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Prepublished online as a Blood First Edition Paper on February 27, 2003; DOI 10.1182/blood-2002-10-3080.

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2002-10-3080v1
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Blood, 15 June 2003, Vol. 101, No. 12, pp. 4828-4835

HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Evidence for a role for G{alpha}i1 in mediating weak agonist-induced platelet aggregation in human platelets: reduced G{alpha}i1 expression and defective Gi signaling in the platelets of a patient with a chronic bleeding disorder

Yatin M. Patel, Kirti Patel, Salman Rahman, Mark P. Smith, Gillian Spooner, Rushika Sumathipala, Michael Mitchell, Geraldine Flynn, Alexandra Aitken, and Geoffrey Savidge

From the Department of Haematology, Canterbury Health Laboratories, Christchurch, New Zealand; Novartis, Horsham Research Centre, Horsham, United Kingdom; and Developmental Signalling, Cancer Research UK, London, United Kingdom.

We have examined platelet functional responses and characterized a novel signaling defect in the platelets of a patient suffering from a chronic bleeding disorder. Platelet aggregation responses stimulated by weak agonists such as adenosine diphosphate (ADP) and adrenaline were severely impaired. In comparison, both aggregation and dense granule secretion were normal following activation with high doses of collagen, thrombin, or phorbol-12 myristate-13 acetate (PMA). ADP, thrombin, or thromboxane A2 (TxA2) signaling through their respective Gq-coupled receptors was normal as assessed by measuring either mobilization of intracellular calcium, diacylglycerol (DAG) generation, or pleckstrin phosphorylation. In comparison, Gi-mediated signaling induced by either thrombin, ADP, or adrenaline, examined by suppression of forskolin-stimulated rise in cyclic AMP (cAMP) was impaired, indicating dysfunctional G{alpha}i signaling. Immunoblot analysis of platelet membranes with specific antiserum against different G{alpha} subunits indicated normal levels of G{alpha}i2,G{alpha}i3,G{alpha}z, and G{alpha}q in patient platelets. However, the G{alpha}i1level was reduced to 25% of that found in normal platelets. Analysis of platelet cDNA and gDNA revealed no abnormality in either the G{alpha}i1 or G{alpha}i2 gene sequences. Our studies implicate the minor expressed G{alpha}i subtype G{alpha}i1 as having an important role in regulating signaling pathways associated with the activation of {alpha}IIb{beta}3 and subsequent platelet aggregation by weak agonists.


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