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Prepublished online as a Blood First Edition Paper on February 27, 2003; DOI 10.1182/blood-2002-10-3080.

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2002-10-3080v1
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Submitted October 16, 2002
Accepted February 12, 2003

Evidence for a role for G{alpha}i1 in mediating weak agonist-induced platelet aggregation in human platelets: reduced G{alpha}i1 expression and defective Gi signalling in the platelets of a patient suffering from a chronic bleeding disorder

Yatin M Patel*, Kirti V Patel, Salman Rahman, Mark P Smith, Gillian Spooner, Rushika N Sumathipala, Michael Mitchell, Geraldine Flynn, Alexandra Aitken, and Geoffrey Savidge

The Coagulation Research Laboratory, Division of Medicine, GKT School of Biomedical Sciences, London, United Kingdom
The Haemophilia Reference Centre, Centre for Thrombosis and Haemostasis, St Thomas Hospital, 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{alpha}isignalling. Immunoblot analysis of platelet membranes with specific antiserum against different G{alpha} subunits indicated normal levels of G{alpha}i2, G{alpha}i3, G{alpha}zand G{alpha}qin patient platelets. However, G{alpha}i1levels were reduced to 25% of that found in membranes prepared from normal platelets. Analysis of platelet cDNA and genomic DNA revealed no abnormality in either the G{alpha}i1 or G{alpha}i2 gene sequences. Our studies implicate the minor expressed G{alpha}isubtype, G{alpha}i1, as having an important role in regulating signalling pathways associated with the activation of {alpha}IIb{beta}3 and subsequent platelet aggregation by weak agonists.


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