibition of the plasmin system was associated with larger thrombi but less vein wall injury, but no difference in other measures of resolution, possibly because of increased vein wall MMP-9 activity. These data suggest an important redundant mechanism for DVT resolution.
Insights
Pharmacological inhibition of the plasmin system led to larger deep venous thrombosis (DVT) but reduced vein wall injury in rats. This suggests a redundant mechanism for DVT resolution involving matrix metalloproteinase-9 (MMP-9).
Area of Science:
- Vascular Biology
- Thrombosis Research
- Biomedical Science
Background:
- Deep venous thrombosis (DVT) resolution involves complex interactions between the plasmin and matrix metalloproteinase (MMP) systems.
- Understanding these interactions is crucial for developing effective DVT treatments.
- This study investigates the impact of inhibiting the plasmin system on DVT resolution and associated vein wall damage.
Purpose of the Study:
- To test the hypothesis that pharmacological inhibition of the plasmin system impairs DVT resolution and exacerbates vein wall damage.
- To elucidate the role of MMPs in the context of plasmin system inhibition during DVT resolution.
Main Methods:
- A rat model of stasis deep venous thrombosis (DVT) was established via inferior vena cava (IVC) ligation.
- Rats received intravenous control saline or aprotinin (AP) to inhibit the plasmin system.
- Thrombosed IVCs were analyzed after 7 days for thrombus weight, perfusion, collagen, d-dimer, MMP-2, MMP-9, inflammatory markers, and leukocyte infiltration.
Main Results:
- Aprotinin treatment resulted in significantly larger DVT weights (2-fold increase) compared to controls.
- Vein wall stiffness was reduced by 50% in AP-treated rats, indicating less biomechanical injury.
- A significant 5-fold increase in vein wall MMP-9 activity was observed in the AP group, suggesting its compensatory role in DVT resolution.
Conclusions:
- Inhibition of the plasmin system with aprotinin leads to larger thrombi but reduced vein wall injury.
- Increased vein wall MMP-9 activity may represent a redundant mechanism for DVT resolution.
- These findings highlight the complex interplay of enzymatic systems in DVT resolution and suggest potential therapeutic targets.
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