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Blood, 15 January 2007, Vol. 109, No. 2, pp. 595-602.
Prepublished online as a Blood First Edition Paper on September 19, 2006; DOI 10.1182/blood-2005-11-011775.
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Submitted November 30, 2005
Accepted August 18, 2006
Activation of IIb 3 is a sufficient but also an
imperative prerequisite to activate 2 1 on
platelets
Gerlinde R Van de Walle, Anne Schoolmeester, Brecht F Iserbyt, Judith M.E.M. Cosemans, Johan W.M. Heemskerk, Marc F. Hoylaerts, Alan Nurden, Karen Vanhoorelbeke, and Hans Deckmyn*
Laboratory for Thrombosis Research, K.U. Leuven Campus Kortrijk, Kortrijk, Belgium
Departments of Biochemistry and Human Biology, CARIM, Maastricht University, The Netherlands
Center for Molecular and Vascular Biology, K.U. Leuven, Leuven, Belgium
Institut Federatif #4, Hopital Cardiologique, Pessac, France
* Corresponding author; email: hans.deckmyn{at}kulak.ac.be.
Platelet integrins 2 1 and IIb 3 play critical roles in platelet adhesion and thrombus formation after vascular injury. On resting platelets, both integrins are in a low affinity state. However, agonist stimulation results in conformational changes that enable ligand binding that can be detected with conformation dependent monoclonal antibodies (mAbs). By using such conformation dependent mAbs, we could demonstrate that activation of integrin IIb 3 is not only sufficient, but also a prerequisite for 2 1 activation. Compared to platelets in plasma, stimulation of washed platelets resulted in only a minor activation of 2 1, as detected with the activation-sensitive mAb IAC-1. Addition of fibrinogen to stimulated washed platelets greatly potentiated activation of this integrin. Also, treatment of IIb 3 with the ligand-mimetic peptide RGDS, resulting in outside-in signaling, led to a powerful 2 1 activation, even in the absence of overall platelet activation, involving tyrosine kinase activity but no protein kinase C activation. The absolute necessity of IIb 3 for proper 2 1 activation on platelets was demonstrated by using the IIb 3 antagonist aggrastat, which was able to completely abolish 2 1 activation, both under static and flow conditions. Additionally, analogous experiments with Glanzmann platelets, lacking IIb 3, confirmed the indispensability of IIb 3 for 2 1 activation.

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[Abstract]
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