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Next Article 
Blood, Vol. 94 No. 4 (August 15), 1999:
pp. 1149-1155
Cytosolic Calcium Changes in a Process of Platelet Adhesion and
Cohesion on a von Willebrand Factor-Coated Surface Under Flow
Conditions
Mitsuhiro Kuwahara,
Mitsuhiko Sugimoto,
Shizuko Tsuji,
Shigeki Miyata, and
Akira Yoshioka
From the Department of Pediatrics, Nara Medical University,
Kashihara, Nara, Japan.
Recent flow studies indicated that platelets are transiently
captured onto and then translocated along the surface through interaction of glycoprotein (GP) Ib with surface-immobilized von Willebrand factor (vWF). During translocation, platelets are assumed to
be activated, thereafter becoming firmly adhered and cohered on the
surface. In exploring the mechanisms by which platelets become
activated during this process, we observed changes in platelet cytosolic calcium concentrations ([Ca2+]i)
concomitantly with the real-time platelet adhesive and cohesive process
on a vWF-coated surface under flow conditions. Reconstituted blood
containing platelets loaded with the Ca2+ indicators Fura
Red and Calcium Green-1 was perfused over a vWF-coated glass surface in
a flow chamber, and changes in [Ca2+]i were evaluated
by fluorescence microscopy based on platelet color changes from red
(low [Ca2+]i) to green (high [Ca2+]i)
during the platelet adhesive and cohesive process. Under flow conditions with a shear rate of 1,500 s 1, no change in
[Ca2+]i was observed during translocation of platelets,
but [Ca2+]i became elevated apparently after platelets
firmly adhered to the surface. Platelets preincubated with anti-GP
IIb-IIIa antibody c7E3 showed no firm adhesion and no
[Ca2+]i elevation. The intracellular Ca2+
chelator dimethyl BAPTA did not inhibit firm platelet adhesion but
completely abolished platelet cohesion. Although both firm adhesion and
cohesion of platelets have been thought to require activation of GP
IIb-IIIa, our results indicate that [Ca2+]i elevation
is a downstream phenomenon and not a prerequisite for firm platelet
adhesion to a vWF-coated surface. After platelets firmly adhere to the
surface, [Ca2+]i elevation might occur through the
outside-in signaling from GP IIb-IIIa occupied by an adhesive ligand,
thereby leading to platelet cohesion on the surface.

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