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Prepublished online as a Blood First Edition Paper on January 9, 2003; DOI 10.1182/blood-2002-10-3215.
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Blood, 15 May 2003, Vol. 101, No. 10, pp. 3969-3976
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Overexpression of the platelet P2X1 ion channel in
transgenic mice generates a novel prothrombotic
phenotype
Cécile Oury,
Marijke
J. E. Kuijpers,
Emese Toth-Zsamboki,
Arnaud Bonnefoy,
Sophie Danloy,
Ingrid Vreys,
Marion A. H. Feijge,
Rita De Vos,
Jos Vermylen,
Johan W. M. Heemskerk, and
Marc F. Hoylaerts
From the Center for Molecular and Vascular Biology and
the Laboratory of Morphology and Molecular Pathology, University of
Leuven, Belgium; and the Department of Biochemistry,
Cardiovascular Research Institute Maastricht (CARIM), University of
Maastricht, the Netherlands.
We have generated transgenic mice overexpressing the human
P2X1 ion channel in the megakaryocytic cell lineage.
Platelets from transgenic mice exhibited a gain of P2X1
ionotropic activity as determined by more prominent
P2X1-mediated Ca2+ influx and platelet shape
change. P2X1 overexpression enhanced platelet secretion and
aggregation evoked by low doses of collagen, convulxin, or the
thromboxane A2 mimetic U46619. In contrast, transgenic
platelet responses to adenosine diphosphate (ADP) or thrombin were
normal. Perfusing whole blood from transgenic mice over collagen fibers
at a shear rate of 1000 seconds 1 resulted in increased
P2X1-dependent aggregate formation and phosphatidylserine
exposure. Platelet hyperreactivity to collagen was correlated with
up-regulated extracellular signal-regulated kinase 2 (ERK2)
phosphorylation. Accordingly, the MEK1/2 inhibitor U0126 potently
inhibited the collagen-induced aggregation of transgenic platelets when
stirred or when perfused over a collagen surface. In a viscometer,
shear stress caused potent aggregation of transgenic platelets under
conditions in which wild-type platelets did not aggregate. In an in
vivo model of thromboembolism consisting of intravenous injection of a
low dose of collagen plus epinephrine, transgenic mice died more
readily than wild-type mice. Preinjection of U0126 not only fully
protected transgenic mice against thrombosis, it also enhanced the
survival of wild-type mice injected with a higher collagen dose. Hence,
the platelet P2X1 ion channel plays a role in hemostasis
and thrombosis through its participation in collagen-, thromboxane
A2-, and shear stress-triggered platelet responses.
Activation of the ERK2 pathway is instrumental in these processes.

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