Abstract
Platelets are critical for normal hemostasis. Their deregulation can lead to bleeding or to arterial thrombosis, a primary cause of heart attack and ischemic stroke. Src homology 2 domain–containing inositol 5-phosphatase 1 (SHIP1) is a 5-phosphatase capable of dephosphorylating the phosphatidylinositol 3,4,5-trisphosphate second messenger into phosphatidylinositol 3,4-bisphosphate. SHIP1 plays a critical role in regulating the level of these 2 lipids in platelets. Using SHIP1-deficient mice, we found that its loss affects platelet aggregation in response to several agonists with minor effects on fibrinogen binding and β3 integrin tyrosine phosphorylation. Accordingly, SHIP1-null mice showed defects in arterial thrombus formation in response to a localized laser-induced injury. Moreover, these mice had a prolonged tail bleeding time. Upon stimulation, SHIP1-deficient platelets showed large membrane extensions, abnormalities in the open canalicular system, and a dramatic decrease in close cell-cell contacts. Interestingly, SHIP1 appeared to be required for platelet contractility, thrombus organization, and fibrin clot retraction. These data indicate that SHIP1 is an important element of the platelet signaling machinery to support normal hemostasis. To our knowledge, this is the first report unraveling an important function of SHIP1 in the activation of hematopoietic cells, in contrast to its well-documented role in the negative regulation of lymphocytes.
Introduction
Platelet activation is a highly regulated process and critical for mediating normal hemostasis. Vascular injury exposes subendothelial matrix proteins that allow platelet arrest and their subsequent spreading, activation, and secretion of soluble mediators. These soluble agonists recruit circulating platelets, allowing aggregation for the bleeding to stop. In pathological states, platelet activation can contribute to thrombosis and cerebrovascular and arterial occlusion and eventually to heart attacks and strokes. Several signaling mechanisms have been shown to contribute to platelet activation, including the phospholipase C (PLC)/Ca2+ and the PI3K pathways. By generating phosphatidylinositol 3,4,5-trisphosphate [PtdIns(3,4,5)P3] and phosphatidylinositol 3,4-bisphosphate [PtdIns(3,4)P2] second messengers, PI3K plays an important role in platelet activation and plug stability (1–3). Using a selective PI3K β inhibitor, Jackson et al. (3) recently suggested that this lipid kinase could be a potential target for antithrombotic therapy.
It is now well established in several models that phosphoinositide phosphatases involved in the hydrolysis of PtdIns(3,4,5)P3 and PtdIns(3,4)P2, such as the phosphatase and tensin homolog (PTEN), are essential for the negative regulation of PI3K pathways (4). PTEN is commonly deleted or inactivated in several cancers, leading to the overactivation of PI3K signaling. The contribution of the different phosphoinositide phosphatases to platelet regulation is still poorly characterized. Src homology 2 domain–containing inositol 5-phosphatase 1 (SHIP1) plays a critical role in the control of PtdIns(3,4,5)P3 and PtdIns(3,4)P2 levels, but its implication in the regulation of platelet functions remains largely unknown. SHIP1 and SHIP2 form a subgroup of the inositol polyphosphate 5-phosphatase family acting as negative regulators of several signal transduction pathways downstream of PI3K, including Akt activation (5, 6). SHIP1 is expressed in hematopoietic cells, whereas SHIP2 is ubiquitous. Both proteins share a high degree of identity, and, besides a central 5-phosphoinositol phosphatase domain, they contain multiple protein-protein interaction domains, including an N-terminal Src homology 2 domain, a C-terminal proline-rich region, and 2 phosphotyrosine-binding consensus sequences (i.e., NPxY sequences; ref. 7).
SHIP1-deficient mice show an increased number of myeloid progenitors in their bone marrow and spleen, and these progenitors display enhanced responsiveness to cytokines. They develop marked pulmonary infiltrates of hyperproliferative macrophages and granulocytes. The platelet count of SHIP1-deficient mice is not affected (8, 9).
