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Circulation. 1995;92:2585-2593

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(Circulation. 1995;92:2585-2593.)
© 1995 American Heart Association, Inc.


Articles

Effects of Disruption of The Plasminogen Gene on Thrombosis, Growth, and Health in Mice

Victoria A. Ploplis; Peter Carmeliet; Shahrzad Vazirzadeh; Ilse Van Vlaenderen; Lieve Moons; Edward F. Plow; Désiré Collen

From the Center for Transgene Technology and Gene Therapy (V.A.P., P.C., S.V., I.V.V., L.M., D.C.), Vlaams Interuniversitair Instituut voor Biotechnologie, KU Leuven, Belgium, and the Joseph J. Jacobs Center for Thrombosis and Vascular Biology and the Department of Molecular Cardiology (V.A.P., S.V., E.F.P.), Cleveland Clinic Foundation, Cleveland, Ohio.

Correspondence to D. Collen, Center for Transgene Technology and Gene Therapy, Vlaams Interuniversitair Instituut voor Biotechnologie, Campus Gasthuisberg, O & N, Herestraat 49, B-3000 Leuven, Belgium. E-mail desire.collen@med.kuleuven.ac.be.


*    Abstract
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Background Circumstantial evidence suggests that the plasminogen/plasmin system plays a role in many biological processes, including hemostasis, cell migration, and development.

Methods and Results The in vivo function of the plasminogen/plasmin system was studied by generation of plasminogen-deficient (Plg-/-) mice. Inactivation of the murine plasminogen gene (Plg) was achieved by replacing, via homologous recombination in embryonic stem cells, genomic sequences encoding the exons containing the catalytic site amino acids His605 and Asp648 with a neomycin phosphotransferase expression cassette. Germline transmission of the mutated allele, as determined by Southern blot hybridization and polymerase chain reaction, was obtained via blastocyst injection. Mendelian inheritance of the inactivated plasminogen allele was observed, and homozygous-deficient mice (Plg-/-) displayed normal viability but retarded growth up to at least 12 weeks of age. At 8 weeks of age, body weight was 21.8±1.2 g (n=10) for wild-type (Plg+/+) mice, 21.0±1.1 g (n=16) for heterozygous-deficient (Plg+/-) mice, and 17.4±1.3 g (n=12) for Plg-/- mice; P<.05 versus Plg+/+ or Plg+/-. None of 36 Plg+/+ or 65 Plg+/- mice but 7 of 37 Plg-/- mice (19%) developed rectal prolapse at 7.4±0.6 weeks of age (P=.03 versus Plg+/+ and P=.003 versus Plg+/-); 4 of 37 Plg-/- mice (11%) became runted and apathic at 5.3±0.3 weeks of age (P=.041 versus Plg+/-); and 6 of 37 Plg-/- mice (16%) died prematurely at 8.8±1.7 weeks of age (P=.057 versus Plg+/+ and P=.029 versus Plg+/-). Although male and female Plg-/- mice were able to sire offspring, the fertility of Plg-/- female mice was reduced, possibly owing to their impaired health. Levels of plasminogen-related antigen in plasma, measured by ELISA, were 84±8 µg/mL (n=4) in Plg+/+, 35±2 µg/mL (n=3) in Plg+/-, and 0.076±0.032 µg/mL (n=6) in Plg-/- mice (P<.001 versus Plg+/- and Plg+/+). Plasmin activity generated by urokinase activation was unmeasurable in Plg-/- mice (<5% of Plg+/+ mice). Plasminogen-specific immunoreactivity was observed in hepatocytes from Plg+/+ mice but not from Plg-/- mice (<10% of Plg+/+ mice). Neither native nor variant plasminogen mRNA nor translation products could be identified by Northern or Western blot of liver extracts from Plg-/- mice. Spontaneous lysis within 24 hours of a 125I-fibrin–labeled pulmonary plasma clot was 85±5% (n=5) in Plg+/+ mice, 62±7% (n=3) in Plg+/- mice, and -2±1% (n=3) in Plg-/- mice (P<.001 versus Plg+/- and Plg+/+). Delayed clot lysis within 72 hours was 33±1% (n=3) in tPA-/- mice and 26±2% (n=3) in Plg-/- mice (P=.054). Histological examination of several organs revealed fibrin deposition in the liver; lung; and in the stomach, associated with gastric ulcers, in 6- to 12-week-old Plg-/- mice but not in Plg+/+ or Plg+/- littermates.

Conclusions Plasminogen-deficient mice survive embryonic development but develop spontaneous fibrin deposition due to impaired thrombolysis and suffer retarded growth and reduced fertility and survival. The Plg-/- phenotype is reminiscent of the combined tPA-/-:uPA-/- phenotype, which suggests that there is no significant additional pathway for physiological plasminogen activation in mice.


Key Words: genes • fibrinolysis • thrombolysis


*    Introduction
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up arrowAbstract
*Introduction
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The plasminogen/plasmin system has been implicated in playing a pivotal role in a number of normal and pathophysiological processes.1 2 Most notably, its role in maintaining vascular patency by regulating thrombus dissolution has been supported by several studies.2 3 In addition, because of the expression of receptors for plasminogen and its physiological activators UPA and TPA on a number of normal and transformed cells, this system is believed to facilitate directional cell migration by mediating degradation of matrix proteins.4 5 Such plasmin-mediated processes have been implicated in tissue remodeling, angiogenesis, embryogenesis, the inflammatory response, neointimal formation, tumor cell invasion, and metastasis.2 3 4 5 6 The association of high levels of apolipoprotein(a), a structural homologue to plasminogen, and of plasminogen activator inhibitor-1 with atherothrombotic disease suggests that the plasminogen/plasmin system may also play a role in the development or progression of atherosclerotic lesions.7 Although these correlates are numerous, they do not directly document the causal role and/or contribution of plasminogen to these processes.

Phenotypic analysis of mice with disruption of the genes encoding components of the fibrinolytic system, including plasminogen activator inhibitor-1, UPA, and TPA, as well as components of both TPA and UPA3 8 9 and of the UPA receptor,10 has challenged the perceived role of the plasminogen system in embryogenesis, ovulation, and fertilization. Despite a more thrombophilic phenotype and a reduced survival of combined TPA/UPA–deficient (tPA-/-:uPA-/-) mice versus mice with a single plasminogen activator deficiency, it remained to be determined whether alternative plasminogen-dependent or plasminogen-independent mechanisms might be involved. To further assess the physiological relevance of the plasminogen/plasmin system, we disrupted the murine Plg through homologous recombination in ES cells and characterized the effect of null expression on embryonic development, viability, reproduction, thrombosis, and thrombolysis.


*    Methods
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Mice, Blood Collection, and Hematologic Analysis
Housing and procedures involving experimental animals were performed in accordance with protocols approved by the Institutional Animal Care and Research Advisory Committee. Unless otherwise stated, the mice were anesthetized by injection of sodium pentobarbital 60 mg/kg IP (Nembutal, Abbott Laboratories), and blood was collected by vena caval puncture with a 24-gauge needle.

