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Supramaximal calcium signaling triggers procoagulant platelet formation.

Accepted version
Peer-reviewed

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Authors

Millington-Burgess, Sarah L 
Chabra, Shirom 
Malcor, Jean-Daniel 
Harper, Matthew T 

Abstract

Procoagulant platelets promote thrombin generation during thrombosis. Platelets become procoagulant in an all-or-nothing manner. We investigated how distinct Ca2+ signaling between platelet subpopulations commits some platelets to become procoagulant, using the high-affinity Ca2+ indicator Fluo-4, which may become saturated during platelet stimulation, or low-affinity Fluo-5N, which reports only very high cytosolic Ca2+ concentrations. All activated platelets had high Fluo-4 fluorescence. However, in Fluo-5N-loaded platelets, only the procoagulant platelets had high fluorescence, indicating very high cytosolic Ca2+. This finding indicates a novel, "supramaximal" Ca2+ signal in procoagulant platelets (ie, much higher than normally considered maximal). Supramaximal Ca2+ signaling and the percentage of procoagulant platelets were inhibited by cyclosporin A, a mitochondrial permeability transition pore blocker, and Ru360, an inhibitor of the mitochondrial Ca2+ uniporter, with no effect on Fluo-4 fluorescence. In contrast, Synta-66, an Orai1 blocker, reduced Fluo-4 fluorescence but did not directly inhibit generation of the supramaximal Ca2+ signal. Our findings show a distinct pattern of Ca2+ signaling in procoagulant platelets and provide a new framework to interpret the role of platelet signaling pathways in procoagulant platelets. This requires reassessment of the role of different Ca2+ channels and may provide new targets to prevent formation of procoagulant platelets and limit thrombosis.

Description

Keywords

Blood Platelets, Calcium, Calcium Signaling, Cytosol, Humans, Thrombin

Journal Title

Blood Adv

Conference Name

Journal ISSN

2473-9529
2473-9537

Volume Title

4

Publisher

American Society of Hematology

Rights

© Blood Advances Online by the American Society of Hematology
Sponsorship
British Heart Foundation (SP/15/7/31561)
British Heart Foundation (PG/17/45/33071)