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Blood, 1 January 2008, Vol. 111, No. 1, pp. 165-174.
Prepublished online as a Blood First Edition Paper on September 11, 2007; DOI 10.1182/blood-2007-04-086983.
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Submitted April 24, 2007
Accepted August 24, 2007
Dual ITAM-mediated proteolytic pathways for irreversible inactivation of platelet receptors: De-ITAM-ising Fc RIIa
Elizabeth E Gardiner, Denuja Karunakaran, Jane F. Arthur, Fi-Tjen Mu, Maree S Powell, Ross I Baker, P Mark Hogarth, Mark L Kahn, Robert K Andrews, and Michael C Berndt*
Department of Immunology, Monash University, Melbourne, Australia
The Burnet Institute, Melbourne, Australia
Haemophilia Centre of Western Australia, Royal Perth Hospital, & Dept of Medicine & Pharmacology, University of Western Australia, Perth, Australia
Department of Medicine, University of Pennsylvania, Philadelphia, PA, United States
* Corresponding author; email: michael.berndt{at}med.monash.edu.au.
Collagen binding to glycoprotein (GP)VI induces signals critical for platelet activation in thrombosis. Both ligand-induced GPVI signaling through its co-associated Fc-receptor -chain (FcR ) immunoreceptor tyrosine-activation motif (ITAM), and the calmodulin inhibitor, W7, dissociate calmodulin from GPVI and induce metalloproteinase-mediated GPVI ectodomain shedding. We investigated whether signaling via another ITAM-bearing receptor on platelets, Fc RIIa, also downregulates GPVI expression. Agonists that signal through Fc RIIa, the mAbs VM58 or 14A2, potently induced GPVI shedding, inhibitable by the metalloproteinase inhibitor, GM6001. Unexpectedly, Fc RIIa also underwent rapid proteolysis in platelets treated with agonists for Fc RIIa (VM58/14A2) or GPVI/FcR (the snake toxin, convulxin), generating an ~30-kDa fragment. Immunoprecipitation/pull-down experiments showed Fc RIIa also bound calmodulin and W7 induced Fc RIIa cleavage. However, unlike GPVI, the ~30-kDa Fc RIIa fragment remained platelet-associated, and proteolysis was unaffected by GM6001, but inhibited by a membrane-permeable calpain inhibitor, E64d; consistent with this, µ-calpain cleaved an Fc RIIa tail-fusion protein at 222Lys/223Ala and 230Gly/231Arg, upstream of the ITAM domain. These findings suggest simultaneous activation of distinct extracellular (metalloproteinase-mediated) and intracellular (calpain-mediated) proteolytic pathways irreversibly inactivating platelet GPVI/FcR and Fc RIIa, respectively. Activation of both pathways was observed with immunoglobulin from heparin-induced thrombocytopenia (HIT) patients, suggesting novel mechanisms for platelet dysfunction via Fc RIIa following immunological insult.

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