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Blood, 1 November 2005, Vol. 106, No. 9, pp. 3028-3034.
Prepublished online as a Blood First Edition Paper on July 21, 2005; DOI 10.1182/blood-2005-01-0333.
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Submitted January 25, 2005
Accepted June 10, 2005
Platelet aggregation induces platelet aggregate stability via SLAM family receptor signaling
Nisha Nanda, Patrick Andre, Ming Bao, Karl Clauser, Francis Deguzman, Duncan Howie, Pamela B Conley, Cox Terhorst, and David R Phillips*
Portola Pharmaceuticals Inc., San Francisco, CA, USA; Millennium Pharmaceuticals Inc., San Francisco, CA, USA
Millennium Pharmaceuticals Inc., San Francisco, CA, USA
Millennium Pharmaceuticals Inc., Cambridge, MA, USA
Division of Immunology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
* Corresponding author; email: dphillips{at}portola.com.
Platelet aggregation is a dynamic entity, capable of directing its own growth and stability via the activation of signaling cascades that lead to the expression and secretion of various secondary agonists. Here we show that the signaling pathways triggered during platelet aggregation include an intrinsic pro-thrombotic activity mediated by two homophilic adhesion molecules, CD84 and CD150 (SLAM), which are tyrosine phosphorylated in a platelet aggregation-dependent fashion. The two CD84/SLAM adapter proteins, SAP (SLAM-associated protein) and EAT-2 (EWS-activated transcript-2) were both found in platelets; only SAP however, was found to immunoprecipitate with tyrosine phosphorylated SLAM. The immobilized extracellular domain of CD84 promoted microaggregate formation while SAP-deficient platelets demonstrated defective spreading on immobilized CD84 demonstrating a functional role in platelets for SLAM family interactions. Finally, analysis of SLAM-deficient mice revealed an overall defect in platelet aggregation in vitro, and a delayed arterial thrombotic process in vivo. The data indicate that signaling of the adhesion molecules in the SLAM family, activated by proximity during aggregation further stabilize platelet-platelet interactions in thrombosis.

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