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Glycoprotein VI Is a Major Collagen Receptor for Platelet
Activation: It Recognizes the Platelet-Activating Quaternary
Structure of Collagen, Whereas CD36, Glycoprotein IIb/IIIa, and von
Willebrand Factor Do Not
Beate Kehrel,
Sonja Wierwille,
Kenneth J. Clemetson,
Olaf Anders,
Michael Steiner,
C. Graham Knight,
Richard W. Farndale,
Minoru Okuma, and
Michael J. Barnes
From the Department of Internal Medicine A, University of
Münster, Münster, Germany; the Theodor Kocher Institute,
University of Berne, Berne, Switzerland; the University Department of
Internal Medicine and Pathobiochemistry, University of Rostock,
Rostock, Germany; the Strangeways Research Laboratory, Cambridge, UK;
the Department of Biochemistry, University of Cambridge, Cambridge, UK;
and the Department of Hematology and Oncology, Graduate School of
Medicine, Kyoto University, Kyoto, Japan.
Simple collagen-related peptides (CRPs) containing a repeat
Gly-Pro-Hyp sequence are highly potent platelet agonists. Like collagen, they must exhibit tertiary (triple-helical) and quaternary (polymeric) structure to activate platelets. Platelet signaling events
induced by the peptides are the same as most of those induced by
collagen. The peptides do not recognize the
2 1 integrin. To identify the signaling
receptor involved, we have evaluated the response to the CRP,
Gly-Lys-Hyp(Gly-Pro-Hyp)10-Gly-Lys-Hyp-Gly of platelets
with defined functional deficiencies. These studies exclude a primary
recognition role for CD36, von Willebrand factor (vWF), or glycoprotein
(GP) IIb/IIIa. Thus, both CD36 and vWF-deficient platelets exhibited
normal aggregation, normal fibrinogen binding, and normal expression of
CD62 and CD63, measured by flow cytometry, in response to the peptide,
and there was normal expression of CD62 and CD63 on thrombasthenic
platelets. In contrast, GPVI-deficient platelets were totally
unresponsive to the peptide, indicating that this receptor recognizes
the Gly-Pro-Hyp sequence in collagen. GPVI-deficient platelets showed
some fibrinogen binding in response to collagen but failed to aggregate
and to express CD62 and CD63. Collagen, but not CRP-XL, contains
binding sites for 2 1. Therefore, it is
possible that collagen still induces some signaling via 2 1, leading to activation of GPIIb/IIIa.
Our findings are consistent with a two-site, two-step model of collagen
interaction with platelets involving recognition of specific sequences
in collagen by an adhesive receptor such as
2 1 to arrest platelets under flow and
subsequent recognition of another specific collagen sequence by an
activatory receptor, namely GPVI.
Blood, Vol. 91 No. 2 (January 15), 1998:
pp. 491-499
© 1998 by The American Society of Hematology.

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