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Blood, 1 July 2008, Vol. 112, No. 1, pp. 90-99.
Prepublished online as a Blood First Edition Paper on February 29, 2008; DOI 10.1182/blood-2007-12-127001.
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Submitted December 3, 2007
Accepted February 19, 2008
Identification of a fibrin-independent platelet contractile mechanism regulating primary hemostasis and thrombus growth
Akiko Ono, Erik Westein, Sarah Hsiao, Warwick S Nesbitt, Justin R Hamilton, Simone M Schoenwaelder, and Shaun P Jackson*
Australian Centre for Blood Diseases, Monash University, Melbourne, Victoria, Australia
* Corresponding author; email: shaun.jackson{at}med.monash.edu.au.
A fundamental property of platelets is their ability to transmit cytoskeletal contractile forces to extracellular matrices. Whilst the importance of the platelet contractile mechanism in regulating fibrin clot retraction is well established its role in regulating the primary hemostatic response, independent of blood coagulation, remains ill-defined. Real-time analysis of platelet adhesion and aggregation on a collagen substrate revealed a prominent contractile phase during thrombus development, associated with a 30-40% reduction in thrombus volume. Thrombus contraction developed independent of thrombin and fibrin and resulted in the tight packing of aggregated platelets. Inhibition of the platelet contractile mechanism, with the myosin IIa inhibitor blebbistatin, or through Rho kinase antagonism, markedly inhibited thrombus contraction, preventing the tight packing of aggregated platelets and undermining thrombus stability in vitro. Utilizing a new intravital hemostatic model, we demonstrate that the platelet contractile mechanism is critical for maintaining the integrity of the primary hemostatic plug, independent of thrombin and fibrin generation. These studies demonstrate an important role for the platelet contractile mechanism in regulating primary hemostasis and thrombus growth. Furthermore, they provide new insight into the underlying bleeding diathesis associated with platelet contractility defects.

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