For differential cell counts, blood was collected in 0.01 mol/L trisodium citrate and cells were counted by use of an automated analyzer (Cell-Dyn 610U-Hematology Analyzer, Sequoia-Turner Co). Cell counts are expressed per milliliter of whole blood. The activated partial thromboplastin time and thrombin time were determined with standard clinical laboratory procedures. Fibrinogen was determined by a coagulation rate assay as previously described.9

Construction of the Gene-Targeting Vector
The Plg was isolated from a {lambda} Fix II library (Stratagene Cloning Systems) containing gDNA from a murine strain 129 liver. A total of 9.3 kb of flanking plasminogen sequence was included in the parental vector pPNT that contained a neomycin phosphotransferase and a herpes simplex virus thymidine kinase expression cassette,11 as represented in Fig 1Down. A 2.5-kb Kpn I/Xba I gDNA fragment upstream of exon 15, which contains the coding sequence for the active site His605,12 was ligated into the Xba I site of the parental vector of pPNT by blunt-end ligation to generate the 5' homologous flanking sequence of the intermediate vector pPNT.5'-Plg. A 6.8-kb Sph I/Xba I fragment, downstream of exon 17 and spanning exon 19, which contains the coding sequence for the active site Ser743, was blunt-end ligated into the Xho I site of pPNT.5'-Plg, generating the 3' homologous flanking sequence of the targeting vector pPNT.Plg-7. Correct orientation of the inserts was confirmed by polymerase chain reaction, restriction-digestion analysis, and DNA sequencing. Thus, the neomycin phosphotransferase gene expression cassette in the final targeting vector replaced the Plg sequences, including exons 15 to 17, which encode two of the three active site amino acids:His605 and Asp648 of the plasminogen proteinase domain (Ser743 is encoded by exon 19). A similar strategy was previously successfully used to disrupt the tPA gene.3



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Figure 1. Schematic showing outline of the strategy to disrupt the murine Plg. The targeting vector pPNT.Plg-7 used for the inactivation of Plg, the wild-type plasminogen allele, and the homologously recombined allele are represented. The targeting vector contains the neomycin resistance gene (neo) and the Herpes simplex virus thymidine kinase gene (tk) to allow for double selection of homologous recombination events. Expression of neo and tk was under the control of the phosphoglycerokinase promoter.10 Transcription of both selectable marker genes was in the opposite direction to the endogenous Plg. Black and striped bars represent the genomic fragments used as flanking regions in pPNT.Plg-7. neo is inserted between the Xba I site in intron 14 and the Xba I site in intron 17 of Plg.12 Upon homologous recombination, neo replaced genomic sequences encompassing the active-site His605 and Asp648.12 Homologous recombination results in elimination of an EcoRI site in exon 16. The expected restriction fragments of the wild-type and the mutated allele are indicated with their relative size by underlining. Black boxes under the genes represent the probes used for Southern blot analysis. Probe a is a 0.7-kb Kpn I/Xba I genomic fragment located upstream of the 5' flanking region. Probe b is a genomic fragment located in the 5' end of the 3' flanking region. Probe c is a 0.7-kb Cel II/Bfr I fragment located within the 3' flanking region. Probe d is a 0.6-kb Pst I fragment from neo.

ES Cell Culture and Transfection
Culture, electroporation, and selection of D3 ES cells were performed as previously described.13 Briefly, ES cells were cultured in DMEM containing 15% heat-inactivated fetal bovine serum (Hyclone Laboratories) and 1000 U/mL recombinant leukemia-inhibiting factor (LIF Esgro, GIBCO BRL). The cells were grown on lethally irradiated (1500 rad) or mitomycin C–treated (10 µg/mL) primary mouse embryonic fibroblasts prepared from neomycin-resistant heterozygous ß2-microglobulin–deficient mice (provided by R. Jaenisch, Whitehead Institute, Cambridge, Mass).

ES cells ({approx}108) were electroporated by use of a Bio-Rad Laboratories electroporator (400 V, 25 µF, room temperature) with 100 µg Not I linearized targeting vector in electroporation buffer (20 mmol/L HEPES buffer, pH 7.2, containing [in mmol/L] dextrose 6, Na2HPO4 0.7, KCl 5, NaCl 137, and ß-mercaptoethanol 0.1).8 The cells were plated immediately after transfection in 90-mm cell culture dishes containing inactivated embryonic feeder-layer cells, and selection was started 24 hours later with 150 to 175 µg/mL G418 (geneticin, GIBCO/BRL) and 2 µmol/L ganciclovir (Cymevene, Synthex). Five days later, selection was continued with only G418. After 8 to 10 days in selection medium, colonies were isolated and transferred to 48-well culture dishes. At confluence, 80% of the cells were frozen in ES cell medium containing 10% DMSO and fetal bovine serum (40% final concentration), and the remaining cells were grown in 24-well culture dishes for gDNA Southern blot analysis.

Generation of Chimeric and Plasminogen-Deficient Mice
Targeted clones containing a disrupted Plg were injected into host blastocysts of strain C57BL/6J mice (Harlan CPB), as described by Bradley.14 Injected embryos were transferred into pseudopregnant B6D2F1 (Harlan) foster mothers. Chimeric offspring, identified by the presence of agouti coat color, were backcrossed to C57BL/6J mice (Harlan), and germline transmission of ES cell DNA was scored by agouti coat pigment. Plg+/- mutants were identified by Southern blot analysis and polymerase chain reaction of tail-tip gDNA, as described below. Brother-sister mating was carried out to generate Plg-/- progeny.

Southern Blot Analysis of gDNA
DNA was isolated from cultured ES cells and mouse tail tips and was digested with the indicated restriction enzymes for Southern blot analysis as previously described.8 15 Briefly, cells or tail tips were incubated overnight in lysis buffer (0.2% SDS, 100 or 500 µg/mL, respectively, of proteinase K, 200 mmol/L NaCl, 5 mmol/L EDTA, 100 mmol/L Tris-HCl buffer, pH 8.5), at 37°C (cultured cells) or 55°C (tail tip), and gDNA was spooled after precipitation with an equal volume of isopropanol.

To screen for ES cell colonies harboring a recombined Plg gene, a Kpn I/Xba I probe (Fig 1Up, probe a) was used, which encompasses a 700-bp genomic fragment adjacent to the 5' Kpn I/Xba I fragment of the targeting construct. This 5' external probe detects a 7.0-kb EcoRI fragment of the wild-type allele and a 12-kb EcoRI fragment of the mutated allele, a 9.0-kb Sca I fragment of the wild-type allele and a 5.1-kb Sca I fragment of the mutated allele, and a 4.5-kb EcoRV fragment of the wild-type allele and a 3.6-kb EcoRV fragment of the mutated allele (cfr, Fig 1Up).

To document correct homologous recombination at the 3' end, a 700-bp Cel II/Bfr I fragment of the 3' Sph I/Xba I flank in the targeting construct (Fig 1Up, probe c) was used. This probe detected an {approx}20-kb EcoRV fragment in the wild-type allele and an {approx}17-kb EcoRV fragment in the mutated allele. An additional internal probe of the 3' Sph I/Xba I fragment was used in the targeting construct (Fig 1Up, probe b) to detect a 9.0-kb EcoRI fragment in the wild-type allele and a 12-kb EcoRI fragment in the mutated allele and verified deletion of the genomic sequences encoding for His605 and Asp648 of the catalytic domain.

Northern Blot Analysis
mRNA was isolated from liver of the Plg+/+ and Plg-/- mice with the guanidinium thiocyanate–phenol-chloroform single-step extraction method16 by use of the RNA isolation kit supplied by Stratagene Cloning Systems. Denatured total RNA 20 µg was separated by formaldehyde agarose gel electrophoresis and bound to a nylon membrane (Hybond-N) by capillary transfer by use of standard procedures.15 Blots were prehybridized for 6 to 12 hours and hybridized for 48 hours at 42°C in a hybridization solution consisting of 1.0 mol/L sodium phosphate buffer, pH 7.2, containing 0.25 mol/L NaCl, 7% (wt/vol) SDS, 1 mmol/L EDTA, 50% formamide, 5% (wt/vol) dextran sulfate, and 0.01 mg/mL denatured herring sperm DNA. After hybridization, blots were washed twice in 2x SSC containing 0.1% SDS for 2x5 minutes at room temperature, followed by two 30-minute washes with 0.5xSSC containing 0.1% SDS, all at 65°C. A 266-bp BamHI/EcoRI fragment from plasmid pmVPlg-4 (nucleotides 945 to 1921 of the murine Plg cDNA; notation as in Reference 12) and a 1.1-kb BamHI/EcoRI fragment from plasmid pmVPlg-5 (nucleotides 1 to 1069 of the murine Plg cDNA; notation as in Reference 12) were used as probes.

