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Blood, 1 May 2004, Vol. 103, No. 9, pp. 3403-3411.
Prepublished online as a Blood First Edition Paper on January 15, 2004; DOI 10.1182/blood-2003-10-3664.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Signaling through GP Ib-IX-V activates {alpha}IIb{beta}3 independently of other receptors

Ana Kasirer-Friede, Maria Rita Cozzi, Mario Mazzucato, Luigi De Marco, Zaverio M. Ruggeri, and Sanford J. Shattil

From the Department of Cell Biology and Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA; and National Cancer Institute CRO-IRCCS, Aviano, Italy.

Platelet adhesion to von Willebrand factor (VWF) activates {alpha}IIb{beta}3, a prerequisite for thrombus formation. However, it is unclear whether the primary VWF receptor, glycoprotein (GP) Ib-IX-V, mediates {alpha}IIb{beta}3 activation directly or through other signaling proteins physically associated with it (eg, FcR {gamma}-chain), possibly with the contribution of other agonist receptors and of VWF signaling through {alpha}IIb{beta}3. To resolve this question, human and GP Ib{alpha} transgenic mouse platelets were plated on dimeric VWF A1 domain (dA1VWF), which engages only GP Ib-IX-V, in the presence of inhibitors of other agonist receptors. Platelet adhesion to dA1VWF induced Src kinase-dependent tyrosine phosphorylation of the FcR {gamma}-chain and the adapter molecule, ADAP, and triggered intracellular Ca2+ oscillations and {alpha}IIb{beta}3 activation. Inhibition of Ca2+ oscillations with BAPTA-AM prevented {alpha}IIb{beta}3 activation but not tyrosine phosphorylation. Pharmacologic inhibition of protein kinase C (PKC) or phosphatidylinositol 3-kinase (PI 3-kinase) prevented {alpha}IIb{beta}3 activation but not Ca2+ oscillations. Inhibition of Src with 2 distinct compounds blocked all responses downstream of GP Ib-IX-V under static or flow conditions. However, dA1VWF-induced responses were reduced only slightly in GP Ib{alpha} transgenic platelets lacking FcR {gamma}-chain. These data establish that GP Ib-IX-V itself can signal to activate {alpha}IIb{beta}3, through sequential actions of Src kinases, Ca2+ oscillations, and PI 3-kinase/PKC. (Blood. 2004;103:3403-3411)


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Platelet GP Ib-IX-V: not just a binding protein
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