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Blood, 1 February 2006, Vol. 107, No. 3, pp. 965-972.
Prepublished online as a Blood First Edition Paper on October 6, 2005; DOI 10.1182/blood-2005-03-1308.
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Submitted April 5, 2005
Accepted September 23, 2005
Sequential activation of p38 and ERK pathways by cGMP-dependent protein kinase leading to activation of the platelet integrin IIb 3
Zhenyu Li, Guoying Zhang, Robert Feil, Jiahuai Han, and Xiaoping Du*
Department of Pharmacology, College of Medicine, University of Illinois, Chicago, IL, USA
Institut fur Pharmakolgie und Toxikologie der Technischen Universitat Munchen, Munchen, Germany
Department of Immunology, The Scripps Research Institute, La Jolla, CA, USA
* Corresponding author; email: xdu{at}uic.edu.
Integrin activation (inside-out signaling) in platelets can be initiated by agonists such as von Willebrand factor (VWF) and thrombin. Here we show that a mitogen-activated protein kinase (MAPK), p38, plays an important role in the activation of integrin IIb 3 induced by VWF and thrombin. A dominant negative mutant of p38, p38AF, inhibits IIb 3 activation induced by VWF binding to its receptor, the platelet glycoprotein Ib-IX, (GPIb-IX), and p38 inhibitors diminish platelet aggregation induced by VWF or low-dose thrombin. The inhibitory effect of P38 inhibitor is unlikely to be caused by the previous suggested effect on cyclooxygenase as inhibition was also observed in the presence of high concentrations of cyclooxygenase inhibitor, aspirin. VWF or thrombin induces p38 activation, which is inhibited in cGMP-dependent protein kinase (PKG)-knockout mouse platelets and PKG inhibitor-treated human platelets, indicating that activation of p38 is downstream from PKG in the signaling pathway. P38AF or p38 inhibitors diminish PKG-induced phosphorylation of extracellular stimuli-responsive kinase (ERK), which is also important in integrin activation. Thus, p38 plays an important role in mediating PKG-dependent activation of ERK. These data delineate a novel signaling pathway in which platelet agonists sequentially activate PKG, p38, and ERK pathways leading to integrin activation.

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