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Blood, 20 August 2009, Vol. 114, No. 8, pp. 1645-1654.
Prepublished online as a Blood First Edition Paper on June 11, 2009; DOI 10.1182/blood-2009-01-199414.


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PLATELETS AND THROMBOPOIESIS

Role of sialic acid for platelet life span: exposure of β-galactose results in the rapid clearance of platelets from the circulation by asialoglycoprotein receptor–expressing liver macrophages and hepatocytes

Anne Louise Sørensen1,2, Viktoria Rumjantseva2,3, Sara Nayeb-Hashemi2, Henrik Clausen1, John H. Hartwig2, Hans H. Wandall1,2, and Karin M. Hoffmeister2

1 Copenhagen Center for Glycomics, Department of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark; 2 Translational Medicine Division, Brigham and Women's Hospital, Boston, MA; and 3 Department of Clinical Chemistry and Transfusion Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden

Although surface sialic acid is considered a key determinant for the survival of circulating blood cells and glycoproteins, its role in platelet circulation lifetime is not fully clarified. We show that thrombocytopenia in mice deficient in the St3gal4 sialyltransferase gene (St3Gal-IV–/– mice) is caused by the recognition of terminal galactose residues exposed on the platelet surface in the absence of sialylation. This results in accelerated platelet clearance by asialoglycoprotein receptor-expressing scavenger cells, a mechanism that was recently shown to induce thrombocytopenia during Streptococcus pneumoniae sepsis. We now identify platelet GPIb{alpha} as a major counterreceptor on ST3Gal-IV–/– platelets for asialoglycoprotein receptors. Moreover, we report data that establish the importance of sialylation of the von Willebrand factor in its function.


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