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DOI: 10.1055/s-0037-1616747
Experimental Arterial Thrombosis in Genetically or Diet Induced Hyperlipidemia in Rats
Role of Vitamin K-dependent Clotting Factors and Prevention by Low-intensity Oral Anticoagulation[*]Publication History
Received
30 April 2000
Accepted
15 April 2000
Publication Date:
12 December 2017 (online)


Summary
To investigate the relationship among lipids, coagulation and thrombosis in the absence of atherosclerosis, spontaneous or dietary-induced hyperlipidemic (FHL) rats were studied. FHL showed higher levels of coagulation factors VII, IX, X, VIII and XII and a shortening of the occlusion time (OT) of an artificial arterial prosthesis as compared with normolipidemic (FNL) animals. Damage of abdominal aorta of FHL was followed by increased fibrin deposition in the vascular intima as compared to FNL. After 5 months of cholesterol-rich diet FNL showed increased cholesterol, triglycerides and factor II, VII, IX, X, XII levels. A significant shortening of the OT and increased fibrin deposition was also observed. Two-month diet withdrawal restored the initial condition. Warfarin treatment, at a dose decreasing vitamin K-dependent factor to levels found in FNL, prolonged the OT and reduced fibrin deposition, without modifying F XII or changing lipid profile. An increase in the activated form of F VII was observed. In contrast, no difference was found in F VII clearance. High lipid levels favour the process of thrombus formation by increasing the activation of vitamin K-dependent coagulation factors. Low-dose warfarin treatment reverts the prothrombotic effect of hyper-lipidemia.
* Parts of this work were supported by grants from: The International Olive Oil Council, Madrid, Spain; The Abruzzo Region (Programma Operativo Multiregionale “Sviluppo Locale-Patti Territoriali per l’Occupazione” Sottoprogramma n. 9).