SHIP1 becomes tyrosine-phosphorylated upon thrombin stimulation in an aggregation- and αIIbβ3 integrin engagement–dependent manner (10), leading to the generation of new potential docking sites for signaling proteins. Loss of SHIP1 expression is sufficient to induce an accumulation of PtdIns(3,4,5)P3 and a strong decrease in PtdIns(3,4)P2 production in platelets stimulated by thrombin or collagen (11). Recent studies suggest a role for SHIP1 in the control of calcium entry (12) and in αIIbβ3-induced signaling in platelets adhered on a fibrinogen-coated surface (13). To gain insight into the function of this protein, we investigated in detail the phenotype of SHIP1-deficient platelets in vitro and in vivo. Using mice bearing a targeted disruption of both SHIP1 alleles (14), we demonstrate that this phosphatase is important for primary hemostasis as shown by increased tail bleeding time. Accordingly, platelet aggregation and thrombus growth were affected in vitro and in vivo. SHIP1 deficiency led to a dramatic defect in the platelet contractile apparatus, leading to a decrease in close cell-cell contacts and an inhibition of fibrin clot retraction. Our results show that SHIP1 is an important protein of the platelet signal transduction process that leads to a normal hemostasis.
Results
Impaired in vitro aggregation of SHIP1-deficient platelets.
To determine whether SHIP1 is involved in the signaling mechanisms supporting platelet aggregation, SHIP1-deficient platelets and platelets from normal littermates were stimulated by different concentrations of thrombin, collagen, or the thromboxane A2 analogue U46619 (Figure 1A). Platelets from SHIP1-deficient mice showed a marked defect in aggregation in response to these agonists. Raising the agonist concentration increased aggregation but did not restore a normal response. As shown by differential interference contrast, SHIP1-deficient platelets stimulated by 1 IU/ml thrombin, 10 μg/ml collagen, or 1 μM U46619 formed microaggregates (Figure 1B). These microaggregates were stable and did not disaggregate with time (not shown). No apparent defect in platelet-shape change could be observed in response to the different agonists tested. Thus, SHIP1 appears to regulate the size of platelet aggregates in response to various agonists in vitro.
Dynamics of thrombus formation under flow.
To further investigate this functional defect, we examined thrombus formation under physiological flow conditions. Fluorescently labeled platelets in whole blood were perfused over a matrix of collagen at a shear rate of 1,500 s–1 (15 dynes/cm2) during 2 minutes. Blood from control mice exhibited robust formation of densely packed platelets on collagen (Figure 2, A and B). In marked contrast, SHIP1-deficient platelets attached along the length of the collagen fibers but formed smaller thrombi (Figure 2, A and B). As shown in Figure 2, C and D, the surface covered by platelet aggregates (13% ± 2.9% for SHIP1-deficient platelets versus 28.7% ± 2.5% for WT platelets) and the thrombus volume (0.6 × 105 ± 0.2 × 105 μm3 for SHIP1-deficient platelets versus 1.6 × 105 ± 0.1 × 105 μm3 for WT platelets) were significantly reduced.
These results indicate that under physiological shear rate conditions, SHIP1-deficient platelets formed smaller aggregates on the collagen fibers as compared with control platelets (Figure 2B).
SHIP1-deficient platelets exhibit defects in dense-granule and α-granule secretion.
To check whether this platelet aggregation defect was due to a lack of secretion of dense or α-granules, we analyzed the secretion of serotonin (Table 1) and the expression of P-selectin (Figure 3 and Table 2). The basal level of P-selectin expression was comparable in WT and SHIP1-deficient platelets (Figure 3 and Table 2). Upon platelet stimulation by different doses of thrombin, the absence of SHIP1 induced a moderate (about 20%) inhibition of the secretion of dense or α-granules. In the case of 10 μg/ml collagen stimulation, which induced a weak secretion in comparison with high doses of thrombin, absence of SHIP1 had only a minor effect on the degranulation response. Finally, platelet secretion induced by 5 μM U46619 was markedly inhibited (about 40%) in SHIP1-deficient platelets. These results indicate that there is only a partial involvement of SHIP1 in degranulation that cannot totally explain the aggregation defect of SHIP1-deficient platelets.
Table 1 .
Table 2 .
We then checked whether cytosolic calcium response would be disturbed in the absence of SHIP1 (Supplemental Figure 1; supplemental material available online with this article; doi: 10.1172/JCI29967DS1). The basal cytosolic calcium level was comparable in SHIP1-deficient platelets and in control platelets. Moreover, the calcium mobilization and the overall pattern of cytosolic calcium flux in response to thrombin, collagen, or U46619 were normal in SHIP1-deficient platelets (Supplemental Figure 1, A–C). In agreement, the production of phosphatidic acid, which reflects PLC activation in platelets (15), was only slightly affected in SHIP1-deficient platelets stimulated by these agonists as compared with WT (not shown).
