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Blood, 15 December 2005, Vol. 106, No. 13, pp. 4167-4175.
Prepublished online as a Blood First Edition Paper on August 30, 2005; DOI 10.1182/blood-2005-04-1723.
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Submitted April 27, 2005
Accepted August 3, 2005
Ligand specific glucocorticoid receptor activation in human platelets
Leonardo Moraes, Mark J Paul-Clark, Alice Rickman, Roderick J Flower, Nicolas J Goulding, and Mauro Perretti*
The William Harvey Research Institute, Queen Mary University of London, London, United Kingdom
* Corresponding author; email: m.perretti{at}qmul.ac.uk.
Few studies have addressed the effects of classical anti-inflammatory glucocorticoids on platelet function. Here we report for the first time that human platelets contain the glucocorticoid receptor (GR) as identified by a combination of biochemical and functional techniques. Ligand binding studies revealed the presence of a high and low affinity binding site for [3H]-dexamethasone in platelets. The two GR ligands prednisolone and dexamethasone competed for [3H]-dexamethasone binding, as did the mineralocorticoid aldosterone. However, whilst prednisolone (1-10 µM) reduced adenosine diphosphate (ADP) (4 µM) and thromboxane A2 receptor agonist U46619 induced platelet aggregation (up to 75%), dexamethasone had no effect. The inhibition produced by prednisolone was reversed by pre-incubation with the GR antagonist mifepristone (10 µM; RU486), suggesting the functional importance of the ligand-receptor complex. In addition, prednisolone caused a marked (~50%) reduction in thromboxane B2 levels, whereas dexamethasone was without effect. The apparently anomalous binding data was clarified by the fact that washed platelets i) contained mineralocorticoid receptor, and that ii) it was associated with GR. Taken together our data suggests that platelet GR forms a heterodimeric complex with the mineralocorticoid receptor that is susceptible to differential activation by specific receptor ligands.

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