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Publication : Two distinct pathways regulate platelet phosphatidylserine exposure and procoagulant function.

First Author  Schoenwaelder SM Year  2009
Journal  Blood Volume  114
Issue  3 Pages  663-6
PubMed ID  19387006 Mgi Jnum  J:150769
Mgi Id  MGI:3851677 Doi  10.1182/blood-2009-01-200345
Citation  Schoenwaelder SM, et al. (2009) Two distinct pathways regulate platelet phosphatidylserine exposure and procoagulant function. Blood 114(3):663-6
abstractText  Procoagulant platelets exhibit hallmark features of apoptotic cells, including membrane blebbing, microvesiculation, and phosphatidylserine (PS) exposure. Although platelets possess many well-known apoptotic regulators, their role in regulating the procoagulant function of platelets is unclear. To clarify this, we investigated the consequence of removing the essential mediators of apoptosis, Bak and Bax, or directly inducing apoptosis with the BH3 mimetic compound ABT-737. Treatment of platelets with ABT-737 triggered PS exposure and a marked increase in thrombin generation in vitro. This increase in procoagulant function was Bak/Bax- and caspase-dependent, but it was unaffected by inhibitors of platelet activation or by chelating extracellular calcium. In contrast, agonist-induced platelet procoagulant function was unchanged in Bak(-/-)Bax(-/-) or caspase inhibitor-treated platelets, but it was completely eliminated by extracellular calcium chelators or inhibitors of platelet activation. These studies show the existence of 2 distinct pathways regulating the procoagulant function of platelets.
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