Role of SHIP1 in the formation of compacted platelet aggregates.
To further characterize the defect in platelet aggregation, we investigated the ultrastructure of SHIP1-deficient platelets by electron microscopy (Figure 4A). Under resting conditions, platelet size and volume, dispersion of α-granules and dense bodies, and the organization of the open canalicular system (OCS) were comparable in WT and SHIP1-deficient platelets (not shown). As expected, upon thrombin stimulation, WT platelets formed close contacts and underwent degranulation. By contrast, in SHIP1-deficient platelets, thrombin stimulation caused the distension of the internal membrane system (dilated portions of the OCS), which was accompanied by the appearance of large vacuoles (Figure 4A, black arrows) and a few randomly dispersed granules. SHIP1-deficient platelets formed some membrane extensions (Figure 4A, white arrows) but exhibited decreased cell-cell contacts in response to thrombin. The close proximity of the plasma membranes of adjacent WT platelets was no longer observed in SHIP1-deficient platelets. These morphological differences correlated with an increase in the apparent surface occupied by the central body of SHIP1-deficient platelets stimulated by thrombin as compared with WT platelets (surface increase: 103% ± 8%, n = 20), suggesting a lower contractility. These data show that SHIP1 plays a critical role in the formation of densely compacted platelet aggregates.
Fibrinogen binding and β3 integrin phosphorylation in SHIP1-deficient platelets.
Fibrinogen binding is critical for platelet aggregation and is a reflection of αIIbβ3 integrin activation, a process that depends on inside-out signaling. To evaluate the role of SHIP1 in αIIbβ3 integrin activation, we analyzed fibrinogen binding to platelets from WT and SHIP1-deficient mice. Interestingly, SHIP1-deficient platelets bound comparable amounts of Oregon Green 488–conjugated fibrinogen in response to increasing concentrations of thrombin or U46619 (Figure 4B), indicating that αIIbβ3 inside-out signaling was not significantly affected by the absence of SHIP1. Upon ligand binding, critical tyrosine residues in the cytoplasmic tail of the β3 integrin become phosphorylated and serve as docking sites for downstream signaling molecules (16). We therefore assessed the role of SHIP1 in β3 integrin tyrosine phosphorylation under conditions in which no exogenous fibrinogen was added. As shown by immunoblotting using an anti–β3 integrin [pY773] phosphospecific antibody (Figure 4C), at low doses of thrombin (<0.1 IU/ml), the absence of SHIP1 affected β3 phosphorylation (28% decrease, P < 0.05). Raising the agonist concentration did overcome the defect, as the β3 integrin tyrosine phosphorylation was normal at higher doses of thrombin (>0.1 IU/ml). These results indicate that SHIP1 is dispensable for αIIbβ3 inside-out signaling but is involved in αIIbβ3 outside-in signaling at low doses of agonist.
Mice lacking SHIP1 have increased bleeding time and form smaller thrombi in vivo.
To assess whether the altered responsiveness of SHIP1-deficient platelets in vitro would correlate with platelet-dependent primary hemostasis defects in vivo, we evaluated bleeding time. In WT mice, bleeding induced by amputation of the tail tip was controlled within 2–3 minutes, whereas SHIP1-deficient mice kept bleeding (Figure 5A).
To determine whether this bleeding diathesis correlated with a defect in thrombus formation in vivo, we studied the behavior of SHIP1-deficient platelets in a model of arterial thrombus formation by intravital microscopy of the locally injured mesenteric arteries (17). After induction of a superficial injury of the mesenteric arteries using a laser, WT platelets rapidly adhered to the site of endothelial desquamation and formed a thrombus (Figure 5B). Platelets lacking SHIP1 also adhered rapidly to the injured vessel wall as shown by the curve inclination, which was similar in WT and SHIP1-deficient platelets. However, consistent with the data obtained in vitro, the thrombus size and the total number of platelets that composed the thrombus were significantly reduced in SHIP1-null mice compared with WT mice (Figure 5B). The subsequent progressive appearance and disappearance of the thrombus were comparable in both mouse models. These results indicate that the initial adhesion of platelets to the injured vessel wall is not altered. However, SHIP1 is involved in platelet thrombus growth in vivo.
Defect in thrombus organization in mice lacking SHIP1.