Histopathological Examination
Plg+/+ (n=4), Plg+/- (n=4), and Plg-/- (n=11) mice of either sex, aged 6 to 12 weeks, were anesthetized by injections of sodium pentobarbital 60 mg/kg IP (Abbott Laboratories) and perfused via cardiac puncture with 0.9% NaCl followed by 4% formalin in 0.07 mol/L sodium phosphate buffer, pH 7.0. Organs were removed, postfixed in the same fixative for 20 hours, and embedded in paraffin. Representative 5-µm sections of all tissues were examined after staining with hematoxylin and eosin. The tissue sections included 5 cross sections of brain; 3 cross sections of heart, thymus, lung, liver, spleen, kidney, small and large intestine, stomach, cecum, leg muscle, and reproductive organs (vas deferens, testis, and epididymis or uterus and ovaries); and 1 cross section of lymph node, adrenal gland, and pancreas.

Immunohistochemistry
Immunostaining for fibrinogen was performed on all paraffin-embedded tissue sections. The sections were incubated with goat antiserum against murine fibrinogen (Nordic, working dilution 1:500) in 0.01 mol/L Tris, pH 7.6, containing 0.9% NaCl and 0.1% Triton X-100 for 3 hours at room temperature. After rinsing, the sections were incubated consecutively for 60 minutes with biotinylated rabbit anti-goat IgG (Dako, prosan, dilution 1:400) and with peroxidase-labeled avidin-biotin complex (Dako). Immunostaining for plasminogen was performed on liver sections with a polyclonal rabbit antiserum against purified murine plasminogen that was purified by immunoaffinity chromatography on insolubilized human plasminogen.17 Peroxidase-labeled swine anti-rabbit IgG (Dako, dilution 1:100) was used as second antiserum. Antibody binding was visualized with diaminobenzidine, resulting in brown staining of the immunoreactive sites. All sections were briefly counterstained with Harris' hematoxylin, dehydrated, and mounted with DePeX. The specificity of the primary antibodies was tested by adsorption of the antisera with their homologous antigen. Method specificity was performed by substitution of preimmune goat or rabbit antiserum for the primary antibodies.

Determination of Plasminogen Antigen and Activity
SDS-PAGE without reduction was performed on 10% to 15% gradient gels using the PhastSystem (Pharmacia). After proteins were transferred to nitrocellulose sheets, immunoblotting was performed according to the method of Towbin et al18 with the purified polyclonal rabbit antibodies to murine plasminogen described above. Quantitative determination of plasminogen antigen in murine plasma was performed by ELISA with the purified rabbit polyclonal antibodies. In addition, plasminogen antigen levels in liver extracts obtained from Plg+/+, Plg+/-, and Plg-/- mice were monitored by immunoblotting and were quantified by ELISA (in µg/g protein).

Plasminogen activity in murine plasma was determined by activation with human UPA after acidification and neutralization to inactivate protease inhibitors19 and quantification of generated plasmin with the chromogenic substrate L-pyroglutamyl-L-phenylalanyl-L-lysine-p-nitroanilide hydrochloride (S-2403) (Chromogenix).

125I-Fibrin–Labeled Plasma Clot Lysis In Vivo
Lysis of 125I-fibrin–labeled murine plasma clots injected via a jugular vein and embolized into the pulmonary arteries was determined essentially as previously described.20 Briefly, a 25-µL 125I-fibrin–labeled plasma clot, containing {approx}70 000 cpm human 125I-fibrinogen (corresponding to 0.07 µCi 125I), was prepared from a plasma pool of Plg+/+ mice and injected into the jugular vein. Clot lysis was evaluated by measurement of the residual radioactivity in the heart and lungs ex vivo at various time points and was defined as the amount of radioactivity that had disappeared, expressed as a percent of the total amount of radioactivity injected.

Statistical Analysis
Data are represented as mean±SEM. The statistical significance of differences between groups was determined by {chi}2 analysis or by ANOVA, followed by Student's t test with the Bonferroni correction. Body weights were analyzed by piecewise linear mixed-effects models, with break point at 5 weeks and with random intercepts and random slopes for time. F tests were used to test for group differences. All calculations were done with the SAS procedure PROC MIXED.


*    Results
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*Results
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Targeting of the Plgsion/
To target the murine Plg, a replacement-type vector was constructed, in which the neomycin phosphotransferase gene (neo) replaced the genomic sequences containing exons 15 to 17, which comprise two of the three active site amino acids, ie, His605 and Asp648, of the catalytic domain, as schematically outlined in Fig 1Up. Correct homologous recombination thus would result in deletion of these catalytically essential domains and inactivation of the Plg. After electroporation of the Not I linearized targeting vector, 711 clones surviving double selection in geneticin and ganciclovir were analyzed. Homologous integration was observed in 3.2% of double-resistant (geneticin- and ganciclovir-resistant) ES cells. As predicted from restriction-digestion mapping of gDNA, Southern blot analysis of positive clones with the 5' probe a (Fig 1Up) revealed a 4.5-kb fragment for the wild-type allele and a 3.6-kb fragment for the mutated allele after EcoRV digestion (Fig 2ADown), a 7.0-kb fragment for the wild-type allele and a 12.0-kb fragment for the mutated allele after EcoRI digestion (not shown), and a 9.0-kb fragment for the wild-type allele and a 5.1-kb fragment for the mutated allele after Sca I digestion (not shown). Further expansion of these clones and additional analysis by Southern blot hybridization with probe c (Fig 1Up) revealed an {approx}20-kb fragment for the wild-type allele and a 17-kb fragment for the mutated allele after EcoRV digestion (not shown). With probe b (Fig 1Up), all positive clones contained a 9-kb fragment for the wild-type allele and a 12-kb fragment for the mutated allele after EcoRI digestion (not shown). Finally, single integration of the targeting construct was confirmed by EcoRI digestion of genomic DNA and hybridization with the neo-specific probe d (Fig 1Up), generating exclusively a 12-kb fragment (Fig 2BDown).



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Figure 2. Southern blot analysis of gDNA. A, D3 ES cell clones, digested with EcoRV and hybridized to the 5' flanking probe a (Fig 1Up). Lane 1 is Plg+/- ES cell clone harboring a wild-type and a mutated allele of 4.5 kb and 3.6 kb, respectively; lane 2, Plg+/+ clone harboring two wild-type alleles of 4.5 kb each. The appearance of the 3.6 kb indicates correct targeting. B, D3 ES cell clones digested with EcoRI and hybridized to the neomycin resistance gene (neo)–specific probe d (Fig 1Up). Lane 1 is Plg+/- ES cell clone containing a mutated allele of 12 kb harboring neo; lane 2, Plg+/+ ES cell clone with a random integration. The appearance of the 12-kb band suggests correct targeting. WT indicates wild-type; HR, homologous recombinant.

