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Prepublished online as a Blood First Edition Paper on January 23, 2003; DOI 10.1182/blood-2002-06-1879.

Submitted June 26, 2002
Accepted January 14, 2003
Activation of pp125FAK by type 2B recombinant von Willebrand factor binding to platelet GPIb at high shear rate occurs independently of IIb 3 engagement
Medina Mekrache, Christilla Bachelot-Loza, Nadine Ajzenberg, Abdelhafid Saci, Paulette Legendre, and Dominique Baruch*
INSERM, Unite 143, Kremlin-Bicetre, France
INSERM, Unite 428, Paris, France
* Corresponding author; email: baruch{at}kb.inserm.fr.
Shear-induced platelet aggregation (SIPA) involves the sequential interaction of von Willebrand factor (vWF) with both GPIb and IIb 3 receptors. Type 2B recombinant vWF (2B-rvWF), characterized by an increased affinity for GPIb, induces strong SIPA at high shear rate (4,000 sec-1). Despite the increased affinity of 2B-rvWF for GPIb, type 2B von Willebrand disease patients have a paradoxical bleeding disorder, which is not well understood. The purpose of this study was to determine if SIPA induced by 2B-rvWF was associated with IIb 3-dependent platelet activation. To this end, we have addressed the influence of 2B-rvWF (V553M substitution) on SIPA-dependent variations of tyrosine protein phosphorylation (P-Tyr) and the effect of IIb 3 blockers. At high shear rate, 2B-rvWF induced a strong SIPA, as shown by 92.7±0.4% disappearance of single platelets (DSP) after 4.5 min. In these conditions, increased P-Tyr of proteins migrating at position 64, 72 and 125 kDa were observed. The band at 125 kDa was identified as pp125FAK using anti-phospho-FAK antibody. This effect, which required high level of SIPA (>70% DSP), was observed at 4,000 sec-1 but not at 200 sec-1. MoAbs 6D1 (anti-GPIb) and 328 (anti-vWF A1 domain), completely abolished SIPA and p125FAK phosphorylation mediated by 2B-rvWF. In contrast, neither RGDS peptide nor MoAb 7E3, both known to block IIb 3 engagement, had any effect on SIPA and p125FAK phosphorylation. The size of aggregates formed at high shear rate in the presence of 2B-rvWF was decreased by genistein, demonstrating the biological relevance of pp125FAK. These findings provide a unique mechanism whereby the enhanced interaction of 2B-rvWF with GPIb, without engagement of IIb 3, is sufficient to induce SIPA but does not lead to stable thrombus formation.

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