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Prepublished online as a Blood First Edition Paper on October 24, 2002; DOI 10.1182/blood-2002-07-2149.

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Blood, 1 March 2003, Vol. 101, No. 5, pp. 1833-1840

HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

An intronic polymorphism in the PAR-1 gene is associated with platelet receptor density and the response to SFLLRN

Annabelle Dupont, Pierre Fontana, Christilla Bachelot-Loza, Jean-Luc Reny, Ivan Bièche, Florence Desvard, Martine Aiach, and Pascale Gaussem

From the Service d'Hématologie Biologique and INSERM Unité 428, Hôpital Européen Georges Pompidou, and Laboratoire de Génétique Moléculaire, UPRES-JE 2195, Faculté des Sciences Pharmaceutiques et Biologiques, Université Paris V, Paris, France.

Protease-activated receptor 1 (PAR-1), the main thrombin receptor on vascular cells, plays a key role in platelet activation. We examined the range of PAR-1 expression on platelets, obtained twice, 1 week apart, from 100 healthy subjects and found a 2-fold interindividual variation in receptor numbers (95% CI = 858-1700). Because PAR-1 density was stable with time (r2 = 76%, P < .001), we sought a genetic explanation for the observed variability. To validate this approach, we also analyzed the alpha 2beta 1 genotype according to receptor density and platelet mRNA expression data. We found that the number of PAR-1 receptors on the platelet surface is associated with the intervening sequence IVSn-14 A/T intronic variation. The number of receptors was also found to govern the platelet response to the SFLLRN agonist, in terms of aggregation and P-selectin expression. The T allele (allelic frequency, 0.14) can be considered as an allele with decreased expression, because it was associated with lower PAR-1 expression on the platelet surface and with a lower response to SFLLRN. The IVSn-14 A/T intronic variation may therefore be clinically relevant.

© 2003 by The American Society of Hematology.
 

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