Germline Transmission of Inactivated Plg
Four of the targeted clones containing a disrupted Plg were injected into C57BL/6J host blastocysts and then transferred into pseudopregnant B6D2F1 foster mothers. Nineteen offspring exhibiting >80% chimerism were generated, and two chimeras, one each from clones Plg7-271 and Plg7-191, were positive for germline transmission of the mutated allele as verified by Southern blot analysis of Sca I–digested tail-tip DNA (Fig 3ADown). Further confirmation was obtained from Southern blot analysis of EcoRI and EcoRV digestion patterns (not shown).



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Figure 3. A, Southern blot analysis of a Sca I digest of tail-tip DNA hybridized with the 5' external probe a. Lane 1, Plg+/+ containing a wild-type allele of only 9.0 kb; lane 2, Plg+/- containing a wild-type allele of 9.0 kb and a mutated allele of 5.1 kb; and lane 3, Plg-/- containing a mutated allele of only 5.1 kb. B, Northern blot analysis of total RNA from Plg+/+ and Plg-/- deficient mice. Twenty micrograms of total RNA, prepared from livers of Plg+/+ and Plg-/- mice was analyzed using a Plg-specific probe (nucleotides 2134 to 2408 of the murine Plg cDNA). A 2.7-kb Plg-specific mRNA was detected in liver RNA from Plg+/+ but not from Plg-/- mice. WT indicates wild-type; HR, homologous recombinant.

Viability, Growth, Health, and Fertility of Plasminogen-Deficient Mice
Agouti offspring (F1 generation) obtained from the mating of chimeric males with C57BL/6J females were genotyped by Southern blot analysis of tail-tip DNA, yielding restriction patterns similar to those illustrated in Figs 2Up and 3Up. These heterozygous mice were intercrossed and their F2 offspring genotyped. Fig 3AUp shows a Southern blot analysis using probe a with Sca I–digested tail-tip gDNA from Plg+/+, Plg+/-, and Plg-/- littermates. Among 138 F2 littermates analyzed, 36 were Plg+/+ (26%), 65 were Plg+/- (46%), and 37 were Plg-/- (27%). This distribution is not significantly different from the expected mendelian 1:2:1 ratio, indicating equal viability at 3 weeks of age in Plg+/+, Plg+/-, and Plg-/- mice (Table 1Down).


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Table 1. Genotype Distribution of 3-Week-Old F2 Littermates Obtained by Interbreeding F1 Plg+/- Mice

Plasminogen deficiency did, however, affect the growth rate (Fig 4Down). Plg-/- mice developed normally during the first 4 weeks of life but shortly after weaning gained less weight than Plg+/- mice (P<.0001 versus Plg-/- mice by F test) or Plg+/+ mice (P<.0001 versus Plg-/-). At 8 weeks of age, body weight values were 21.8±1.2 g (n=10) for Plg+/+ mice, 21.0±1.1 g (n=16) for Plg+/- mice, and 17.4±1.3 g (n=12) for Plg-/- mice. None of 36 Plg+/+ and 65 Plg+/- mice but 7 of 37 Plg-/- mice (19%) (all >5 weeks of age) developed rectal prolapse at 7.4±0.6 weeks of age (P=.035 versus Plg+/+ mice and P=.003 versus Plg+/- mice by {chi}2 analysis), 4 of 37 Plg-/- mice (11%) became runted and apathic at 5.3±0.3 weeks of age (P=.041 versus Plg+/- mice), and 6 of 37 Plg-/- mice (16%) died prematurely at 8.8±1.7 weeks of age (P=.05 versus Plg+/+ mice and P=.029 versus Plg+/- mice). Compared with tPA-/-:uPA-/- mice, which progressively became runted with age and became severely cachectic during their preterminal stage beyond the age of 17 weeks,3 Plg-/- mice appeared to suffer less severe cachexia syndrome, most likely because of their younger age at the time of analysis (<12 weeks of age). Screening of sentinel mice for the presence of pathogens by two independent laboratories revealed the presence of epidemic disease of infant mice, Helicobacter, and Pasteurella pneumotropica but not of Citrobacter freundii 4280, a pathogen known to cause rectal prolapse in mice.



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Figure 4. Line graph showing postnatal growth of Plg+/+, Plg+/-, and Plg-/- mice, determined by measuring the body weight of the Plg littermates at the indicated ages. Plg-/- mice gained significantly less weight than their Plg+/- or Plg+/+ littermates (P<.0001 by F test) shortly after weaning at 3 weeks of age.

All of 5 male Plg-/- mice (age, 6.2±0.5 weeks), mated for >2 weeks to several female wild-type or Plg+/- mice (age, 7.8±0.8 weeks, n=12), produced 1 to 4 litters each of 7.0±0.5 offspring per litter. These values are not significantly different from the breeding characteristics of Plg+/+ mice, which produced litters of 6.2±0.5 offspring per litter within 2 weeks of mating. Although one Plg-/- female produced a litter of 8 viable offspring, fertility of female Plg-/- mice appeared to be compromised. Indeed, none of 3 male Plg-/- mice (age, 5.7±0.7 weeks; the same mice used for mating to female wild-type or Plg+/- mice) mated for a similar duration to female Plg-/- mice (age, 5.4±0.3 weeks, n=4) produced a litter (P=NS by ANOVA versus female wild-type or Plg+/- mice). In addition, a Plg+/- male (age, 8 weeks) mated for 2 weeks to a Plg-/- female (age, 6 weeks) produced no offspring. Only one of the 5 male but 4 of 5 female Plg-/- mice suffered growth retardation, developed rectal prolapse, or became sick.

Northern Blot Analysis
Northern blot analysis of RNA prepared from liver of Plg+/+ and Plg-/- mice hybridized with a 5'– or a 3'–end located Plg-specific cDNA probe revealed the specific 2.7-kb mRNA in Plg+/+ mice, whereas no mRNA that would be representative of native plasminogen or a variant thereof could be detected in the Plg-/- mice (Fig 3BUp).

Plasminogen Antigen and Activity in Plasma
The results of plasminogen antigen and activity in plasma are summarized in Table 2Down. Plasminogen-related antigen levels, determined by an ELISA with affinity-purified polyclonal antibodies and calibration against murine plasminogen, were 84±8 µg/mL (n=4) in Plg+/+ mice, 35±2 µg/mL (n=3) in Plg+/- mice, and 0.076±0.014 µg/mL (n=6) in Plg-/- mice (P<.001 versus Plg+/- and versus Plg+/+). Thus, plasma from Plg-/- mice cross-reacted for {approx}0.1% of that of Plg+/+ mice. Plasminogen activity was not detectable in Plg-/- plasma (detection limit, ±5% that of Plg+/+ plasma), whereas the activity was {approx}50% in Plg+/- mice (P<.01 by ANOVA versus Plg+/+) (Table 2Down).


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Table 2. Plasminogen Antigen and Activity Levels in Plasma and Spontaneous Pulmonary Clot Lysis Within 24 Hours

Macroscopic and Microscopic Examination
The majority of Plg-/- mice did not reveal obvious signs of organ dysfunction and appeared healthy during the first 3 months after birth, although they gained significantly less weight shortly after weaning. After the age of 7 weeks, a significant percentage of Plg-/- mice (19%) developed rectal prolapse, initially reversible but later persistent. Upon dissection, macroscopically visible white spots were observed on the livers of all Plg-/- mice (n=11; 6 to 12 weeks of age), similar to those previously observed in age-matched tPA-/-:uPA-/- mice.3 In 4 Plg-/- and 1 Plg+/- but none of the Plg+/+ mice, significant enlargement of one or both kidneys was observed, which on microscopic analysis revealed distension of the pelvis and urine accumulation but no signs of fibrous adhesions in the peritoneum.

