Platelet Polyphosphates Are Proinflammatory and Procoagulant Mediators In Vivo

Autor: Stephanie A. Smith, Stefan Schmidbauer, Wolfdieter A. Schenk, Thomas Renné, Henri M. H. Spronk, Nicola J. Mutch, James H. Morrissey, William A. Gahl, Lucie Esterl, Felicitas Müller
Rok vydání: 2009
Předmět:
Zdroj: Cell. 139(6):1143-1156
ISSN: 0092-8674
DOI: 10.1016/j.cell.2009.11.001
Popis: SummaryPlatelets play a central role in thrombosis, hemostasis, and inflammation. We show that activated platelets release inorganic polyphosphate (polyP), a polymer of 60–100 phosphate residues that directly bound to and activated the plasma protease factor XII. PolyP-driven factor XII activation triggered release of the inflammatory mediator bradykinin by plasma kallikrein-mediated kininogen processing. PolyP increased vascular permeability and induced fluid extravasation in skin microvessels of mice. Mice deficient in factor XII or bradykinin receptors were resistant to polyP-induced leakage. PolyP initiated clotting of plasma via the contact pathway. Ablation of intrinsic coagulation pathway proteases factor XII and factor XI protected mice from polyP-triggered lethal pulmonary embolism. Targeting polyP with phosphatases interfered with procoagulant activity of activated platelets and blocked platelet-induced thrombosis in mice. Addition of polyP restored defective plasma clotting of Hermansky-Pudlak Syndrome patients, who lack platelet polyP. The data identify polyP as a new class of mediator having fundamental roles in platelet-driven proinflammatory and procoagulant disorders.
Databáze: OpenAIRE