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Blood, 26 February 2009, Vol. 113, No. 9, pp. 2056-2063.
Prepublished online as a Blood First Edition Paper on October 2, 2008; DOI 10.1182/blood-2008-07-171611.


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PLATELETS AND THROMBOPOIESIS

Orai1 (CRACM1) is the platelet SOC channel and essential for pathological thrombus formation

Attila Braun1,*, David Varga-Szabo1, Christoph Kleinschnitz2, Irina Pleines1, Markus Bender1, Madeleine Austinat2, Michael Bösl3, Guido Stoll2, and Bernhard Nieswandt1,4

1 Rudolf Virchow Center, DFG Research Center for Experimental Biomedicine, Würzburg; 2 Department of Neurology, University of Würzburg, Würzburg; 3 Max-Planck-Institute for Biochemistry, Martinsried; and 4 Institute of Clinical Biochemistry and Pathobiochemistry, University of Würzburg, Würzburg, Germany

Platelet activation and aggregation at sites of vascular injury are essential for primary hemostasis, but are also major pathomechanisms underlying myocardial infarction and stroke. Changes in [Ca2+]i are a central step in platelet activation. In nonexcitable cells, receptor-mediated depletion of intracellular Ca2+ stores triggers Ca2+ entry through store-operated calcium (SOC) channels. STIM1 has been identified as an endoplasmic reticulum (ER)–resident Ca2+ sensor that regulates store-operated calcium entry (SOCE) in immune cells and platelets, but the identity of the platelet SOC channel has remained elusive. Orai1 (CRACM1) is the recently discovered SOC (CRAC) channel in T cells and mast cells but its role in mammalian physiology is unknown. Here we report that Orai1 is strongly expressed in human and mouse platelets. To test its role in blood clotting, we generated Orai1-deficient mice and found that their platelets display severely defective SOCE, agonist-induced Ca2+ responses, and impaired activation and thrombus formation under flow in vitro. As a direct consequence, Orai1 deficiency in mice results in resistance to pulmonary thromboembolism, arterial thrombosis, and ischemic brain infarction, but only mild bleeding time prolongation. These results establish Orai1 as the long-sought platelet SOC channel and a crucial mediator of ischemic cardiovascular and cerebrovascular events.


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Related Article in Blood Online:

Orai1: a channel to safer antithrombotic therapy
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Blood 2009 113: 1872-1873. [Full Text] [PDF]



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A. Berna-Erro, A. Braun, R. Kraft, C. Kleinschnitz, M. K. Schuhmann, D. Stegner, T. Wultsch, J. Eilers, S. G. Meuth, G. Stoll, et al.
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K. S. Authi
Orai1: a channel to safer antithrombotic therapy
Blood, February 26, 2009; 113(9): 1872 - 1873.
[Full Text] [PDF]



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