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Blood, 1 February 2008, Vol. 111, No. 3, pp. 1257-1265.
Prepublished online as a Blood First Edition Paper on November 7, 2007; DOI 10.1182/blood-2007-05-092684.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Critical role for the mitochondrial permeability transition pore and cyclophilin D in platelet activation and thrombosis

Shawn M. Jobe1, Katina M. Wilson2, Lorie Leo2, Alejandro Raimondi1, Jeffery D. Molkentin3, Steven R. Lentz2,4, and Jorge Di Paola1

Departments of1 Pediatrics and 2 Internal Medicine, University of Iowa Carver College of Medicine, Iowa City; 3 Department of Pediatrics, University of Cincinnati, OH; and 4 Veteran Affairs Medical Center, Iowa City, IA

Many of the cellular responses that occur in activated platelets resemble events that take place following activation of cell-death pathways in nucleated cells. We tested the hypothesis that formation of the mitochondrial permeability transition pore (MPTP), a key signaling event during cell death, also plays a critical role in platelet activation. Stimulation of murine platelets with thrombin plus the glycoprotein VI agonist convulxin resulted in a rapid loss of mitochondrial transmembrane potential ({Delta}{psi}m) in a subpopulation of activated platelets. In the absence of cyclophilin D (CypD), an essential regulator of MPTP formation, murine platelet activation responses were altered. CypD-deficient platelets exhibited defects in phosphatidylserine externalization, high-level surface fibrinogen retention, membrane vesiculation, and procoagulant activity. Also, in CypD-deficient platelet-rich plasma, clot retraction was altered. Stimulation with thrombin plus H2O2, a known activator of MPTP formation, also increased high-level surface fibrinogen retention, phosphatidylserine externalization, and platelet procoagulant activity in a CypD-dependent manner. In a model of carotid artery photochemical injury, thrombosis was markedly accelerated in CypD-deficient mice. These results implicate CypD and the MPTP as critical regulators of platelet activation and suggest a novel CypD-dependent negative-feedback mechanism regulating arterial thrombosis.


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Mitochondria push platelets past their prime
Fernando A. Bozza and Andrew S. Weyrich
Blood 2008 111: 2496-2497. [Full Text] [PDF]



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