Histological examination of the white spots in the liver revealed fibrin deposition in the subcapsular region in all Plg-/- mice but in none of 4 Plg+/+ or 4 Plg+/- littermates (6 to 12 weeks of age) (Fig 5ADown). Similar to the observation in tPA-/-:uPA-/- mice,3 2 of the 11 Plg-/- mice showed calcification of the fibrin deposits, as revealed by staining with hematoxylin and eosin (Fig 5CDown) and alizarin red S (Fig 5DDown). Excessive fibrin deposition was also observed at the base of a large gastric ulceration in a 7-week-old Plg-/- mouse, with loss of the intact architecture of the overlying epithelium and infiltration by inflammatory cells (Fig 5EDown and 5FDown). These fibrin deposits extended into the stroma beneath the unaffected gastric epithelium, adjacent to the demarcated crater of the ulcer. In another Plg-/- mouse, a large fibrin deposit without apparent epithelial desquamation or ulceration was observed (not shown). Fibrin deposits were also found in the lung in 3 Plg-/- mice (Fig 5GDown). The fibrinous nature of the liver and stomach deposits was confirmed by immunostaining of sections with a goat anti-murine fibrinogen/fibrin–specific serum (Fig 5HDown). Analysis of the kidneys with enlarged pelvis did not reveal any fibrin deposits or other abnormalities. No extramedullary hematopoiesis, as observed in older tPA-/-:uPA-/- mice (Reference 3 and unpublished data), was observed in the Plg-/- mice.



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Figure 5. Photomicrographs of organs from Plg-/- mice. A, Liver section from an 11-week-old mouse, stained with hematoxylin and eosin, revealing the presence of fibrin deposits in the subcapsular region. B, Adjacent liver section immunostained with a murine fibrinogen/fibrin–specific antiserum, revealing the fibrinous nature of the deposit. C, Liver section from a 7-week-old mouse, stained with hematoxylin and eosin, showing calcification of fibrin deposits in the subcapsular region. D, Adjacent liver section, stained with alizarin red S, highlighting calcified deposits. E, Gastric ulcer in the stomach of a 7-week-old mouse, with loss of intact architecture of the overlying epithelium, infiltrated by inflammatory cells and containing excessive fibrin deposition in the underlying stroma; stained with hematoxylin and eosin. F, Higher magnification of the gastric ulcer, showing fibrin deposition in the underlying stroma. G, Lung section from a 7-week-old mouse, revealing a fibrin deposit in the lung parenchyme, stained with hematoxylin and eosin. H, Staining of the gastric ulcer with the fibrinogen/fibrin–specific antiserum, revealing the fibrinous nature of the deposits observed in the stroma beneath normal-appearing epithelium adjacent to the ulcerated crater. Magnification bar is 200 µm in F and 50 µm in all other panels.

Hematologic Analysis
tPA-/-:uPA-/- mice suffer severe anemia beyond the age of 20 weeks, associated with the development of cachexia (Reference 3 and unpublished data). Therefore, hematologic parameters of 5- to 9-week-old Plg-/- mice were examined. As can be seen in Table 3Down, apart from a slightly increased mean corpuscular value and reduced mean corpuscular hemoglobin concentration in the Plg-/- mice, no other significant differences between Plg+/+ and Plg-/- mice were observed. The plasma fibrinogen level determined on a pool of three Plg-/- mice was 1.98 g/L compared with 1.02 g/L in a pool of wild-type mice.


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Table 3. Hematologic Analysis of Plasminogen-Deficient Mice

Immunocytochemical Analysis of Plasminogen-Deficient Mice
Paraffin sections of the livers of Plg+/+, Plg+/-, and Plg-/- mice were stained with affinity-purified polyclonal rabbit anti-murine plasminogen antibodies, which recognized purified murine plasminogen on a Western blot. Plasminogen immunoreactivity was observed in the livers of Plg+/+ and Plg+/- mice, when the antibodies were used at a concentration of >=0.25 µg/mL (Fig 6ADown). Preadsorption of the antibodies with purified murine plasminogen eliminated the immunopositive staining (Fig 6CDown). No immunostaining was observed in hepatocytes of Plg-/- mice (Fig 6BDown) when the antibodies were used at a concentration of <=2.5 µg/mL. However, hepatocytes of Plg-/- mice also stained positively when the antibodies were used at a concentration of 2.5 µg/mL or more, but adsorption with excess purified murine plasminogen did not eliminate this background staining in either Plg-/- or Plg+/+ mice. Plasminogen antigen levels in liver extracts (expressed in ng/mg protein) were 77±12 (n=4) in Plg+/+ mice, 41±2 (n=3) in Plg+/- mice, and 3.6±0.2 (n=6) in Plg-/- mice (P<.001 by ANOVA versus Plg+/+ and versus Plg+/-).



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Figure 6. Photomicrographs showing immunostaining of liver from Plg+/+ and Plg-/- mice. Paraffin sections, immunostained with a Plg-specific antiserum (0.5 µg Ig/mL) revealed the presence of Plg immunoreactivity in livers from Plg+/+ mice (A) but not in those from Plg-/- mice (B). Preadsorption of the antibody with murine plasminogen completely eliminated the positive staining in Plg+/+ mice (C). Magnification bar is 50 µm in all panels.

Western blotting of plasma (Fig 7ADown) revealed a positive band with an estimated Mr of 93 kD in plasma of Plg+/+ mice at a dilution of 1:4000 but not in plasma of Plg-/- mice at a dilution of 1:50. Western blotting of liver extracts (Fig 7BDown) revealed a similar band when 4 µL of a sample with a concentration of 0.25 mg total protein per milliliter from Plg+/+ mice was applied. No bands were observed in liver extracts from Plg-/- mice at a protein concentration of 1 mg/mL.



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Figure 7. Western blot analysis of plasma (A) and liver extracts (B) from Plg+/+, Plg+/-, and Plg-/- mice, with 4 µL samples and a Plg-specific antiserum. A, Lane 8, murine Plg standard, purified from murine plasma (0.6 µg/mL solution); lanes 5-7, plasma samples from Plg+/+ mice, diluted 1000-fold (lane 7), 2000-fold (lane 6), and 4000-fold (lane 5); lanes 3 and 4, plasma samples from Plg+/- mice, diluted 1000-fold (lane 4) and 2000-fold (lane 3); lanes 1 and 2, plasma samples from Plg-/- mice, diluted 50-fold (lane 1) and 1000-fold (lane 2). B, Lane 6, murine Plg standard, purified from murine plasma (0.8 µg/mL solution); lanes 3 through 5, liver extract from Plg+/+ mice, diluted 20-fold (lane 5), 40-fold (lane 4), and 80-fold (lane 3); lane 2, liver extract from a Plg+/- mouse, diluted 20-fold; and lane 1, liver extract from a Plg-/- mouse, diluted 20-fold. The liver extracts had a total protein concentration of {approx}20 mg/mL.

125I-fibrin–Labeled Plasma Clot Lysis In Vivo
As shown in Table 2Up, spontaneous lysis within 24 hours of a 125I-fibrin–labeled pulmonary plasma clot produced by injection via the jugular vein was 85±5% (n=5) in Plg+/+ mice, 62±7% (n=3) in Plg+/- mice, and -2±1% (n=3) in Plg-/- mice (P<.001 by ANOVA versus Plg+/- and Plg+/+). Comparative results in three tPA-/- mice were 22±3%, a value very similar to that previously obtained with plasminogen-containing plasma clots.3 Delayed clot lysis within 72 hours was 26±2% (n=3) in Plg-/- mice and 33±1% in tPA-/- mice (P=.054 versus Plg-/-).


