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Prepublished online as a Blood First Edition Paper on November 21, 2002; DOI 10.1182/blood-2002-05-1363.
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Blood, 1 April 2003, Vol. 101, No. 7, pp. 2646-2651
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
The roles of IIb 3-mediated
outside-in signal transduction, thromboxane A2, and adenosine
diphosphate in collagen-induced platelet aggregation
Moon J. Cho,
Junling Liu,
Tamara I. Pestina,
Shirley A. Steward,
Dennis W. Thomas,
Thomas M. Coffman,
Demin Wang,
Carl W. Jackson, and
T. Kent Gartner
From the Department of Microbiology and Molecular Cell
Sciences, University of Memphis, Memphis, TN; the Division of
Experimental Hematology, St Jude Children's Research Hospital,
Memphis, TN; the Department of Medicine, Duke University and Durham
Veterans Affairs Medical Centers, Durham, NC; and the Blood Research
Institute, Blood Center of SE Wisconsin, Milwaukee.
Collagen-induced activation of platelets in suspension leads to
IIb 3-mediated outside-in signaling,
granule release, thromboxane A2 (TxA2) production, and aggregation.
Although much is known about collagen-induced platelet signaling, the
roles of TxA2 production, adenosine diphosphate (ADP) and
dense-granule secretion, and
IIb 3-mediated outside-in signaling in
this process are unclear. Here, we demonstrate that TxA2 and ADP are
required for collagen-induced platelet activation in response to a low,
but not a high, level of collagen and that IIb 3-mediated outside-in signaling is
required, at least in part, for this TxA2 production and ADP secretion.
A high level of collagen can activate platelets deficient in PLC 2,
G q, or TxA2 receptors, as well as platelets treated with a protein
kinase C inhibitor, Ro31-8220. Thus, activation of
IIb 3 in response to a high level of
collagen does not require these signaling proteins. Furthermore, a high
level of collagen can cause weak TxA2 and ADP-independent aggregation,
but maximal aggregation induced by a high level of collagen requires
TxA2 or secretion.

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