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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1109-1119.
Prepublished online as a Blood First Edition Paper on June 4, 2008; DOI 10.1182/blood-2008-01-134304.


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Submitted January 16, 2008
Accepted May 21, 2008

Deficiency of DAF and Crry on murine platelets leads to complement-dependent clearance via the macrophage phagocytic receptor CRIg

David D Kim, Takashi Miwa, Yuko Kimura, Reto A Schwendener, Menno van Lookeren Campagne, and Wen-Chao Song*

Institute for Translational Medicine and Therapeutics and Department of Pharmacology, University of Pennsylvania School of Medicine, Philadelphia, PA, United States
Institute of Molecular Cancer Research, University Zurich, Zurich, Switzerland
Department of Immunology, Genentech, Inc, South San Francisco, CA, United States

* Corresponding author; email: song{at}spirit.gcrc.upenn.edu.

Complement activation on human platelets is known to cause platelet degranulation and activation. To evaluate how normal platelets escape complement attack in vivo, we studied the fate of murine platelets deficient in two membrane complement regulatory proteins using an adoptive transfer model. We show here that deficiency of either decay-accelerating factor (DAF) or complement receptor 1-related gene/protein y (Crry) on murine platelets was inconsequential, whereas DAF and Crry double deficiency led to rapid clearance of platelets from the circulation in a complement- and macrophage-dependent manner. This finding contrasted with the observation on erythrocytes where Crry deficiency alone resulted in complement susceptibility. Quantitative flow cytometry revealed DAF and Crry to be expressed at similar levels on platelets whereas Crry expression was 3 times higher than DAF on erythrocytes. Antibody blocking or gene ablation of the newly identified complement receptor CRIg, but not complement receptor 3 (CR3), rescued DAF/Crry-deficient platelets from complement-dependent elimination. Surprisingly, deficiency of CRIg, CR3 or both failed to prevent Crry-deficient erythrocytes from complement-mediated clearance. These results demonstrate a critical but redundant role of DAF and Crry in platelet survival and suggest that complement-opsonized platelets and erythrocytes engage different complement receptors on tissue macrophages in vivo.


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