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Blood, 15 January 2008, Vol. 111, No. 2, pp. 613-623.
Prepublished online as a Blood First Edition Paper on September 21, 2007; DOI 10.1182/blood-2007-06-098392.


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HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY

Thrombospondin-1 stimulates platelet aggregation by blocking the antithrombotic activity of nitric oxide/cGMP signaling

Jeff S. Isenberg1, Martin J. Romeo1, Christine Yu1, Christine K. Yu1, Khauh Nghiem2, Jude Monsale2, Margaret E. Rick2, David A. Wink3, William A. Frazier4, and David D. Roberts1

1 Laboratory of Pathology, Center for Cancer Research, National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD; 2 Hematology Service, Clinical Center, NIH, Bethesda, MD; 3 Radiation Biology Branch, Center for Cancer Research, NCI, NIH, Bethesda, MD; and 4 Department of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St Louis, MO

Platelet {alpha}-granules constitute the major rapidly releasable reservoir of thrombospondin-1 in higher animals. Although some fragments and peptides derived from thrombospondin-1 stimulate or inhibit platelet aggregation, its physiologic function in platelets has remained elusive. We now show that endogenous thrombospondin-1 is necessary for platelet aggregation in vitro in the presence of physiologic levels of nitric oxide (NO). Exogenous NO or elevation of cGMP delays thrombin-induced platelet aggregation under high shear and static conditions, and exogenous thrombospondin-1 reverses this delay. Thrombospondin-1–null murine platelets fail to aggregate in response to thrombin in the presence of exogenous NO or 8Br-cGMP. At physiologic concentrations of the NO synthase substrate arginine, thrombospondin-1–null platelets have elevated basal cGMP. Ligation of CD36 or CD47 is sufficient to block NO-induced cGMP accumulation and mimic the effect of thrombospondin-1 on aggregation. Exogenous thrombospondin-1 also reverses the suppression by NO of {alpha}IIb3 integrin–mediated platelet adhesion on immobilized fibrinogen, mediated in part by increased GTP loading of Rap1. Thrombospondin-1 also inhibits cGMP-mediated activation of cGMP-dependent protein kinase and thereby prevents phosphorylation of VASP. Thus, release of thrombospondin-1 from {alpha}-granules during activation provides positive feedback to promote efficient platelet aggregation and adhesion by overcoming the antithrombotic activity of physiologic NO.


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