*    Discussion
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
*Discussion
down arrowReferences
 
Numerous studies have supported a major regulatory role of the plasminogen/plasmin system in a wide range of normal and pathophysiological processes. For example, its involvement in regulating thrombus dissolution and in cell migration via the assembly of its components on cell surfaces is well documented. However, much of this evidence is circumstantial and requires direct confirmation of a causal and/or contributory role of the plasminogen/plasmin system in these events.

To study the role of the plasminogen/plasmin system in vivo, mice with inactivated plasminogen genes were generated via homologous recombination in ES cells. Null expression of plasminogen in mice genotyped as homozygous-deficient was confirmed by the absence of specific mRNA in the liver by Northern blotting and of urokinase-inducible plasmin activity in plasma and by a greatly reduced antigen level in plasma (<0.1% of wild-type concentration). Cross-reactivity of liver extracts from Plg-/- mice in the ELISA assay ({approx}5% of that of Plg+/+ extracts) was observed, along with some background staining of hepatocytes from Plg-/- mice with antiplasminogen antibodies when used at a 10-fold higher concentration than required for staining of hepatocytes from Plg+/+ mice. However, a similar immunostaining persisted in samples of Plg+/+ mice after adsorption of the antibodies with excess purified murine plasminogen, suggesting that these cross-reactivities may be aspecific. Heterozygous plasminogen deficiency (Plg+/-) resulted in intermediate plasminogen antigen and activity levels in plasma, indicating gene-dosage–dependent expression of the Plg.

Plasminogen deficiency did not appear to compromise embryonic development and viability of the mice, similar to the tPA-/-:uPA-/- mice, which have previously been shown to produce viable offspring although with reduced life expectancy.3 A previous report of a patient with a markedly reduced plasmin activity in plasma also indicated that the plasminogen system plays a less prominent role in embryo implantation and development than previously assumed.21 Plasminogen deficiency did not appear to affect male fertility in mice, since plasminogen-deficient males were able to sire offspring from wild-type (Plg+/+) and Plg+/- females. This is surprising in view of the presumed role of the plasminogen system in spermatocyte migration and fertilization.22 Although our initial findings suggest that some plasminogen-deficient female mice are less fertile, most of these mice became sick, developed rectal prolapse, and gained less weight than the other mice, suggesting that fertility might have been compromised by their poor general health. Rescue of a possible defect on reproduction secondary to plasminogen deficiency cannot be excluded at the present time and must be examined further. Other proteinase systems, such as the metalloproteinases, however, also may participate in reproduction and development.23

The most prominent phenotype of the Plg-/- mice relates to fibrin homeostasis. Indeed, Plg-/- mice display a greatly reduced spontaneous lysis of pulmonary plasma clots within 24 hours and fibrin deposits in several organs as early as 6 weeks of age. This phenotype is similar but not identical to the thrombophilia observed in patients with hypoplasminogenemia or dysplasminogenemia.21 24 25 26 Significantly, delayed clot lysis within 72 hours occurred to almost the same extent in Plg-/- mice as in tPA-/- mice (present study) and in combined tPA-/-:uPA-/- mice,3 indicating that the residual thrombolytic capacity of Plg-/- or of tPA-/-:uPA-/- mice is mediated via plasminogen-independent mechanisms. In combination with earlier observations in tPA-/- mice,3 the present study establishes that TPA- and UPA-mediated plasminogen activation constitutes the principal physiological mechanism responsible for controlling fibrin deposition. Plasminogen-independent proteinases such as leukocyte-derived cathepsins or elastase27 or the Macglycoprotein–dependent fibrin clearance pathway28 might be involved in delayed clot lysis, although this would probably require incorporation of leukocytes into the thrombus.

Plasminogen-deficient mice were not anemic but displayed retarded postnatal growth and became runted and apathic, although to a lesser extent than the tPA-/-:uPA-/- mice.3 The less severe cachexia syndrome in Plg-/- mice might be related to their younger age. Indeed, the thrombosis and cachexia syndrome in tPA-/-:uPA-/- mice developed gradually over time, with the most severe symptoms in preterminal mice, typically in mice >3 to 4 months of age.3 Whether chronic anemia and reduced food intake (secondary to the inflammation and fibrin deposition in the gingiva), as observed in cachectic and preterminal tPA-/-:uPA-/- mice (Reference 3 and unpublished observations), also occurs in Plg-/- mice and might contribute to cachexia and reduced survival (as suggested by our initial analysis) remains to be determined. Such an effect on health has not been observed in patients with hypoplasminogenemia or dysplasminogenemia21 24 25 26 but may be related to their leaky plasminogen expression, since low levels of plasminogen expression may indeed suffice to rescue increased morbidity and mortality.

A larger proportion of Plg-/- than Plg+/+ mice developed rectal prolapse and gastric ulcerations, similar to the combined tPA-/-:uPA-/- mice.3 Since the genetic background or environmental factors may influence phenotypes, the mice were screened for potential pathogens. Although epidemic disease of infant mice and Helicobacter, which have been claimed to cause rectal inflammation, were documented in our mouse colony (Leuven, Belgium), the presence of Citrobacter freundii 4280, which has been associated with the development of rectal prolapse, was not observed. Since the occurrence of rectal prolapse was, however, clearly genotype-specific, we hypothesize that other mechanisms (possibly intravascular thrombosis) might contribute to the appearance of rectal prolapse, as has been suggested for other inflammatory bowel diseases.29 Helicobacter has, however, been identified as a possible pathogenic agent for the development of gastric ulcerations and might have influenced their occurrence in Plg-/- mice. The increased genotype-specific incidence of gastric ulcerations in Plg-/- mice nevertheless suggests that the plasminogen system plays a role in the prevention and/or healing of tissue damage. Clearly, other aspects of the Plg-/- phenotype, including fertility, postnatal growth, and survival, may be influenced by environmental or genetic factors. In fact, the observation that patients with reduced plasminogen plasma levels display a variable penetrance of thrombophilia supports such a hypothesis.21 24 25 26

An important goal of this study was to examine whether and to what extent alternative plasminogen activation pathways might be involved in biological processes in vivo. The normal embryonic development and viability, the similarly reduced potential to lyse pulmonary plasma clots, the spontaneous fibrin depositions at similar predilection sites and ages, the reduced postnatal growth, the gradual runting, and the apparently reduced survival strongly suggest that TPA and UPA are the only significant plasminogen activators in vivo. The present Plg-/- mice may serve as a model for the study of other physiological processes in which the plasminogen/plasmin system has been implicated, such as vascular injury, neointima formation, atherosclerosis, tumorigenesis, cell invasion, and brain function.


*    Selected Abbreviations and Acronyms
 
ES = embryonic stem
gDNA = genomic DNA
Plg = plasminogen gene
Plg+/+ = homozygous for plasminogen
Plg+/- = heterozygous plasminogen-deficient
Plg-/- = homozygous plasminogen-deficient
tPA-/-:uPA-/- = tissue-type and urokinase-type plasminogen activator deficiency
TPA = tissue-type plasminogen activator
UPA = urokinase-type plasminogen activator


*    Acknowledgments
 
We are grateful to Ann Bouché, Timothy Burke, Cathérine De Clercq, Sandra Janssens, Lena Kieckens, Berthe Van Hoef, and Sabine Wyns for expert assistance and to Geert Verbeke and Emanuel Lesaffre, PhD, for statistical analyses. This work was supported by grant HL-17964 of the NIH.