When a high concentration of collagen (0.4 mg/kg) and epinephrine (60 μg/kg) was injected into the jugular vein, SHIP1-deficient mice were not protected against thromboembolism (not shown). However, histological analysis of mouse lungs harvested 3 minutes after a nonlethal i.v. injection of a lower dose of collagen (0.15 mg/kg) in association with epinephrine (60 μg/kg) showed marked differences in the occlusive thrombi in vessels from WT mice compared with SHIP1-deficient mice (Figure 6A). WT mouse thrombi were rich in platelets and well organized. In contrast, the pulmonary thrombi formed in SHIP1-deficient mice contained less platelet as shown by the αIIb integrin staining intensity (Figure 6B). These results are in agreement with the microaggregates observed in vitro (Figures 1 and 2) and the decreased thrombus size measured in vivo upon vessel injury (Figure 5). Thus, SHIP1 is required for normal platelet aggregate formation and is involved in thrombus organization in vivo.
Defect in myosin light chain phosphorylation and clot retraction in SHIP1-deficient platelets.
Overall, the phenotype of SHIP1-deficient platelets suggests a defect in the contractile apparatus. Therefore, we investigated myosin light chain (MLC) phosphorylation, which is required for efficient actomyosin formation and contractility. In order to avoid the αIIbβ3 integrin– and aggregation-dependent MLC phosphorylation, the experiment was performed in the presence of the αIIbβ3 integrin antagonist SR-121566A (18). In WT and SHIP1-deficient platelets, maximal MLC phosphorylation was observed 10 seconds after thrombin addition, but the phosphorylation intensity was dramatically decreased in SHIP1-deficient platelets (Figure 7A). The remaining transient peak of MLC phosphorylation at 10 seconds of stimulation is likely to be sufficient to support platelet-shape change, which appeared normal in response to the different agonists tested (Figure 1). Conversely, after a longer stimulation, corresponding to the formation of aggregates, MLC phosphorylation was fully inhibited in SHIP1-deficient platelets. Another method to evaluate contraction force is to measure fibrin clot retraction, which requires aggregation and firm membrane-cytoskeleton interactions. In the presence of thrombin (2 IU/ml) and atroxin, an N-terminal fibrinopeptide A–cleaving snake venom enzyme (19), WT platelets efficiently retracted the fibrin clot. Interestingly, SHIP1-deficient platelets were unable to induce fibrin clot retraction (Figure 7B). Overall, these results demonstrate the implication of SHIP1 in the platelet contractile apparatus.
Discussion
The hematopoietic phosphoinositide phosphatase SHIP1 is known to play important roles in the negative regulation of immune cells (20, 21). In platelets, this phosphatase plays a major role in the control of PtdIns(3,4,5)P3 and PtdIns(3,4)P2 levels upon stimulation (11). SHIP1-deficient platelets show a slight increase in basal PtdIns(3,4,5)P3 levels and dramatically accumulate this lipid in response to thrombin or collagen, whereas PtdIns(3,4)P2 production is strongly impaired. In contrast to immune cells, normal platelets produce high amounts of PtdIns(3,4)P2 during activation. This large accumulation of PtdIns(3,4)P2, typical of platelets, is mainly dependent on the engagement of integrins and platelet aggregation (22, 23). The molecular targets and the functions of PtdIns(3,4)P2 are still poorly characterized. Several groups have shown that PI3K and Akt are involved in promoting and maintaining platelet aggregation (1, 2, 24, 25), but the relative contribution of PtdIns(3,4)P2 and PtdIns(3,4,5)P3 remains unknown. Here, we investigated whether SHIP1, a major regulator of the level of these 2 PI3K products, has a role in the regulation of platelet functions. Our results point to an important contribution of SHIP1 in the control of platelet aggregation and in hemostasis. Using in vitro approaches, we found a strong decrease in the amplitude of platelet aggregation in response to thrombin, U46619, and collagen. The size of the aggregates was dramatically reduced in the absence of SHIP1, but these small aggregates appeared stable. Accordingly, SHIP1-deficient platelets formed smaller thrombi than WT platelets in an in vitro thrombus formation assay under physiological flow conditions using whole blood perfused over a matrix of collagen. Again, these small thrombi were stable.
