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Blood, 1 February 2007, Vol. 109, No. 3, pp. 1018-1025.
Prepublished online as a Blood First Edition Paper on September 26, 2006; DOI 10.1182/blood-2006-05-022301.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

ADAP is required for normal {alpha}IIbß3 activation by VWF/GP Ib-IX-V and other agonists

Ana Kasirer-Friede1, Barry Moran1, Jennifer Nagrampa-Orje2, Ken Swanson3, Zaverio M. Ruggeri2, Burkhart Schraven4, Benjamin G. Neel3, Gary Koretzky5, and Sanford J. Shattil1

1 Department of Medicine, University of California San Diego, La Jolla; 2 Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, CA; 3 Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA; 4 Institute of Immunology, University of Magdeburg, Germany; 5 Abramson Family Cancer Research Institute and Division of Rheumatology, University of Pennsylvania, Philadelphia

Interaction between von Willebrand factor (VWF) and platelet GP Ib-IX-V is required for hemostasis, in part because intracellular signals from VWF/GP Ib-IX-V activate the ligand-binding function of integrin {alpha}IIbß3. Because they also induce tyrosine phosphorylation of the ADAP adapter, we investigated ADAP's role in GP Ib-IX-V signal transduction. Fibrinogen or ligand-mimetic POW-2 Fab binding to {alpha}IIbß3 was stimulated by adhesion of ADAP+/+ murine platelets to dimeric VWF A1A2 but was significantly reduced in ADAP–/– platelets (P < .01). {alpha}IIbß3 activation by ADP or a Par4 thrombin receptor agonist was also decreased in ADAP–/– platelets. ADAP stabilized the expression of another adapter, SKAP-HOM, via interaction with the latter's SH3 domain. However, no abnormalities in {alpha}IIbß3 activation were observed in SKAP-HOM–/– platelets, which express normal ADAP levels, further implicating ADAP as a modulator of {alpha}IIbß3 function. Under shear flow conditions over a combined surface of VWF A1A2 and fibronectin to test interactions involving GP Ib-IX-V and {alpha}IIbß3, respectively, ADAP–/– platelets displayed reduced {alpha}IIbß3-dependent stable adhesion. Furthermore, ADAP–/– mice demonstrated increased rebleeding from tail wounds. These studies establish ADAP as a component of inside-out signaling pathways that couple GP Ib-IX-V and other platelet agonist receptors to {alpha}IIbß3 activation.


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