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Publication : GDF-15 prevents platelet integrin activation and thrombus formation.

First Author  Rossaint J Year  2013
Journal  J Thromb Haemost Volume  11
Issue  2 Pages  335-44
PubMed ID  23231375 Mgi Jnum  J:195443
Mgi Id  MGI:5484483 Doi  10.1111/jth.12100
Citation  Rossaint J, et al. (2013) GDF-15 prevents platelet integrin activation and thrombus formation. J Thromb Haemost 11(2):335-44
abstractText  BACKGROUND: Integrin-mediated platelet function plays an important role in primary hemostasis. Growth-differentiation factor 15 (GDF-15) has been shown to inhibit beta(2) -integrin activation in leukocytes. METHODS: We investigated the effect of GDF-15 on platelet integrin activation in vitro and in different in vivo models of thrombus formation. RESULTS: GDF-15(-/-) mice showed an accelerated thrombus formation and a reduced survival rate after collagen-induced pulmonary thromboembolism. In reconstitution experiments, recombinant GDF-15 decelerated thrombus formation and prolonged the bleeding time. In vitro experiments demonstrated that GDF-15 pretreated, agonist-stimulated platelets showed decreased binding to fibrinogen in flow chamber assays and reduced activation of beta(1) - and beta(3) -integrins in flow cytometry experiments. Pretreating human and mouse platelets with GDF-15 reduced platelet aggregation. Mechanistically, GDF-15 prevents agonist-induced Rap1- dependent alpha(II) (b) beta(3) activation by activating PKA. Platelet P-selectin expression and dense granule secretion after stimulation were unaffected by GDF-15, indicating a specific effect of GDF-15 on integrin activation. CONCLUSION: GDF-15 specifically inhibits platelet integrin activation. These findings may have profound clinical implications for the treatment of hemostatic conditions involving platelets.
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