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Blood, 1 August 2002, Vol. 100, No. 3, pp. 917-924
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
NAD(P)H oxidase-dependent platelet superoxide anion release
increases platelet recruitment
Florian Krötz,
Hae Young Sohn,
Torsten Gloe,
Stefan Zahler,
Tobias Riexinger,
Thomas M. Schiele,
Bernhard F. Becker,
Karl Theisen,
Volker Klauss, and
Ulrich Pohl
From the Institute of Physiology and the Department of
Internal Medicine, Ludwig-Maximilians-University Munich, Schillerstr
44, 80336 Munich, Germany, and Ziemssenstr 1, 80336 Munich, Germany.
Platelets, although not phagocytotic, have been suggested to
release O . Since O -producing reduced nicotinamide adenine dinucleotide (phosphate) (NAD(P)H) oxidases can be specifically activated by certain agonists and are
found in several nonphagocytotic tissues, we investigated whether such
an enzyme is the source of platelet-derived O . We
further studied which agonists cause platelet O release and whether platelet-derived O influences
thrombus formation in vitro. Collagen, but not adenosine 5'-diphosphate
(ADP) or thrombin, increased O formation in
washed human platelets. This was a reduced nicotinamide adenine dinucleotide (NADH)-dependent process, as shown in platelet lysates. Consistent with a role of a platelet, NAD(P)H oxidase expression of its subunits p47phox and p67phox
and inhibition of platelet O formation by
diphenylene-iodoniumchloride (DPI) and by the specific
peptide-antagonist gp91ds-tat were observed. Whereas
platelet-derived O did not influence initial
aggregation, platelet recruitment to a preformed thrombus following
collagen stimulation was significantly attenuated by superoxide
dismutase (SOD) or DPI. It was also inhibited when ADP released during
aggregation was cleaved by the ectonucleotidase apyrase. ADP in
supernatants of collagen-activated platelets was decreased in the
presence of SOD, resulting in lower ADP concentrations available for
recruitment of further platelets. Exogenous O increased ADP- concentrations in supernatants of collagen-stimulated platelets and induced irreversible aggregation when platelets were
stimulated with otherwise subthreshold concentrations of ADP. These
results strongly suggest that collagen activation induces NAD(P)H
oxidase-dependent O release in platelets, which in
turn enhances availability of released ADP, resulting in increased
platelet recruitment.

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