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Prepublished online as a Blood First Edition Paper on April 30, 2002; DOI 10.1182/blood-2001-12-0339.

Submitted January 7, 2002
Accepted April 1, 2002
Sustained integrin ligation involves extracellular free sulfhydryls and enzymatically catalyzes disulfide exchange
Judith Lahav*, Kerstin Jurk, Oded Hess, Michael J Barnes, Richard W Farndale, Jacob Luboshitz, and Beate Kehrel
Hemostasis Laboratory, Rabin Medical Center-Beilinson Campus, Petah Tikva, Israel
Exp. und Klin Haemostaseology, Klinik und Poliklinik fuer Anaesthesiologie und operative Intensivmedizin, University of Muenster, Muenster, Germany
Department of Biochemistry, University of Cambridge, Cambridge, United Kingdom
* Corresponding author; email: jlahav{at}netvision.net.il.
Recent observations suggest a pivotal role for free sulfhydryls in platelet integrin function and enzyme-mediated reduction of disulfide bonds on the platelet has been implicated. The platelet fibrinogen receptor IIbß3 is the best-studied platelet integrin and serves as a model system for studying structure-function relationship of this family of adhesion receptors. The demonstration of free sulfhydryls on the exofacial domain of purified IIbß3, specifically in its activated conformation, prompted us to explore the potential for activation-dependent enzymatically-catalyzed thiol expression on the intact platelet and the possible role of surface associated protein disulfide isomerase (PDI) in IIbß3 ligation. Using the membrane-impermeant sulfhydryl blocker pCMPS, the inhibitor of disulfide exchange bacitracin and the monoclonal anti PDI antibody RL90, we probed fibrinogen binding to IIbß3 as well as ligation-induced allosteric changes in the conformation of IIbß3. We sought to distinguish possible involvement of disulfide exchange in agonist induced platelet stimulation from its role in integrin ligation. Analysis of the role of free thiols in platelet aggregation suggests a thiol-independent initial ligation followed by a thiol-dependent stabilization of binding. FACS analysis shows that sustained binding of fibrinogen as well as expression of LIBS epitopes and ligand-bound conformation depend on free thiols and on disulfide exchange. Expression of P-selectin is minimally affected even at complete inhibition of IIbß3 function.
These data indicate that while agonist-induced platelet stimulation is independent of ecto-sulfhydryls, engagement of integrin IIbß3 on the intact platelet is totally dependent on their enzymatically catalyzed surface expression.

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