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Blood, 1 June 2006, Vol. 107, No. 11, pp. 4346-4353.
Prepublished online as a Blood First Edition Paper on January 3, 2006; DOI 10.1182/blood-2005-10-4244.
Previous Article | Next Article 
Submitted October 26, 2005
Accepted December 2, 2005
Thrombin overcomes the thrombosis defect associated with platelet GPVI/FcR receptor deficiency
Pierre Mangin, Cindy L Yap, Christelle Nonne, Sharelle A Sturgeon, Isaac Goncalves, Yuping Yuan, Simone M Schoenwaelder, Christine E Wright, Francois Lanza, and Shaun P Jackson*
Australian Centre for Blood Diseases, Monash University, Alfred Medical Research & Education Precinct (AMREP), Melbourne, Victoria, Australia
Institute National de la Sante et de la Recherche Medicale (INSERM) U.311, Etablissement Francais du Sang, EFS-Alsace, Strasbourg, Alsace, France
Department of Pharmacology, University of Melbourne, Melbourne, Victoria, Australia
* Corresponding author; email: shaun.jackson{at}med.monash.edu.au.
Fibrillar collagens are amongst the most potent activators of platelets and play an important role in the initiation of thrombosis. The GPVI/FcR -chain complex is a central collagen receptor and inhibitors of GPVI produce a major defect in arterial thrombogenesis. In this study we have examined arterial thrombus formation in mice lacking the GPVI/FcR -chain complex (FcR -/-). Utilising three distinct arterial thrombosis models involving deep vascular injury, we demonstrate that deficiency of GPVI/FcR is not associated with a major defect in arterial thrombus formation. In contrast, with milder vascular injury deficiency of GPVI/FcR was associated with a 30% reduction in thrombus growth. Analysis of FcR -/- platelets in vitro, using thrombin-dependent and -independent thrombosis models, demonstrated a major role for thrombin in overcoming the thrombosis defect associated with GPVI/FcR deficiency. Inhibition of thrombin in vivo produced a much greater defect in thrombus formation in mice lacking GPVI/FcR compared to normal controls. Similarly, thrombin inhibition produced a marked prolongation in bleeding time in FcR -/- mice relative to wild-type mice. Our studies define an important role for thrombin in overcoming the hemostatic and thrombotic defect associated with GPVI/FcR deficiency. Moreover, they raise the interesting possibility that the full antithrombotic potential of GPVI receptor antagonists may only be realized through the concurrent administration of anticoagulant agents.

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