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Blood, 1 January 2002, Vol. 99, No. 1, pp. 151-158
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Essential role for phosphoinositide 3-kinase in
shear-dependent signaling between platelet glycoprotein Ib/V/IX and
integrin IIb 3
Cindy L. Yap,
Karen E. Anderson,
Sascha C. Hughan,
Sacha M. Dopheide,
Hatem H. Salem, and
Shaun P. Jackson
From the Australian Centre for Blood Diseases,
Department of Medicine, Monash Medical School, Box Hill Hospital,
Victoria, Australia.
Platelet adhesion and aggregation at sites of vascular injury are
critically dependent on the interaction between von Willebrand factor
(VWF) and 2 major platelet adhesion receptors, glycoprotein (GP)
Ib/V/IX and integrin IIb 3. GP Ib/V/IX
binding to VWF mediates platelet tethering and translocation, whereas
activation of integrin IIb 3 promotes
cell arrest. To date, the signaling pathways used by the VWF-GP Ib/V/IX
interaction to promote activation of integrin IIb 3, particularly under shear, have
remained poorly defined. In this study, the potential involvement of
type 1 phosphoinositide (PI) 3-kinases in this process was
investigated. Results show that platelet adhesion and spreading on
immobilized VWF results in a specific increase in the PI 3-kinase
lipid product, PtdIns(3,4)P2. Under static conditions,
inhibiting PI 3-kinase with LY294002 or wortmannin did not prevent
platelet adhesion, integrin IIb 3 activation, or platelet spreading although it significantly delayed the
onset of these events. In contrast, PI 3-kinase inhibition under shear
dramatically reduced both platelet adhesion and spreading. Real-time
analysis of intracellular calcium demonstrated that under static
conditions inhibiting PI 3-kinase delayed the onset of intracellular
fluxes in adherent platelets, but did not affect the final magnitude of
the calcium response. However, under shear, inhibiting PI 3-kinase
dramatically reduced intracellular calcium mobilization and integrin
IIb 3 activation, resulting in
impaired thrombus growth. The studies demonstrate a shear-dependent
role for PI 3-kinase in promoting platelet adhesion on immobilized VWF. Under static conditions, platelets appear to mobilize
intracellular calcium through both PI 3-kinase-dependent and
-independent mechanisms, whereas under shear PI 3-kinase is
indispensable for VWF-induced calcium release.

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