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Blood, 9 July 2009, Vol. 114, No. 2, pp. 425-436.
Prepublished online as a Blood First Edition Paper on March 30, 2009; DOI 10.1182/blood-2008-03-145821.


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Submitted March 17, 2008
Accepted March 17, 2009

Fibrinogen is required for maintenance of platelet intracellular and cell surface P-selectin expression

Hong Yang, Sean Lang, Zhimin Zhai, Ling Li, Walter H.A. Kahr, Pingguo Chen, Jelena Brkic, Christopher M. Spring, Matthew J. Flick, Jay L. Degen, John Freedman, and Heyu Ni*

Department of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada
Department of Biological Sciences, University of Toronto at Scarborough, Toronto, Ontario, Canada
The Center Laboratory of Anhui Provincial Hospital, the Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China
Program in Cell Biology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Department of Paediatrics, Division of Haematology/Oncology, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada
Canadian Blood Services, Toronto, Ontario, Canada
Toronto Platelet Immunobiology Group and Department of Laboratory Medicine, Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada
Children's Hospital Research Foundation and University of Cincinnati, Cincinnati, OH, United States
Department of Medicine, University of Toronto, Toronto, Ontario, Canada
Department of Physiology, University of Toronto, Toronto, Ontario, Canada

* Corresponding author; email: nih{at}smh.toronto.on.ca.

Platelet P-selectin plays important roles in inflammation and contributes to thrombosis and hemostasis. While it has been reported that von Willebrand factor (VWF) affects P-selectin expression on endothelial cells, little information is available regarding regulation of platelet P-selectin expression. Here, we first observed that P-selectin expression was significantly decreased on platelets of fibrinogen and VWF double deficient mice. Subsequently, we identified this was due to fibrinogen deficiency. Impaired P-selectin expression on fibrinogen-deficient platelets was further confirmed in human hypofibrinogenemic patients. We demonstrated that this impairment is unlikely due to excessive P-selectin shedding, deficient fibrinogen-mediated cell surface P-selectin binding, or impaired platelet granule release, but rather is due to decreased platelet P-selectin content. Fibrinogen transfusion completely recovered this impairment in fibrinogen-deficient (Fg-/-) mice, and engagement of the C-terminus of the fibrinogen {gamma} chain with {beta}3 integrin was required for this process. Furthermore, Fg-/- platelets significantly increased P-selectin expression following transfusion into {beta}3 integrin-deficient mice and when cultured with fibrinogen. These data suggest fibrinogen may play important roles in inflammation, thrombosis and hemostasis via enhancement of platelet P-selectin expression. Since human fibrinogen levels vary significantly in normal and diseased populations, P-selectin as an activation marker on platelets should be used with caution.


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Related Article in Blood Online:

Fibrinogen selects selectins
Hansjörg Schwertz, Guy A. Zimmerman, and Andrew S. Weyrich
Blood 2009 114: 234. [Full Text] [PDF]



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H. Schwertz, G. A. Zimmerman, and A. S. Weyrich
Fibrinogen selects selectins
Blood, July 9, 2009; 114(2): 234 - 234.
[Full Text] [PDF]



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