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Blood, 15 October 2003, Vol. 102, No. 8, pp. 2811-2818.
Prepublished online as a Blood First Edition Paper on June 26, 2003; DOI 10.1182/blood-2003-01-0231.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

GPVI levels in platelets: relationship to platelet function at high shear

Denise Best, Yotis A. Senis, Gavin E. Jarvis, Helen J. Eagleton, David J. Roberts, Takashi Saito, Stephanie M. Jung, Masaaki Moroi, Paul Harrison, Fiona R. Green, and Steve P. Watson

From the Department of Pharmacology, Oxford University, Oxford, United Kingdom; the Division of Medical Sciences, University of Birmingham, Birmingham, United Kingdom; the Department of Haematology, The John Radcliffe Hospital, Oxford; United Kingdom; the National Blood Service Oxford-Centre, John Radcliffe Hospital, Headington Oxford, United Kingdom; the Department of Molecular Genetics, Chiba University Graduate School of Medicine, Chiba, Japan; the Laboratory of Cell Signalling, Riken Center for Allergy and Immunology, Yokohama, Japan; the Department of Protein Biochemistry, Institute of Life Science, Kurume University, Kurume, Japan; Oxford Haemophilia Centre, The Churchill Hospital, Oxford; and the Department of Cardiovascular Medicine, Wellcome Trust Center for Human Genetics, Oxford, United Kingdom.

We have investigated the density of the collagen receptors glycoprotein VI (GPVI) and {alpha}2{beta}1 on human platelets and their relationship to polymorphisms within the GPVI gene. GPVI levels varied 1.5-fold and showed a weak correlation (r = 0.35) with the levels of {alpha}2{beta}1, which varied 3-fold. GPVI genotype had a significant effect on receptor levels with carriers of the proline 219 allele (approximately 22% of the population) having 10% lower GPVI levels than the more common serine homozygotes. GPVI and {alpha}2{beta}1 levels were found to be significantly decreased on platelets from patients with myeloproliferative disorders (MPDs). In both the MPD and the control group, GPVI levels were found not to affect platelet function under high shear in whole blood. Similarly murine platelets that express up to 5-fold lower levels of GPVI showed no significant difference than controls in thrombus formation on a high-density collagen-coated surface. However platelets lacking the GPVI/Fc receptor {gamma}-chain (FcR {gamma}-chain) complex or a functional FcR {gamma}-chain (immunoreceptor tyrosine-based activation motif [ITAM] point mutant) exhibited severely abrogated thrombus formation at 800 s–1 and 1500 s–1. These results demonstrate that GPVI levels are tightly controlled and play a critical role in thrombus formation on collagen; nevertheless, a range of receptor densities can support platelet function under high shear.


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