The reduction in dense and α-granule secretion observed in SHIP1-deficient platelets was moderated in response to thrombin, more pronounced in the case of U46619, and undetectable in response to collagen. This partial defect cannot totally explain the strong effect on aggregation and thrombus growth. Importantly, the defect in the size of the aggregates correlated with a dramatic increase in bleeding time. Moreover, intravital microscopy, which allows visualization of thrombosis in mesenteric arteries, clearly demonstrated a role for SHIP1 in thrombus growth at injury sites. Real-time imaging showed that both WT and SHIP1-deficient platelets rapidly accumulated on the injured endothelium and that the formation of a thrombus followed, peaking at 30 seconds. The major differences concerned the size of the thrombus and the number of recruited platelets, which were significantly reduced in SHIP1-null mice. Furthermore, upon i.v. injection of collagen and epinephrine, the pulmonary thrombi formed in SHIP1-deficient mice had a lower platelet number than did those formed in WT mice.
Taken together, these data demonstrate a critical role for SHIP1 in the development of normal platelet aggregates in vitro and, most importantly, in normal hemostasis and in thrombus formation in vivo. Remarkably, although different in intensity, these defects were observed with all the tested platelet agonists, suggesting that a common central mechanism was affected by the absence of SHIP1.
The αIIbβ3 integrin is absolutely required for both platelet aggregation and thrombus growth. Interestingly, fibrinogen binding to αIIbβ3 integrin was not affected by the absence of SHIP1, indicating that αIIbβ3 inside-out signaling still functions in SHIP1-deficient platelets stimulated by thrombin. Furthermore, αIIbβ3 outside-in signaling leading to β3 tyrosine phosphorylation was less efficient at low doses of agonist but appeared normal at high doses of thrombin, despite the formation of small aggregates.
Thrombus generation is a complex process requiring many regulatory components. Among them, cytosolic calcium is an important element. In agreement with Pasquet et al. (12), we found that agonist-induced PLC activation and calcium mobilization of SHIP1-deficient platelets, in suspension, were not significantly modified in the absence of external calcium. In the presence of external calcium, we and Maxwell et al. (13) found no difference in the basal cytosolic calcium level of SHIP1-deficient platelets, whereas Pasquet et al. (12) observed an increase in this level through a mechanism dependent on PtdIns(3,4,5)P3 and Bruton’s tyrosine kinase (Btk). This pathway, not identified in other hematopoietic cells, remains to be elucidated. Our results suggest that the aggregation defect of SHIP1-deficient platelets is not due to a major difference in calcium mobilization. Maxwell et al. (13) showed that there was no difference in the peak level of cytosolic calcium or the overall pattern of cytosolic calcium flux in SHIP1-deficient platelets adhered on fibrinogen; however, using real-time confocal microscopy they observed a more sustained oscillatory calcium response, even in the absence of external calcium. The authors propose that SHIP1 deficiency induced an accumulation of PtdIns(3,4,5)P3 in response to αIIbβ3 integrin engagement that could sustain PLCγ activation and, in turn, calcium mobilization. In parallel, an increased spreading of SHIP1-deficient platelets on fibrinogen was observed (S. Séverin, unpublished observations; ref. 13), suggesting that this phosphatase could act as a negative regulator of αIIbβ3-mediated signaling (13).
However, when platelets are stimulated in suspension, SHIP1 may regulate early molecular processes as well as post–integrin engagement events. A possible explanation that might take into account the different observations is that SHIP1-deficient platelets have a defect in the contractile apparatus that could contribute to the increased spreading.
Electron microscopy analysis indicated that the ultrastructures of WT and SHIP1-deficient platelets are comparable under resting conditions. However, distension of the internal membrane system with appearance of large vacuoles, membrane extensions, and decreased cell-cell contacts was observed in SHIP1-deficient platelets in response to thrombin. It is noteworthy that a significant membrane surface of the OCS and likely a population of integrins remain accessible for soluble ligands but are not available for platelet-platelet interactions, probably contributing to the decrease in aggregation and thrombus growth. These morphological modifications strongly suggest that SHIP1 is required for contraction. This was confirmed by a strong decrease in the MLC phosphorylation in SHIP1-deficient platelets stimulated by thrombin. Accordingly, the loss of SHIP1 impaired the cellular retraction of the fibrin clot under conditions in which the β3 integrin cytoplasmic domain was tyrosine-phosphorylated. These results strongly suggest that SHIP1 is involved in platelet actomyosin-mediated contraction. Preliminary results indicate that both the actin cytoskeleton reorganization and the microtubule dynamics are strongly affected by SHIP1 deficiency in response to thrombin. This lack of contractility may explain the fact that platelets are no longer able to establish close contacts with each other. There is an emerging concept that contact-dependent signaling (26, 27) may be very important to reach full platelet activation and, in turn, formation of large and well-structured aggregates to promote thrombus growth. The mechanical forces generated by MLC phosphorylation and actomyosin-dependent contractile activity are thought to compress the space between platelets, amplifying platelet secretion (28).
