Summary
We have investigated the role of the thrombin/GPIbα interaction in the adhesion of
platelets to fibrin in a whole blood ex vivo perfusion model at a shear rate of 280 s-1. Blood was perfused through parallel-plate
chambers containing coverslips coated with cells expressing tissue factor, leading
to the generation of thrombin and thus, deposition of fibrin onto the exposed cells.
Adhesion of platelets to fibrin and thrombus growth were analyzed. Interestingly,
when GPIbα was removed from the platelet surface by action of mocarhagin, platelet
adhesion on fibrin was inhibited. Furthermore, a monoclonal antibody, VM16d, directed
against the thrombin binding site on GPIbα also inhibited platelet adhesion on fibrin,
showing the importance of the thrombin/GPIbα interaction. We then looked at the involvement
of αIIbβ3 and showed that platelet adhesion and thrombus growth on fibrin were inhibited
by the dodecapeptide, whereas lamifiban only inhibited the growth of the platelet
thrombus. These results indicated that binding of thrombin to GPIbα induced an intracellular
signaling leading to the interaction of the platelet integrin αIIbβ3 with the fibrindodecapeptide
sequence.
Keywords
Platelet adhesion - GPIb-IX-V - thrombin - αIIbβ3 - fibrin