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Prepublished online as a Blood First Edition Paper on February 27, 2003; DOI 10.1182/blood-2002-10-3080.
Submitted October 16, 2002
The Coagulation Research Laboratory, Division of Medicine, GKT School of Biomedical Sciences, London, United Kingdom * Corresponding author; email: yatin.m.patel{at}kcl.ac.uk.
We have examined platelet functional responses and characterised a novel-signalling defect in the platelets of a patient suffering from a chronic bleeding disorder. Platelet aggregation responses stimulated by weak agonists such as adenosine diphosphate (ADP) and adrenaline were severely impaired. In comparison, both aggregation and dense granule secretion were normal following activation with high doses of collagen, thrombin or phorbol-12 myristate-13 acetate (PMA). ADP, thrombin or thromboxane A2 (TxA2) signalling through their respective Gq-coupled receptors was normal as assessed by measuring either mobilisation of intracellular calcium, diacylglycerol (DAG) generation or pleckstrin phosphorylation. In comparison, Gi-mediated signalling induced by either thrombin, ADP or adrenaline, examined by suppression of forskolin stimulated rise in cyclic AMP (cAMP) was impaired, indicating dysfunctional G
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