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Blood, 15 January 2007, Vol. 109, No. 2, pp. 552-559.
Prepublished online as a Blood First Edition Paper on September 21, 2006; DOI 10.1182/blood-2005-10-026294.
Previous Article | Next Article 
Submitted October 21, 2005
Accepted September 1, 2006
IRAG mediates NO/cGMP-dependent inhibition of platelet
aggregation and thrombus formation
Melanie Antl, Marie-Luise v. Bruhl, Christina Eiglsperger, Matthias Werner, Ildiko Konrad, Thomas Kocher, Matthias Wilm, Franz Hofmann, Steffen Massberg, and Jens Schlossmann*
Institut fur Pharmakologie und Toxikologie, TU Munchen, Germany
Deutsches Herzzentrum und 1. Medizinische Klinik, Klinikum rechts der Isar, TU Munchen, Germany
Department of Pharmacology, College of Medicine, University of Vermont, Burlington, VT
Biological & Medical Mass Spectrometry, Uppsala Biomedical Centrum, Uppsala, Sweden
Protein and Peptide Group, EMBL, Heidelberg, Germany
* Corresponding author; email: schlossmann{at}ipt.med.tu-muenchen.de.
Defective regulation of platelet activation/aggregation is a predominant cause for arterial thrombosis, the major complication of atherosclerosis triggering myocardial infarction and stroke.1 A central regulatory pathway conveying inhibition of platelet activation/aggregation is nitric oxide (NO)/cyclic GMP (cGMP) signaling via cGMP-dependent protein kinase I (cGKI).2,3 However, the regulatory cascade downstream of cGKI mediating platelet inhibition is still unclear. Here, we show that the inositol-1,4,5-trisphosphate receptor-associated cGMP kinase substrate (IRAG) is abundantly expressed in platelets and assembled in a macrocomplex together with cGKI and the inositol-1,4,5-trisphosphate receptor type I(InsP3RI). cGKI phosphorylates IRAG at Ser664 and Ser677 in intact platelets. Targeted deletion of the IRAG-InsP3RI interaction in IRAG 12/ 12 mutant mice4 leads to a loss of NO/cGMP-dependent inhibition of fibrinogen-receptor activation and platelet aggregation. Intracellular calcium transients were not affected by DEA/NO or cGMP in mutant platelets. Furthermore, intravital microscopy shows that NO fails to prevent arterial thrombosis of the injured carotid artery in IRAG 12/ 12 mutants. These findings reveal that interaction between IRAG and InsP3RI has a central role in NO/cGMP-dependent inhibition of platelet aggregation and in vivo thrombosis.

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