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Blood, 1 September 2004, Vol. 104, No. 5, pp. 1361-1368.
Prepublished online as a Blood First Edition Paper on May 6, 2004; DOI 10.1182/blood-2004-03-0926.


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Submitted March 10, 2004
Accepted April 26, 2004

Human bone marrow megakaryocytes and platelets express PPAR{gamma} and PPAR{gamma} agonists blunt platelet release of CD40 ligand and thromboxanes

Filiz Akbiyik, Denise M Ray, Kelly F Gettings, Neil Blumberg, Charles W Francis, and Richard P Phipps*

Biochemistry, Hacettepe University, Ankara, Turkey; Environmental Medicine, Microbiology and Immunology, and the Lung Biology and Disease Program, University of Rochester, Rochester, NY, USA
Environmental Medicine, Microbiology and Immunology, and the Lung Biology and Disease Program, University of Rochester, Rochester, NY, USA
Pathology and Laboratory Medicine, University of Rochester, Rochester, NY, USA
Medicine, Hematology/Oncology Unit, University of Rochester, Rochester, NY, USA

* Corresponding author; email: richard_phipps{at}urmc.rochester.edu.

Peroxisome Proliferator Activated Receptor {gamma} (PPAR{gamma}) is a ligand-activated transcription factor important in lipid metabolism, diabetes, and inflammation. We evaluated whether human platelets and megakaryocytes express PPAR{gamma} and whether PPAR{gamma} agonists influence platelet release of bioactive mediators. Although PPAR{gamma} is mainly considered a nuclear receptor, we show that enucleate platelets highly express PPAR{gamma} protein as shown by western blotting, flow cytometry, and immunocytochemistry. Meg-01 megakaryocyte cells and human bone marrow megakaryocytes also express PPAR{gamma}. Platelet and Meg-01 PPAR{gamma} bound the PPAR{gamma} DNA consensus sequence and this was enhanced by PPAR{gamma} agonists. Platelets are not only essential for clotting, but have an emerging role in inflammation in part due to their release or production of the pro-inflammatory and pro-atherogenic mediators CD40 ligand (L) and thromboxanes (TX). Platelet incubation with a natural PPAR{gamma} agonist, 15d-PGJ2, or with a potent synthetic PPAR{gamma} ligand, rosiglitazone, prevented thrombin-induced CD40L surface expression and release of CD40L and TXB2. 15d-PGJ2 also inhibited platelet aggregation and ATP release. Our results show that human platelets express PPAR{gamma} and that PPAR{gamma} agonists such as the thiazolidinedione class of anti-diabetic drugs have a new target cell, the platelet. This may represent a novel mechanism for treatment of inflammation, thrombosis and vascular disease in high-risk patients.


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