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Submitted on November 1, 2004
Accepted on April 7, 2005
From the Sanquin (J.F.W.K.), Blood Bank region South-East, Maastricht, and the Department of Biochemistry (S.J.H.W., T.H., J.W.M.H., E.M.B., T.L.), Cardiovascular Research Institute Maastricht, Maastricht University, the Netherlands; and the Laboratory for Thrombosis Research (H.U., H.D.), K.U. Leuven, Campus Kortrijk, Belgium.
* To whom correspondence should be addressed. E-mail: t.lindhout{at}bioch.unimaas.nl.
Objective--In the blood coagulation process, the rate of thrombin formation is critically dependent on phosphatidylserine (PtdSer) at the surface of activated platelets. Thrombin synergistically enhances the collagen-induced platelet procoagulant response. The objective of this study is to elucidate the mechanism of this synergistic action with a focus on the intracellular Ca2+ concentration ([Ca2+]i) and the various platelet receptors for thrombin.
Methods and Results--We demonstrate that procoagulant activity is related to a sustained increased [Ca2+]i, which in turn depends on extracellular Ca2+ influx. Increased PtdSer exposure coincides with increased [Ca2+]i and was observed in a subpopulation (
14%) of the platelets after stimulation with thrombin plus collagen. 2D2-Fab fragments against the thrombin binding site on GPIb
made clear that this receptor did not signal for platelet procoagulant activity. Inhibition of protease-activated receptor 1 (PAR-1) and PAR-4 by selective intracellular inhibitors and selective desensitization of these receptors revealed that PAR-1, but not PAR-4, activation is a prerequisite for both sustained elevations in [Ca2+]i and procoagulant activity induced by collagen plus thrombin.
Conclusions--The interaction of thrombin with PAR-1 mediates a synergistic effect on collagen-induced procoagulant activity by inducing a sustained elevation in [Ca2+]i in a subpopulation of platelets.
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