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Regulation of glycoprotein IIB/IIIA exposure on platelets stimulated with
alpha-thrombin
G van Willigen and JW Akkerman
Department of Hematology, University Hospital Utrecht, The Netherlands.
Previous studies have shown that binding sites for fibrinogen on platelets
stimulated with platelet-activating factor (PAF), adenosine diphosphate or
epinephrine rapidly close in the absence of fibrinogen. In the present
study we investigated whether alpha-thrombin induced similar changes in the
glycoprotein (GP) IIB/IIIA-complex. Whereas 80% of binding sites exposed by
PAF closed within 30 minutes (22 degrees C), alpha-thrombin (0.1 U/mL)
triggered long-lasting exposure of binding sites for [125I]-fibrinogen and
[125I]-fibronectin. Even removal of alpha-thrombin with an excess of
hirudin failed to close the binding sites. Similar to PAF,
alpha-thrombin-exposed sites rapidly closed after addition of the protein
kinase C inhibitor staurosporine (1 mumol/L) or dibutyryl cyclic adenosine
monophosphate (250 mumol/L). In contrast, prostacyclin (PGI2, 10 ng/mL),
which induced rapid closure of binding sites in platelets stimulated with
PAF, failed to close the sites in alpha-thrombin-treated platelets. Removal
of alpha-thrombin from the platelets restored the PGI2-sensitivity. These
data indicate that a short interaction between alpha-thrombin and platelets
triggers long-lasting exposure of GPIIB/IIIA. Furthermore, as long as
alpha- thrombin remains bound to the platelets, agonists that activate the
PGI2-receptor are unable to close GPIIB/IIIA.
Volume 79,
Issue 1,
pp. 82-90,
01/01/1992
Copyright © 1992 by The American Society of Hematology

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