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Platelet Signaling in Primary Haemostasis and Arterial Thrombus Formation: Part 2.

Hamostaseologie

November 2018

Division of Clinical and Experimental Haemostasis, Hemotherapy and Transfusion Medicine, University Blood Center, and Haemophilia Comprehensive Care Center, Institute of Transplantation Diagnostics and Cell Therapeutics, Heinrich Heine University Medical Center, Düsseldorf, Germany.

Platelet signal transduction is the focus of this review. While 'classic' platelet signaling through G protein-coupled receptors in response to fluid-phase agonists has been extensively studied, signaling mechanisms linking platelet adhesion receptors such as GPIb-IX-V, GPVI and α2β1 to the activation of αIIbβ3 are less well established. Moreover, 'non-haemostatic' pathways can also activate platelets in various settings, including platelet-immune or platelet-tumour cell interactions, platelet responses to neutrophil extracellular traps, or stimulation by microbial pathogens.

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A dichotomy in platelet activation: Evidence of different functional platelet responses to inflammatory versus haemostatic stimuli.

Thromb Res

December 2018

Sackler Institute of Pulmonary Pharmacology, Institute of Pharmaceutical Science, Room 5.06 Franklin-Wilkins Building, Waterloo Campus, King's College London, London SE1 9NH, UK.

Introduction: Platelets participate in inflammatory disorders through a variety of different functional responses, including chemotaxis, platelet-leukocyte complex formation and facilitation of leukocyte recruitment that are thought to be distinct from platelet aggregation. This may account for why classical anti-platelet drugs have failed to ameliorate inflammatory disorders where platelets are known to participate, suggesting that distinct pathways may control inflammatory and haemostatic functions of platelets. In the present study, we have therefore investigated the effect of different stimuli on several different functions of platelets preferentially involved either in haemostasis or in inflammation.

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Article Synopsis
  • Dysregulation of lymphocyte function, autoantibody accumulation, and ineffective clearance of immune complexes are key features of systemic lupus erythematosus (SLE), resulting in chronic inflammation and organ damage.
  • Platelets, known for preventing bleeding, also play significant roles in both adaptive and innate immunity by interacting with immune complexes and releasing immunomodulatory molecules.
  • Evidence suggests that activated platelets in SLE patients might increase autoantigen levels through microparticle and mitochondrial antigen release, contributing to the disease's pathogenesis.
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Recent years have been ripe with discoveries of non-haemostatic platelet functions. This led to the appreciation of the significant, previously unknown, role played by the platelets in various pathologies and regenerative processes. As a result, exciting opportunities for clinical applications in fields as diverse as regenerative medicine and cancer treatment are emerging.

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