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Blood, 15 January 2006, Vol. 107, No. 2, pp. 637-641.
Prepublished online as a Blood First Edition Paper on September 22, 2005; DOI 10.1182/blood-2005-06-2202.


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IMMUNOBIOLOGY

Platelet Toll-like receptor expression modulates lipopolysaccharide-induced thrombocytopenia and tumor necrosis factor-{alpha} production in vivo

Rukhsana Aslam, Edwin R. Speck, Michael Kim, Andrew R. Crow, K. W. Annie Bang, Frederick P. Nestel, Heyu Ni, Alan H. Lazarus, John Freedman, and John W. Semple

From the Department of Laboratory Medicine and Pathobiology, St Michael's Hospital, Toronto; the Departments of Pharmacology, Medicine, and Laboratory Medicine and Pathobiology, University of Toronto; Canadian Blood Services, Toronto; the Toronto Platelet Immunobiology Group, Toronto, ON; and the Faculty of Medicine, McGill University, Montreal, QC, Canada.

Toll-like receptors (TLRs) play a critical role in stimulating innate immunity by recognizing pathogen-associated molecular patterns (PAMPs) on invading microorganisms. Platelets also play a role in innate immunity, and we studied whether they express TLR. Results show that human and murine platelets variably expressed TLR2, TLR4, and TLR9 by flow cytometry and Western blotting. TLR4 expression was confirmed by demonstrating murine platelet binding to lipopolysaccharide (LPS). Thrombin activation of the platelets significantly enhanced the expression of TLR9, suggesting that at least some TLRs may derive from intracellular compartments. When LPS was administered to LPS-sensitive C3H/HeN and LPS-resistant C3H/HeJ mice, functional TLR4 expression in vivo was shown to be responsible for LPS-induced thrombocytopenia. However, when the C3H/HeN mice were first rendered thrombocytopenic by an antiplatelet antibody and then administered LPS, a significant reduction occurred in their ability to produce TNF-{alpha}. The decreased cytokine production in the thrombocytopenic mice was restored with platelet transfusion. These results suggest that platelets express various TLRs and that the functional significance of one of these, TLR4, appears to be a role in the modulation of LPS-induced thrombocytopenia and TNF-{alpha} production. This work implicates platelets as important mediators of innate immune responses against invading microorganisms.


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