How can SHIP1 regulate platelet contractility? PI3K products have been suggested to contribute to the reorganization of the actin cytoskeleton, a critical process in the establishment of contractile forces. PtdIns(3,4)P2 can interact with the pleckstrin homology (PH) domain of lamellipodin, a protein involved in the dynamics of the actin cytoskeleton (29). We have previously shown that inhibition of PtdIns(3,4)P2 production leads to a rapid detachment of myosin from the actin cytoskeleton (1). PtdIns(3,4,5)P3 can recruit a number of PH domain–containing proteins, including Akt, Vav, PLCγ2, and Tec tyrosine kinases, which are involved in platelet regulation processes. Thus, SHIP1 likely plays a critical temporal regulatory function by turning off PtdIns(3,4,5)P3-dependent processes and switching on PtdIns(3,4)P2-mediated signaling. It may also influence the formation of signaling complexes via its docking-protein properties. Its close homolog SHIP2 is known to interact with cytoskeletal elements such as filamin (30). Determination of the exact role of PtdIns(3,4)P2 and of the importance of SHIP1 as a docking protein will be essential in understanding the molecular mechanisms deregulated in SHIP1-deficient platelets.
In contrast to the well-established role of SHIP1 in the negative regulation of lymphocytes, our study shows, for the first time to our knowledge, the essential role of this phosphoinositide 5-phosphatase in the in vitro and in vivo platelet activation process. Interestingly, this phosphatase is essential for the formation of large aggregates with tightly associated platelets, leading to the formation of an efficient hemostatic plug growth and organization.
Methods
Materials.
Collagen was from Nycomed, U46619 from QBiogene Inc., glass microcapillaries from ibidi, and FITC-labeled anti–P-selectin antibody from BD Biosciences — Pharmingen. 5-Hydroxy[14C]tryptamine (56.0 mCi/mmol) and SuperSignal West Pico Chemiluminescent Substrate were from Amersham International. DiOC6, Indo-1/AM, Pluronic F-127, and Oregon Green 488–conjugated fibrinogen were from Invitrogen. Anti–β3 integrin [pY773] phosphospecific antibody was from BioSource International Inc. Anti–β3 integrin antibody and peroxidase-conjugated secondary antibodies were purchased from Cell Signaling Technology. Rabbit polyclonal anti–αIIb integrin antibody and mouse monoclonal anti–phospho-MLC (Ser 19) antibody were from Santa Cruz Biotechnology Inc. SR-121566 was a gift from P. Savi (Sanofi Aventis, Toulouse, France). All other reagents were purchased from Sigma-Aldrich.
Animals.
WT and mutant mice deficient in SHIP1, generated as previously described (14), were of C57BL/6 genetic background and housed in the Institut Fédératif de Recherche–Toulouse Purpan vivarium according to institutional guidelines. For all experiments, 5- to 10-week-old mice were used. Ethical approval for animal experiments was received from the French Ministry of Research in accordance with the European Union guidelines and had total committee approval.
Preparation of platelets and in vitro aggregation studies.
Whole blood was drawn from the inferior vena cava of anesthetized mice into a syringe containing acid citrate dextrose (1 vol anticoagulant/9 vol blood). To obtain an optimal amount of platelet-rich plasma (PRP), blood was mixed with 1 volume of modified HEPES-Tyrode’s buffer (140 mM NaCl, 2 mM KCl, 12 mM NaHCO3, 0.3 mM NaH2PO4, 1 mM MgCl2, 5.5 mM glucose, 5 mM HEPES, pH 6.7) containing 2 mM EGTA and 0.35% HSA. After centrifugation at 150 g for 2 minutes, PRP was removed and a further 300 μl of modified HEPES-Tyrode’s buffer was added to the remaining blood, which was then centrifuged at 150 g for 2 minutes. Then, PGI2 at a final concentration of 500 nM was added to the PRP, and platelets were pelleted by centrifugation at 1,000 g for 4 minutes at 37°C. Platelet pellets were finally resuspended in modified HEPES-Tyrode’s buffer without EGTA (pH 7.38), pooled at a density of 5 × 108 platelets per milliliter in the presence of 0.02 U/ml of the ADP scavenger apyrase (adenosine-5′-triphosphate diphosphohydrolase), and incubated for 45 minutes at 37°C before platelet stimulation. Optical platelet aggregation experiments were monitored by a turbidimetric method using a dual-channel aggregometer (Payton Associates) with continuous stirring at 900 rpm at 37°C (5 × 108 platelets/ml). Calcium measurements were as described in Supplemental Methods.
