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Prepublished online as a Blood First Edition Paper on May 8, 2003; DOI 10.1182/blood-2003-03-0717.

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Submitted March 6, 2003
Accepted April 27, 2003

The contribution of glycoprotein VI to stable platelet adhesion and thrombus formation illustrated by targeted gene deletion

Kazunobu Kato, Taisuke Kanaji, Susan Russell, Thomas J Kunicki, Kenichi Furihata, Sachiko Kanaji, Patrizia Marchese, Armin Reininger, Zaverio M Ruggeri, and Jerry Ware*

Molecular and Experimental Medicine, Roon Research Center for Ateriosclerosis and Thrombosis, The Scripps Research Institute, La Jolla, CA, USA
Experimental Medicine, Torrey Pines Institute for Molecular Studies, San Diego, CA, USA
Transfusion Medicine and Hemostaseology, University of Munich, Munich, Germany

* Corresponding author; email: jware{at}scripps.edu.

Platelet interaction with exposed adhesive ligands at sites of vascular injury is required to initiate a normal hemostatic response and may become a pathogenic factor in arterial diseases leading to thrombosis. We report a targeted disruption in a key receptor for collagen-induced platelet activation, glycoprotein (GP) VI. The breeding of mice with heterozygous GP VI alleles produced the expected frequency of wild-type, heterozygous and homozygous genotypes, indicating that these animals had no reproductive problems and normal viability. GP VInull platelets failed to aggregate in response to type I fibrillar collagen or convulxin, a snake venom protein and known platelet agonist of GP VI. Nevertheless, tail bleeding time measurements revealed no severe bleeding tendency as a consequence of GP VI deficiency. Ex vivo platelet thrombus formation on type I collagen fibrils was abolished using blood from either GP VInull or FcR-{gamma}null animals. Reflection interference contrast microscopy revealed that the lack of thrombus formation by GP VInull platelets could be linked to a defective platelet activation following normal initial tethering to the surface, visualized as lack of spreading and less stable adhesion. These results illustrate the role of GP VI in post-adhesion events leading to the development of platelet thrombi on collagen fibrils.


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