Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
24
pubmed:dateCreated
2001-6-11
pubmed:abstractText
Thrombin plays a central role in normal and abnormal hemostatic processes. It is assumed that alpha-thrombin activates platelets by hydrolyzing the protease-activated receptor (PAR)-1, thereby exposing a new N-terminal sequence, a tethered ligand, which initiates a cascade of molecular reactions leading to thrombus formation. This process involves cross-linking of adjacent platelets mediated by the interaction of activated glycoprotein (GP) IIb/IIIa with distinct amino acid sequences, LGGAKQAGDV and/or RGD, at each end of dimeric fibrinogen molecules. We demonstrate here the existence of a second alpha-thrombin-induced platelet-activating pathway, dependent on GP Ib, which does not require hydrolysis of a substrate receptor, utilizes polymerizing fibrin instead of fibrinogen, and can be inhibited by the Fab fragment of the monoclonal antibody LJIb-10 bound to the GP Ib thrombin-binding site or by the cobra venom metalloproteinase, mocarhagin, that hydrolyzes the extracellular portion of GP Ib. This alternative alpha-thrombin pathway is observed when PAR-1 or GP IIb/IIIa is inhibited. The recognition sites involved in the cross-linking of polymerizing fibrin and surface integrins via the GP Ib pathway are different from those associated with fibrinogen. This pathway is insensitive to RGDS and anti-GP IIb/IIIa antibodies but reactive with a mutant fibrinogen, gamma407, with a deletion of the gamma-chain sequence, AGDV. The reaction is not due to simple trapping of platelets by the fibrin clot, since ligand binding, signal transduction, and second messenger formation are required. The GP Ib pathway is accompanied by mobilization of internal calcium and the platelet release reaction. This latter aspect is not observed with ristocetin-induced GP Ib-von Willebrand factor agglutination nor with GP Ib-von Willebrand factor-polymerizing fibrin trapping of platelets. Human platelets also respond to gamma-thrombin, an autoproteolytic product of alpha-thrombin, through PAR-4. Co-activation of the GP Ib, PAR-1, and PAR-4 pathways elicit synergistic responses. The presence of the GP Ib pathway may explain why anti-alpha-thrombin/anti-platelet regimens fail to completely abrogate thrombosis/restenosis in the cardiac patient.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
http://linkedlifedata.com/resource/pubmed/chemical/4-(2-aminoethyl)benzenesulfonylfluor..., http://linkedlifedata.com/resource/pubmed/chemical/Adenosine Triphosphate, http://linkedlifedata.com/resource/pubmed/chemical/Antibodies, Monoclonal, http://linkedlifedata.com/resource/pubmed/chemical/Antithrombins, http://linkedlifedata.com/resource/pubmed/chemical/Calcium, http://linkedlifedata.com/resource/pubmed/chemical/Cobra Venoms, http://linkedlifedata.com/resource/pubmed/chemical/Immunoglobulin Fab Fragments, http://linkedlifedata.com/resource/pubmed/chemical/Metalloendopeptidases, http://linkedlifedata.com/resource/pubmed/chemical/N3-cyclopropyl-7-((4-(1-methylethyl)..., http://linkedlifedata.com/resource/pubmed/chemical/Platelet Glycoprotein GPIb-IX..., http://linkedlifedata.com/resource/pubmed/chemical/Pyrroles, http://linkedlifedata.com/resource/pubmed/chemical/Quinazolines, http://linkedlifedata.com/resource/pubmed/chemical/Receptor, PAR-1, http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Thrombin, http://linkedlifedata.com/resource/pubmed/chemical/Serine Proteinase Inhibitors, http://linkedlifedata.com/resource/pubmed/chemical/Sulfones, http://linkedlifedata.com/resource/pubmed/chemical/Thrombin, http://linkedlifedata.com/resource/pubmed/chemical/mocarhagin
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0021-9258
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
276
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
21173-83
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed-meshheading:11283012-Adenosine Triphosphate, pubmed-meshheading:11283012-Antibodies, Monoclonal, pubmed-meshheading:11283012-Antithrombins, pubmed-meshheading:11283012-Binding Sites, Antibody, pubmed-meshheading:11283012-Blood Platelets, pubmed-meshheading:11283012-Calcium, pubmed-meshheading:11283012-Calcium Signaling, pubmed-meshheading:11283012-Cobra Venoms, pubmed-meshheading:11283012-Cytoplasmic Granules, pubmed-meshheading:11283012-Humans, pubmed-meshheading:11283012-Immunoglobulin Fab Fragments, pubmed-meshheading:11283012-Kinetics, pubmed-meshheading:11283012-Metalloendopeptidases, pubmed-meshheading:11283012-Platelet Aggregation, pubmed-meshheading:11283012-Platelet Glycoprotein GPIb-IX Complex, pubmed-meshheading:11283012-Pyrroles, pubmed-meshheading:11283012-Quinazolines, pubmed-meshheading:11283012-Receptor, PAR-1, pubmed-meshheading:11283012-Receptors, Thrombin, pubmed-meshheading:11283012-Serine Proteinase Inhibitors, pubmed-meshheading:11283012-Sulfones, pubmed-meshheading:11283012-Thrombin
pubmed:year
2001
pubmed:articleTitle
Unique pathway of thrombin-induced platelet aggregation mediated by glycoprotein Ib.
pubmed:affiliation
Department of Biochemistry, Division of Hematology/Oncology, MCP Hahnemann School of Medicine, Philadelphia, Pennsylvania 19102, USA.
pubmed:publicationType
Journal Article, In Vitro