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Publication : Dual roles for hepatic lectin receptors in the clearance of chilled platelets.

First Author  Rumjantseva V Year  2009
Journal  Nat Med Volume  15
Issue  11 Pages  1273-80
PubMed ID  19783995 Mgi Jnum  J:154297
Mgi Id  MGI:4367623 Doi  10.1038/nm.2030
Citation  Rumjantseva V, et al. (2009) Dual roles for hepatic lectin receptors in the clearance of chilled platelets. Nat Med 15(11):1273-80
abstractText  Rapid chilling causes glycoprotein-Ib (GPIb) receptors to cluster on blood platelets. Hepatic macrophage beta(2) integrin binding to beta-N-acetylglucosamine (beta-GlcNAc) residues in the clusters leads to rapid clearance of acutely chilled platelets after transfusion. Although capping the beta-GlcNAc moieties by galactosylation prevents clearance of short-term-cooled platelets, this strategy is ineffective after prolonged refrigeration. We report here that prolonged refrigeration increased the density and concentration of exposed galactose residues on platelets such that hepatocytes, through Ashwell-Morell receptor binding, become increasingly involved in platelet removal. Macrophages rapidly removed a large fraction of transfused platelets independent of their storage conditions. With prolonged platelet chilling, hepatocyte-dependent clearance further diminishes platelet recovery and survival after transfusion. Inhibition of chilled platelet clearance by both beta(2) integrin and Ashwell-Morell receptors may afford a potentially simple method for storing platelets in the cold.
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