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Blood, 1 May 2006, Vol. 107, No. 9, pp. 3537-3545.
Prepublished online as a Blood First Edition Paper on January 31, 2006; DOI 10.1182/blood-2005-02-0618.
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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Mechanism of platelet adhesion to von Willebrand factor and microparticle formation under high shear stress
Armin J. Reininger,
Harry F. G. Heijnen,
Hannah Schumann,
Hanno M. Specht,
Wolfgang Schramm, and
Zaverio M. Ruggeri
From the Department of Transfusion Medicine and Hemostaseology, Clinic for Anesthesiology, University Clinic Munich, Ludwig-Maximilians-University, Munich, Germany; the Department of Hematology, Division of Thrombosis and Hemostasis, University Medical Center Utrecht, Utrecht, the Netherlands; the Department of Cell Biology, University Medical Center Utrecht, Utrecht, the Netherlands; and the Roon Center for Arteriosclerosis and Thrombosis, Division of Experimental Hemostasis and Thrombosis, Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA.
We describe here the mechanism of platelet adhesion to immobilized von Willebrand factor (VWF) and subsequent formation of platelet-derived microparticles mediated by glycoprotein Ib (GPIb ) under high shear stress. As visualized in whole blood perfused in a flow chamber, platelet attachment to VWF involved one or few membrane areas of 0.05 to 0.1 µm2 that formed discrete adhesion points (DAPs) capable of resisting force in excess of 160 pN. Under the influence of hydrodynamic drag, membrane tethers developed between the moving platelet body and DAPs firmly adherent to immobilized VWF. Continued stretching eventually caused the separation of many such tethers, leaving on the surface tube-shaped or spherical microparticles with a diameter as low as 50 to 100 nm. Adhesion receptors (GPIb , IIb 3) and phosphatidylserine were expressed on the surface of these microparticles, which were procoagulant. Shearing platelet-rich plasma at the rate of 10 000 s1 in a cone-and-plate viscosimeter increased microparticle counts up to 55-fold above baseline. Blocking the GPIb-VWF interaction abolished microparticle generation in both experimental conditions. Thus, a biomechanical process mediated by GPIb -VWF bonds in rapidly flowing blood may not only initiate platelet arrest onto reactive vascular surfaces but also generate procoagulant microparticles that further enhance thrombus formation.

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