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Blood, 15 November 2000, Vol. 96, No. 10, pp. 3322-3328
PLENARY PAPER
Platelets adhere to and translocate on von Willebrand factor
presented by endothelium in stimulated veins
Patrick André,
Cécile V. Denis,
Jerry Ware,
Simin Saffaripour,
Richard O. Hynes,
Zaverio M. Ruggeri, and
Denisa D. Wagner
From the Center for Blood Research and the Department
of Pathology, Harvard Medical School, Boston, MA; the Roon Research
Center for Arteriosclerosis and Thrombosis, The Scripps Research
Institute, La Jolla, CA; and the Howard Hughes Medical Institute,
Center for Cancer Research, Massachusetts Institute of Technology,
Cambridge, MA.
With the use of intravital microscopy, a new type of
platelet-endothelial interaction in mouse mesenteric venules at low
shear (80-100 seconds 1) is described. Stimulation of
these vessels with calcium ionophore A23187, a known secretagogue of
Weibel-Palade bodies, induced immediate platelet adhesion (within 15 seconds) and translocation without the formation of aggregates. This
stop-and-go process reached a maximum in approximately 1 minute, when
approximately 25 000 platelets adhered/mm2·s,
and then adhesion progressively decreased. This adhesion process was
dependent on von Willebrand factor (vWF) and independent of P-selectin.
Immunohistologic analysis showed that the venules were not denuded with
A23187 treatment, suggesting that platelets adhered to vWF secreted on
the luminal face of the endothelial cells. Histamine treatment induced
a similar adhesion phenomenon. Platelet adhesion was not abolished in
3-deficient mice or when the platelets were treated with inhibitory
antibodies to PECAM-1 or PSGL-1, indicating that these molecules are
not required for platelet-endothelium interaction at low shear. The
adhesion was mediated by platelet glycoprotein Ib (GPIb ) because
the adhesion of murine platelets expressing exclusively the human
GPIb could be prevented by a pretreatment with mocarhagin, a snake
venom protease that cleaves human GPIb . The results indicate that
vWF released from Weibel-Palade bodies can dramatically increase the concentration of platelets along the vessel wall through an
interaction with GPIb . It is proposed that this process
may rapidly recruit platelets to sites of injury or inflammation
in veins.

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