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Blood, 1 September 2008, Vol. 112, No. 5, pp. 1696-1703.
Prepublished online as a Blood First Edition Paper on June 10, 2008; DOI 10.1182/blood-2008-02-139733.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

CalDAG-GEFI and protein kinase C represent alternative pathways leading to activation of integrin {alpha}IIbβ3 in platelets

Stephen M. Cifuni1, Denisa D. Wagner1,2, and Wolfgang Bergmeier13

1 Immune Disease Institute and 2 Department of Pathology, Harvard Medical School, Boston, MA; and 3 Cardeza Foundation and Department of Medicine, Thomas Jefferson University, Philadelphia, PA

Second messenger-mediated inside-out activation of integrin {alpha}IIbβ3 is a key step in platelet aggregation. We recently showed strongly impaired but not absent {alpha}IIbβ3-mediated aggregation of CalDAG-GEFI–deficient platelets activated with various agonists. Here we further evaluated the roles of CalDAG-GEFI and protein kinase C (PKC) for {alpha}IIbβ3 activation in platelets activated with a PAR4 receptor–specific agonist, GYPGKF (PAR4p). Compared with wild-type controls, platelets treated with the PKC inhibitor Ro31-8220 or CalDAG-GEFI–deficient platelets showed a marked defect in aggregation at low (< 1mM PAR4p) but not high PAR4p concentrations. Blocking of PKC function in CalDAG-GEFI–deficient platelets, how-ever, strongly decreased aggregation at all PAR4p concentrations, demonstrating that CalDAG-GEFI and PKC represent separate, but synergizing, pathways important for {alpha}IIbβ3 activation. PAR4p-induced aggregation in the absence of CalDAG-GEFI required cosignaling through the G{alpha}i-coupled receptor for ADP, P2Y12. Independent roles for CalDAG-GEFI and PKC/G{alpha}i signaling were also observed for PAR4p-induced activation of the small GTPase Rap1, with CalDAG-GEFI mediating the rapid but reversible activation of this small GTPase. In summary, our study identifies CalDAG-GEFI and PKC as independent pathways leading to Rap1 and {alpha}IIbβ3 activation in mouse platelets activated through the PAR4 receptor.


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