Received March 21, 1995; revision received June 2, 1995; accepted June 8, 1995.


*    References
up arrowTop
up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 
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A. W. Rijneveld, S. Florquin, P. Bresser, M. Levi, V. de Waard, R. Lijnen, J. S. Van der Zee, P. Speelman, P. Carmeliet, and T. van der Poll
Plasminogen activator inhibitor type-1 deficiency does not influence the outcome of murine pneumococcal pneumonia
Blood, August 1, 2003; 102(3): 934 - 939.
[Abstract] [Full Text] [PDF]


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Mol. Biol. CellHome page
Z.-L. Chen, J. A. Indyk, and S. Strickland
The Hippocampal Laminin Matrix Is Dynamic and Critical for Neuronal Survival
Mol. Biol. Cell, July 1, 2003; 14(7): 2665 - 2676.
[Abstract] [Full Text] [PDF]


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IOVSHome page
V. Lambert, C. Munaut, P. Carmeliet, R. D. Gerard, P. J. Declerck, A. Gils, C. Claes, J.-M. Foidart, A. Noel, and J.-M. Rakic
Dose-Dependent Modulation of Choroidal Neovascularization by Plasminogen Activator Inhibitor Type I: Implications for Clinical Trials
Invest. Ophthalmol. Vis. Sci., June 1, 2003; 44(6): 2791 - 2797.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Gastrointest. Liver Physiol.Home page
A. R. Currier, G. Sabla, S. Locaputo, H. Melin-Aldana, J. L. Degen, and J. A. Bezerra
Plasminogen directs the pleiotropic effects of uPA in liver injury and repair
Am J Physiol Gastrointest Liver Physiol, March 1, 2003; 284(3): G508 - G515.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
F. G. Bannach, A. Gutierrez, B. J. Fowler, T. H. Bugge, J. L. Degen, R. J. Parmer, and L. A. Miles
Localization of Regulatory Elements Mediating Constitutive and Cytokine-stimulated Plasminogen Gene Expression
J. Biol. Chem., October 4, 2002; 277(41): 38579 - 38588.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
L. Burysek, T. Syrovets, and T. Simmet
The Serine Protease Plasmin Triggers Expression of MCP-1 and CD40 in Human Primary Monocytes via Activation of p38 MAPK and Janus Kinase (JAK)/STAT Signaling Pathways
J. Biol. Chem., August 30, 2002; 277(36): 33509 - 33517.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
M. Guo, P. A. Mathieu, B. Linebaugh, B. F. Sloane, and J. J. Reiners Jr.
Phorbol Ester Activation of a Proteolytic Cascade Capable of Activating Latent Transforming Growth Factor-beta . A PROCESS INITIATED BY THE EXOCYTOSIS OF CATHEPSIN B
J. Biol. Chem., April 19, 2002; 277(17): 14829 - 14837.
[Abstract] [Full Text] [PDF]


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BloodHome page
M. Suelves, R. Lopez-Alemany, F. Lluis, G. Aniorte, E. Serrano, M. Parra, P. Carmeliet, and P. Munoz-Canoves
Plasmin activity is required for myogenesis in vitro and skeletal muscle regeneration in vivo
Blood, April 15, 2002; 99(8): 2835 - 2844.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
E. D. Rosen, S. Raymond, A. Zollman, F. Noria, M. Sandoval-Cooper, A. Shulman, J. L. Merz, and F. J. Castellino
Laser-Induced Noninvasive Vascular Injury Models in Mice Generate Platelet- and Coagulation-Dependent Thrombi
Am. J. Pathol., May 1, 2001; 158(5): 1613 - 1622.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Levi, L. Moons, A. Bouche, S. D. Shapiro, D. Collen, and P. Carmeliet
Deficiency of Urokinase-Type Plasminogen Activator-Mediated Plasmin Generation Impairs Vascular Remodeling During Hypoxia-Induced Pulmonary Hypertension in Mice
Circulation, April 17, 2001; 103(15): 2014 - 2020.
[Abstract] [Full Text] [PDF]


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BloodHome page
F. Lluis, J. Roma, M. Suelves, M. Parra, G. Aniorte, E. Gallardo, I. Illa, L. Rodriguez, S. M. Hughes, P. Carmeliet, et al.
Urokinase-dependent plasminogen activation is required for efficient skeletal muscle regeneration in vivo
Blood, March 15, 2001; 97(6): 1703 - 1711.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
J. A. Bezerra, A. R. Currier, H. Melin-Aldana, G. Sabla, T. H. Bugge, K. W. Kombrinck, and J. L. Degen
Plasminogen Activators Direct Reorganization of the Liver Lobule after Acute Injury
Am. J. Pathol., March 1, 2001; 158(3): 921 - 929.
[Abstract] [Full Text] [PDF]


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Am. J. Pathol.Home page
C. M. Swaisgood, E. L. French, C. Noga, R. H. Simon, and V. A. Ploplis
The Development of Bleomycin-Induced Pulmonary Fibrosis in Mice Deficient for Components of the Fibrinolytic System
Am. J. Pathol., July 1, 2000; 157(1): 177 - 187.
[Abstract] [Full Text] [PDF]


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JCBHome page
K. Akassoglou, K. W. Kombrinck, J. L. Degen, and S. Strickland
Tissue Plasminogen Activator-Mediated Fibrinolysis Protects against Axonal Degeneration and Demyelination after Sciatic Nerve Injury
J. Cell Biol., May 29, 2000; 149(5): 1157 - 1166.
[Abstract] [Full Text] [PDF]


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BloodHome page
J. A. Samis, G. D. Ramsey, J. B. Walker, M. E. Nesheim, and A. R. Giles
Proteolytic processing of human coagulation factor IX by plasmin
Blood, February 1, 2000; 95(3): 943 - 951.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
J. A. Bezerra, T. H. Bugge, H. Melin-Aldana, G. Sabla, K. W. Kombrinck, D. P. Witte, and J. L. Degen
Plasminogen deficiency leads to impaired remodeling after a toxic injury to the liver
PNAS, December 21, 1999; 96(26): 15143 - 15148.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
Z. G. Zhang, M. Chopp, A. Goussev, D. Lu, D. Morris, W. Tsang, C. Powers, and K.-L. Ho
Cerebral Microvascular Obstruction by Fibrin is Associated with Upregulation of PAI-1 Acutely after Onset of Focal Embolic Ischemia in Rats
J. Neurosci., December 15, 1999; 19(24): 10898 - 10907.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
Z.-l. Chen, J. A. Indyk, T. H. Bugge, K. W. Kombrinck, J. L. Degen, and S. Strickland
Neuronal Death and Blood-Brain Barrier Breakdown after Excitotoxic Injury Are Independent Processes
J. Neurosci., November 15, 1999; 19(22): 9813 - 9820.
[Abstract] [Full Text] [PDF]


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EndocrinologyHome page
A. Ny, G. Leonardsson, A.-C. Hägglund, P. Hägglöf, V. A. Ploplis, P. Carmeliet, and T. Ny
Ovulation in Plasminogen-Deficient Mice
Endocrinology, November 1, 1999; 140(11): 5030 - 5035.
[Abstract] [Full Text]


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EndocrinologyHome page
D. J. Toft and D. I. H. Linzer
Prolactin (PRL)-Like Protein J, a Novel Member of the PRL/Growth Hormone Family, Is Exclusively Expressed in Maternal Decidua
Endocrinology, November 1, 1999; 140(11): 5095 - 5101.
[Abstract] [Full Text]


