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Blood, 15 August 2001, Vol. 98, No. 4, pp. 1047-1054
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
The inflammatory action of CD40 ligand (CD154) expressed on
activated human platelets is temporally limited by coexpressed
CD40
Volker Henn,
Sabine Steinbach,
Kerstin Büchner,
Peter Presek, and
Richard A. Kroczek
From Molecular Immunology, Robert
Koch-Institut, Berlin, Germany; and Rudolf-Buchheim-Institut
für Pharmakologie, Justus-Liebig-Universität,
Gießen, Germany.
Recently, we have demonstrated that human platelets carry preformed
CD40 ligand (CD154) molecules, which rapidly appear on the platelet
surface following stimulation by thrombin. Once on the surface,
platelet CD154 induces an inflammatory reaction of CD40-bearing
endothelial cells. This study shows that strong platelet agonists other
than thrombin also lead to the expression of CD154 on the platelet
surface. At the same time, several lines of evidence are presented that
together indicate that thrombotic events in the vasculature are
generally accompanied by activation of the inflammatory potential of
platelet CD154. This study also reports the constitutive expression of
CD40, the receptor for CD154, on platelets. The binding of CD154 to
coexpressed CD40 in the platelet aggregate leads within minutes to
hours to the cleavage of membrane-bound surface CD154 and the release
of an 18-kd soluble form of the molecule. Soluble CD154 (sCD154), in
contrast to transmembrane CD154, can no longer induce an inflammatory
reaction of endothelial cells. These findings indicate that the
interaction of platelet CD154 with CD40 on neighboring cells is
temporally limited to prevent an uncontrolled inflammation at the site
of thrombus formation. Thus, similar to the very tight regulation of
the CD154-CD40 interaction in the immune system, an effective mechanism
controls the inflammatory potential of platelet CD154 in the vascular system.

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JAMA,
April 9, 2003;
289(14):
1781 - 1782.
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C. Heeschen, S. Dimmeler, C. W. Hamm, M. J. van den Brand, E. Boersma, A. M. Zeiher, M. L. Simoons, and the CAPTURE Study Investigators
Soluble CD40 Ligand in Acute Coronary Syndromes
N. Engl. J. Med.,
March 20, 2003;
348(12):
1104 - 1111.
[Abstract]
[Full Text]
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L. Nannizzi-Alaimo, V. L. Alves, and D. R. Phillips
Inhibitory Effects of Glycoprotein IIb/IIIa Antagonists and Aspirin on the Release of Soluble CD40 Ligand During Platelet Stimulation
Circulation,
March 4, 2003;
107(8):
1123 - 1128.
[Abstract]
[Full Text]
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M. Kuwana, Y. Kawakami, and Y. Ikeda
Suppression of autoreactive T-cell response to glycoprotein IIb/IIIa by blockade of CD40/CD154 interaction: implications for treatment of immune thrombocytopenic purpura
Blood,
January 15, 2003;
101(2):
621 - 623.
[Abstract]
[Full Text]
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P. Andre, L. Nannizzi-Alaimo, S. K. Prasad, and D. R. Phillips
Platelet-Derived CD40L: The Switch-Hitting Player of Cardiovascular Disease
Circulation,
August 20, 2002;
106(8):
896 - 899.
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L. Nannizzi-Alaimo, M. H. Rubenstein, V. L. Alves, G. Y. Leong, D. R. Phillips, and H. K. Gold
Cardiopulmonary Bypass Induces Release of Soluble CD40 Ligand
Circulation,
June 18, 2002;
105(24):
2849 - 2854.
[Abstract]
[Full Text]
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J.-F. Viallard, A. Solanilla, B. Gauthier, C. Contin, J. Dechanet, C. Grosset, J.-F. Moreau, V. Praloran, P. Nurden, J.-L. Pellegrin, et al.
Increased soluble and platelet-associated CD40 ligand in essential thrombocythemia and reactive thrombocytosis
Blood,
April 1, 2002;
99(7):
2612 - 2614.
[Abstract]
[Full Text]
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