In vitro model of thrombosis on immobilized collagen under flow conditions.
Glass microcapillaries were coated with 500 μg/ml type I collagen from equine tendon for 1 hour at 37°C. The flow chamber, mounted on an epifluorescence microscope (Axiovert 200; Zeiss), allowed direct visualization of the platelet adhesion and aggregation process, which was recorded with a charge-coupled device camera (CoolSNAP HQ; Roper Scientific). Mouse blood was drawn into lepirudin (200 IU/ml), and DiOC6 (2 μM, 10 minutes at 37°C) was used to label platelets in whole blood. Labeled blood was then perfused through collagen-coated glass microcapillaries for 2 minutes at a wall shear rate of 1,500 s–1 (15 dynes/cm2), followed by washing for 2 minutes at the same shear rate with PBS. Thrombus formation was visualized with a ×40 long-working-distance objective in real time (acquisition rate: 1 frame every 5 seconds) for both fluorescent and transmitted light microscopy. Image sequences of the time-lapse recording and analysis of surface coverage were performed off-line on single frame using MetaMorph software (Universal Imaging Corp.). After deconvolution, a lower intensity threshold was applied to distinguish platelets from the background, a similar threshold was then used for analysis of all Z-stacks collected for a given experiment. Thrombus volume was calculated as the summation of partial volumes measured from the area occupied by platelets in each plane of Z-stacks.
Gel electrophoresis and immunoblotting.
Proteins were resuspended in electrophoresis sample buffer containing 100 mM Tris-HCl (pH 6.8), 15% (vol/vol) glycerol, 25 mM DTT, and 3% SDS, boiled for 5 minutes, separated on SDS-PAGE, transferred onto a nitrocellulose membrane (Gelman Sciences), and analyzed as previously described (31) using the relevant antibody.
Measurement of α-granule and dense-granule secretion.
To measure α-granule secretion, washed platelets (5 × 108 platelets/ml) were stimulated with indicated concentrations of thrombin, collagen, and the thromboxane A2 analogue U46619 at 37°C for 10 minutes without shaking. Platelets (1 × 106) were incubated with 1 μg/μl FITC-labeled anti–P-selectin antibody for 30 minutes in a final volume of 100 μl at room temperature, then fixed with 1% formalin for 10 minutes and diluted 3 times in HEPES-Tyrode’s buffer. Samples were analyzed with a FACScan flow cytometer (BD Biosciences) and CellQuest software (BD Biosciences). Dense-granule secretion was investigated by platelet 5-hydroxy[14C]tryptamine release in response to different stimuli under stirring conditions, as described previously (15).
Electron microscopy.
Washed platelets were activated with 1 IU/ml thrombin at 37°C, fixed with a mixture of 2.5% paraformaldehyde and 2.5% glutaraldehyde in Sörensen’s buffer (0.1 M, pH 7.2), then postfixed with 1% osmium tetroxide in phosphate buffer, dehydrated, and embedded in epon-araldite resin. Ultrathin sections contrasted with uranyl acetate and lead citrate were examined with the use of a Hitachi H600 electron microscope or a JEOL JEM 2010 electron microscope for microdiffraction analysis.
Fibrinogen binding assays.
Washed platelets (1 × 108 platelets/ml) were incubated simultaneously with 0.5 IU/ml thrombin, Oregon Green 488–conjugated fibrinogen (150 μg/ml in final volume), and Tyrode’s buffer in a final volume of 100 μl. After 10 minutes at 37°C without shaking, samples were fixed by the addition of formalin (1% in final volume) and then diluted 5 times with HEPES-Tyrode’s buffer. Samples were analyzed by flow cytometry using a FACScan and CellQuest software.
Tail bleeding time.