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BloodHome page
V. Schuster, S. Seidenspinner, P. Zeitler, C. Escher, U. Pleyer, W. Bernauer, E. R. Stiehm, S. Isenberg, S. Seregard, T. Olsson, et al.
Compound-Heterozygous Mutations in the Plasminogen Gene Predispose to the Development of Ligneous Conjunctivitis
Blood, May 15, 1999; 93(10): 3457 - 3466.
[Abstract] [Full Text] [PDF]


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CirculationHome page
N. Nagai, M. De Mol, H. R. Lijnen, P. Carmeliet, and D. Collen
Role of Plasminogen System Components in Focal Cerebral Ischemic Infarction : A Gene Targeting and Gene Transfer Study in Mice
Circulation, May 11, 1999; 99(18): 2440 - 2444.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
C. Shi, A. Patel, D. Zhang, H. Wang, P. Carmeliet, G. L. Reed, M.-E. Lee, E. Haber, and N. E. S. Sibinga
Plasminogen Is Not Required for Neointima Formation in a Mouse Model of Vein Graft Stenosis
Circ. Res., April 30, 1999; 84(8): 883 - 890.
[Abstract] [Full Text] [PDF]


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NEJMHome page
D. Schott, C.-E. Dempfle, P. Beck, A. Liermann, A. Mohr-Pennert, M. Goldner, P. Mehlem, H. Azuma, V. Schuster, A.-M. Mingers, et al.
Therapy with a Purified Plasminogen Concentrate in an Infant with Ligneous Conjunctivitis and Homozygous Plasminogen Deficiency
N. Engl. J. Med., December 3, 1998; 339(23): 1679 - 1686.
[Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
H. R. Lijnen, B. Van Hoef, F. Lupu, L. Moons, P. Carmeliet, and D. Collen
Function of the Plasminogen/Plasmin and Matrix Metalloproteinase Systems After Vascular Injury in Mice With Targeted Inactivation of Fibrinolytic System Genes
Arterioscler Thromb Vasc Biol, July 1, 1998; 18(7): 1035 - 1045.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
P. Carmeliet, L. Moons, and D. Collen
Mouse models of angiogenesis, arterial stenosis, atherosclerosis and hemostasis
Cardiovasc Res, July 1, 1998; 39(1): 8 - 33.
[Abstract] [Full Text] [PDF]


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BloodHome page
D. B. Cines, E. S. Pollak, C. A. Buck, J. Loscalzo, G. A. Zimmerman, R. P. McEver, J. S. Pober, T. M. Wick, B. A. Konkle, B. S. Schwartz, et al.
Endothelial Cells in Physiology and in the Pathophysiology of Vascular Disorders
Blood, May 15, 1998; 91(10): 3527 - 3561.
[Full Text] [PDF]


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Circ. Res.Home page
W. Risau
Angiogenesis Is Coming of Age
Circ. Res., May 4, 1998; 82(8): 926 - 928.
[Full Text] [PDF]


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CirculationHome page
P. M. Farrehi, C. K. Ozaki, P. Carmeliet, and W. P. Fay
Regulation of Arterial Thrombolysis by Plasminogen Activator Inhibitor-1 in Mice
Circulation, March 17, 1998; 97(10): 1002 - 1008.
[Abstract] [Full Text] [PDF]


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BloodHome page
V. A. Ploplis, E. L. French, P. Carmeliet, D. Collen, and E. F. Plow
Plasminogen Deficiency Differentially Affects Recruitment of Inflammatory Cell Populations in Mice
Blood, March 15, 1998; 91(6): 2005 - 2009.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
U. Ringdahl, M. Svensson, A. C. Wistedt, T. Renne, R. Kellner, W. Muller-Esterl, and U. Sjobring
Molecular Co-operation between Protein PAM and Streptokinase for Plasmin Acquisition by Streptococcus pyogenes
J. Biol. Chem., March 13, 1998; 273(11): 6424 - 6430.
[Abstract] [Full Text] [PDF]


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BloodHome page
A.F. Drew, A.H. Kaufman, K.W. Kombrinck, M.J.S. Danton, C.C. Daugherty, J.L. Degen, and T.H. Bugge
Ligneous Conjunctivitis in Plasminogen-Deficient Mice
Blood, March 1, 1998; 91(5): 1616 - 1624.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
P. Carmeliet and D. Collen
Molecular analysis of blood vessel formation and disease
Am J Physiol Heart Circ Physiol, November 1, 1997; 273(5): H2091 - H2104.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
S. E. Tsirka, T. H. Bugge, J. L. Degen, and S. Strickland
Neuronal death in the central nervous system demonstrates a non-fibrin substrate for plasmin
PNAS, September 2, 1997; 94(18): 9779 - 9781.
[Abstract] [Full Text] [PDF]


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BloodHome page
P. Carmeliet, J.-M. Stassen, I. Van Vlaenderen, R. S. Meidell, D. Collen, and R. D. Gerard
Adenovirus-Mediated Transfer of Tissue-Type Plasminogen Activator Augments Thrombolysis in Tissue-Type Plasminogen Activator-Deficient and Plasminogen Activator Inhibitor-1-Overexpressing Mice
Blood, August 15, 1997; 90(4): 1527 - 1534.
[Abstract] [Full Text] [PDF]


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BloodHome page
V. Schuster, A.-M. Mingers, S. Seidenspinner, Z. Nussgens, T. Pukrop, and H. W. Kreth
Homozygous Mutations in the Plasminogen Gene of Two Unrelated Girls With Ligneous Conjunctivitis
Blood, August 1, 1997; 90(3): 958 - 966.
[Abstract] [Full Text] [PDF]


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BloodHome page
W. P. Fay, A. C. Parker, L. R. Condrey, and A. D. Shapiro
Human Plasminogen Activator Inhibitor-1 (PAI-1) Deficiency: Characterization of a Large Kindred With a Null Mutation in the PAI-1 Gene
Blood, July 1, 1997; 90(1): 204 - 208.
[Abstract] [Full Text] [PDF]


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JCBHome page
K. T. Sabapathy, M. S. Pepper, F. Kiefer, U. Mohle-Steinlein, F. Tacchini-Cottier, I. Fetka, G. Breier, W. Risau, P. Carmeliet, R. Montesano, et al.
Polyoma Middle T-induced Vascular Tumor Formation: The Role of the Plasminogen Activator/Plasmin System
J. Cell Biol., May 19, 1997; 137(4): 953 - 963.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. S. Pepper
Manipulating Angiogenesis: From Basic Science to the Bedside
Arterioscler Thromb Vasc Biol, April 1, 1997; 17(4): 605 - 619.
[Abstract] [Full Text]


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BloodHome page
G. R. Jenkins, D. Seiffert, R. J. Parmer, and L. A. Miles
Regulation of Plasminogen Gene Expression by Interleukin-6
Blood, April 1, 1997; 89(7): 2394 - 2403.
[Abstract] [Full Text] [PDF]


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JEMHome page
A. R. Kitching, S. R. Holdsworth, V. A. Ploplis, E. F. Plow, D. Collen, P. Carmeliet, and P. G. Tipping
Plasminogen and Plasminogen Activators Protect against Renal Injury in Crescentic Glomerulonephritis
J. Exp. Med., March 3, 1997; 185(5): 963 - 968.
[Abstract] [Full Text] [PDF]


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J. Neurosci.Home page
S. E. Tsirka, A. D. Rogove, T. H. Bugge, J. L. Degen, and S. Strickland
An Extracellular Proteolytic Cascade Promotes Neuronal Degeneration in the Mouse Hippocampus
J. Neurosci., January 15, 1997; 17(2): 543 - 552.
[Abstract] [Full Text] [PDF]


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