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Segregation of platelet aggregatory and procoagulant microdomains in thrombus formation: regulation by transient integrin activation.


ABSTRACT: Platelets play a dual role in thrombosis by forming aggregates and stimulating coagulation. We investigated the commitment of platelets to these separate functions during collagen-induced thrombus formation in vitro and in vivo.High-resolution 2-photon fluorescence microscopy revealed that in thrombus formation under flow, fibrin(ogen)-binding platelets assembled into separate aggregates, whereas distinct patches of nonaggregated platelets exposed phosphatidylserine. The latter platelet population had inactivated alphaIIb beta3 integrins and displayed increased binding of coagulation factors. Coated platelets, expressing serotonin binding sites, were not identified as a separate population. Thrombin generation and coagulation favored the transformation to phosphatidylserine-exposing platelets with inactivated integrins and reduced adhesion. Prolonged tyrosine phosphorylation in vitro resulted in secondary downregulation of active alphaIIb beta3.These results lead to a new spatial model of thrombus formation, in which aggregated platelets ensure thrombus stability, whereas distinct patches of nonaggregated platelets effectuate procoagulant activity and generate thrombin and fibrin. Herein, the hemostatic activity of a developing thrombus is determined by the balance in formation of proaggregatory and procoagulant platelets. This balance is influenced by antiplatelet and anticoagulant medication.

SUBMITTER: Munnix IC 

PROVIDER: S-EPMC2376762 | biostudies-literature | 2007 Nov

REPOSITORIES: biostudies-literature

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Segregation of platelet aggregatory and procoagulant microdomains in thrombus formation: regulation by transient integrin activation.

Munnix Imke C A IC   Kuijpers Marijke J E MJ   Auger Jocelyn J   Thomassen Christella M L G D CM   Panizzi Peter P   van Zandvoort Marc A M MA   Rosing Jan J   Bock Paul E PE   Watson Steve P SP   Heemskerk Johan W M JW  

Arteriosclerosis, thrombosis, and vascular biology 20070830 11


<h4>Objective</h4>Platelets play a dual role in thrombosis by forming aggregates and stimulating coagulation. We investigated the commitment of platelets to these separate functions during collagen-induced thrombus formation in vitro and in vivo.<h4>Methods and results</h4>High-resolution 2-photon fluorescence microscopy revealed that in thrombus formation under flow, fibrin(ogen)-binding platelets assembled into separate aggregates, whereas distinct patches of nonaggregated platelets exposed ph  ...[more]

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