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Blood, 13 August 2009, Vol. 114, No. 7, pp. 1405-1416. Prepublished online as a Blood First Edition Paper on May 8, 2009; DOI 10.1182/blood-2009-02-202614.
Submitted February 4, 2009
Department of Cardiovascular Science, University of Leicester, Clinical Sciences Wing, Glenfield Hospital, Leicester, United Kingdom * Corresponding author; email: ahg5{at}le.ac.uk.
Platelet response to activation varies widely between individuals but shows inter-individual consistency and strong heritability. The genetic basis of this variation has not been properly explored. We therefore systematically measured the effect on function of sequence variation in 97 candidate genes in the collagen and ADP signalling pathways. Resequencing of the genes in 48 European DNA samples nearly doubled the number of known single nucleotide polymorphisms (SNPs) and informed the selection of 1327 SNPs for genotyping in 500 healthy Northern European subjects with known platelet responses to collagen-related peptide (CRP-XL) and ADP. This identified 17 novel associations with platelet function (p<0.005) accounting for ~46% of the variation in response. Further investigations with platelets of known genotype explored the mechanisms behind some of the associations. SNPs in PEAR1 associated with increased platelet response to CRP-XL, and increased PEAR1 protein expression following platelet degranulation. The minor allele of a 3'UTR SNP (rs2769668) in VAV3 was associated with higher protein expression (p=0.03) and increased P-selectin exposure following ADP activation (p=0.004). Furthermore the minor allele of the intronic SNP rs17786144 in ITPR1 modified Ca2+ levels after activation with ADP (p<0.004). These data provide novel insights into key hubs within platelet signalling networks.
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