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Prepublished online as a Blood First Edition Paper on December 12, 2002; DOI 10.1182/blood-2002-07-2209.
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Blood, 1 April 2003, Vol. 101, No. 7, pp. 2661-2666
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Platelet P-selectin facilitates atherosclerotic lesion
development
Peter C. Burger and
Denisa
D. Wagner
From the Center for Blood Research and Department of
Pathology, Harvard Medical School, Boston, MA.
P-selectin is an adhesion molecule expressed on activated platelets
and endothelium. It is known to play an important role in
atherosclerosis. P-selectin also circulates in plasma in a soluble form
(sP-selectin), which induces procoagulant microparticle formation. We
investigated the role of platelet versus endothelial P-selectin in
generating sP-selectin and in the formation of atherosclerotic lesions
in the apolipoprotein E (apoE)-deficient mouse model. For this we
transplanted
apoE / P-selectin / and
apoE / P-selectin+/+ lethally irradiated mice
with bone marrow of either genotype. Seven months after
transplantation, we determined from the chimeric animals that the
majority of circulating sP-selectin was of endothelial origin. Thus, in
atherosclerosis, the procoagulant sP-selectin reflects endothelial
rather than platelet activation. We found that endothelial P-selectin
was crucial for the promotion of atherosclerotic lesion growth because
in its absence only relatively small lesions developed. However,
platelet P-selectin also contributed to the lesion development because
lesions in wild-type recipients receiving transplants with wild-type
platelets were 30% larger than those receiving P-selectin-deficient
platelets (P < .008) and were more frequently calcified
(80% versus 44%). In comparison with P-selectin wild-type animals,
absence of either endothelial or platelet P-selectin inhibited
migration of smooth muscle cells into the lesion. Thus, in addition to
endothelium, platelets and their P-selectin also actively promote
advanced atherosclerotic lesion development.

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