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Blood, 1 September 2008, Vol. 112, No. 5, pp. 1696-1703.
Prepublished online as a Blood First Edition Paper on June 10, 2008; DOI 10.1182/blood-2008-02-139733.


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Submitted February 20, 2008
Accepted May 28, 2008

CalDAG-GEFI and protein kinase C (PKC) represent alternative pathways leading to activation of integrin {alpha}IIb{beta}3 in platelets

Stephen M Cifuni, Denisa D Wagner, and Wolfgang Bergmeier*

Immune Disease Institute, Harvard Medical School, Boston, MA, United States
Department of Pathology, Harvard Medical School, Boston, MA, United States
Cardeza Foundation and Department of Medicine, Thomas Jefferson University, Philadelphia, PA, United States

* Corresponding author; email: wolfgang.bergmeier{at}jefferson.edu.

Second messenger-mediated inside-out activation of integrin {alpha}IIb{beta}3 is a key step in platelet aggregation. We recently showed strongly impaired but not absent {alpha}IIb{beta}3-mediated aggregation of CalDAG-GEFI-deficient platelets activated with various agonists. Here we further evaluated the roles of CalDAG-GEFI and protein kinase C (PKC) for {alpha}IIb{beta}3 activation in platelets activated with a PAR4 receptor-specific agonist, GYPGKF (PAR4p). Compared to wild-type controls, platelets treated with the PKC inhibitor Ro31-8220 or CalDAG-GEFI-deficient platelets showed a marked defect in aggregation at low (< 1mM PAR4p) but not high PAR4p concentrations. Blocking of PKC function in CalDAG-GEFI-deficient platelets, however, strongly decreased aggregation at all PAR4p concentrations, demonstrating that CalDAG-GEFI and PKC represent separate, but synergizing, pathways important for {alpha}IIb{beta}3 activation. PAR4p-induced aggregation in the absence of CalDAG-GEFI required co-signaling through the G{alpha}i-coupled receptor for ADP, P2Y12. Independent roles for CalDAG-GEFI- and PKC/G{alpha}i-signaling were also observed for PAR4p-induced activation of the small GTPase Rap1, with CalDAG-GEFI mediating the rapid but reversible activation of this small GTPase. In summary, our studies identify CalDAG-GEFI and PKC as independent pathways leading to Rap1 and {alpha}IIb{beta}3 activation in mouse platelets activated through the PAR4 receptor.


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