We measured bleeding by 3-mm tail-tip transection in mice anesthetized by an i.p. injection of a mixture of ketamine (25 mg/kg) and xylazine (10 mg/kg). A stopwatch was started immediately upon transection to determine the time required for the bleeding to stop. Blood drops were removed every 15 seconds with the use of a paper filter. If bleeding did not recur within 30 seconds of cessation, it was considered stopped. Experiments were terminated after 30 minutes if no cessation of blood flow occurred.
In vivo models of thrombosis.
Mice weighing about 15 g and 3–5 weeks old were anesthetized, and their mesentery was exteriorized. An arteriole having a diameter of about 70 μm was observed under an inverted Leica DM IRB microscope. Localized injury of the luminal surface of the vessel was induced with a pulsed nitrogen dye laser (440 nm) applied through the microscope objective (×40) with a MicroPoint laser system (Photonic Instruments) as previously described (32, 33). Measure of thrombus surfaces was performed on platelets labeled with DiOC6. DiOC6 (0.5 μmol/g body weight) was injected into the jugular vein before vessel injury, and the fluorescence of platelets incorporated into the thrombi was visualized every 0.3 seconds. Thrombus formation was analyzed by wide-field and fluorescent light microscopy with a charge-coupled device CoolSnap HQ camera (Roper Scientific) and SlideBook software (Intelligent Imaging Innovations).
The acute systemic vascular thromboembolism experiment, a mixture of collagen (0.4 mg/kg) and epinephrine (60 μg/kg) was injected into the right jugular vein of mice anesthetized by an i.p. injection of ketamine (50 mg/kg) and xylazine (20 mg/kg).
Histochemical analysis of mouse lung.
To visualize thrombi in the pulmonary vasculature, anesthetized mice were euthanized 3 minutes after injection of the collagen (0.15 mg/kg) and adrenaline (60 μg/kg) mixture, and their lungs were excised and formalin-fixed. Paraffin sections (5 μm thick) were stained with Masson trichrome and then analyzed histologically for the presence of thrombi. Immunohistochemistry was performed on the paraffin-embedded lung sections as previously described (34). Platelets were identified with the use of a rabbit anti–αIIb integrin antibody.
Clot retraction experiments.
Clot retraction studies were performed as described previously (35). PRP was obtained from pooled blood samples from several mice by centrifugation for 4 minutes at 250 g at 37°C. Platelets were then washed with modified HEPES-Tyrode’s buffer (pH 6.7) containing 2 mM EGTA and 0.35% HSA, and resuspended (3 × 108 platelets/ml) without heparin in their autologous platelet-poor plasma containing 2 mM MgCl2 and 2 mM EGTA. Thrombin and atroxin were added at a final concentration of 2 IU/ml and 0.1 μg/ml, respectively, and the reaction mixtures were left unstirred at 37°C.
Statistics.
Statistical analyses were performed using Microsoft Excel 2003. P values less than 0.05 were considered statistically significant.
Acknowledgments
This work was supported by grants from the Fondation de France (cardiovascular, contract no. 2003005647). S. Séverin was supported by grants from Groupe d’Etude sur l’Hémostase et la Thrombose and Nouvelle Société Française d’Athérosclérose. We wish to thank G. Chicanne, C. Racaud-Sultan, F. Gaits-Iacovoni, H. Tronchere, S. Manenti, P. Nurden, and A. Nurden for stimulating discussions; and the Plateforme d’Histopatologie Expérimentale of IFR 30 (T. Al Saati and F. Capilla) and the Flow Cytometry Core Facility of IFR 30 (F. L’Faqihi-Olive) for technical help. We thank S. Allart of the Imaging Core Facility of IFR 30 for her expert contribution to the flow-based studies.
Footnotes
Nonstandard abbreviations used: MLC, myosin light chain; OCS, open canalicular system; PH, pleckstrin homology; PLC, phospholipase C; PRP, platelet-rich plasma; PtdIns(3,4)P2, phosphatidylinositol 3,4-bisphosphate; PtdIns(3,4,5)P3, phosphatidylinositol 3,4,5-trisphosphate; PTEN, phosphatase and tensin homolog; SHIP, Src homology 2 domain–containing inositol 5-phosphatase.
Conflict of interest: The authors have declared that no conflict of interest exists.
Citation for this article: J. Clin. Invest. 117:944–952 (2007). doi:10.1172/JCI29967
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