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Prepublished online as a Blood First Edition Paper on May 24, 2002; DOI 10.1182/blood-2002-03-0997.
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Blood, 15 September 2002, Vol. 100, No. 6, pp. 2102-2107
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Amelioration of the macrothrombocytopenia associated with
the murine Bernard-Soulier syndrome
Taisuke Kanaji,
Susan Russell, and
Jerry Ware
From the Roon Center for Arteriosclerosis and
Thrombosis, Division of Experimental Hemostasis and Thrombosis,
Department of Molecular and Experimental Medicine, The Scripps Research
Institute, La Jolla, CA.
An absent platelet glycoprotein (GP) Ib-IX receptor results in the
Bernard-Soulier syndrome and is characterized by severe bleeding and
the laboratory presentation of macrothrombocytopenia. Although the
macrothrombocytopenic phenotype is directly linked to an absent GP
Ib-IX complex, the disrupted molecular mechanisms that produce the
macrothrombocytopenia are unknown. We have utilized a mouse model of
the Bernard-Soulier syndrome to engineer platelets expressing an
-subunit of GP Ib (GP Ib ) in which most of the extracytoplasmic
sequence has been replaced by an isolated domain of the -subunit of
the human interleukin-4 receptor (IL-4R ). The IL-4R /GP Ib
fusion is membrane expressed in Chinese hamster ovary (CHO) cells, and
its expression is facilitated by the presence of human GP IX and the
-subunit of GP Ib. Transgenic animals expressing a chimeric receptor
were generated and bred into the murine Bernard-Soulier
syndrome-producing animals devoid of mouse GP Ib but expressing the
IL-4R /GP Ib fusion sequence. The characterization of these mice
revealed a 2-fold increase in circulating platelet count and a 50%
reduction in platelet size when compared with platelets from the mouse
model of the Bernard-Soulier syndrome. Immunoprecipitation confirmed
that the IL-4R /GP Ib subunit interacts with filamin-1 and
14-3-3 , known binding proteins to the GP Ib cytoplasmic tail.
Mice expressing the chimeric receptor retain a severe bleeding
phenotype, confirming a critical role for the GP Ib extracytoplasmic
domain in hemostasis. These results provide in vivo insights into the
structural elements of the GP Ib subunit that contribute to normal
megakaryocyte maturation and thrombopoiesis.

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