Robertson Jason O, Li Wei, Silverstein Roy L, Topol Eric J, Smith Jonathan D
Department of Cell Biology, Cleveland Clinic, Cleveland, OH; Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Thromb Res. 2009 Feb;123(4):644-52. doi: 10.1016/j.thromres.2008.07.003. Epub 2008 Aug 15.
Our group has previously reported genetic studies associating polymorphisms in the low density lipoprotein receptor related protein 8 (LRP8) gene with myocardial infarction. The aim of this study was to define the role of platelet surface LRP8 in thrombosis.
Flow cytometry, aggregometry, intravital microscopy and tail bleeding assays were used to examine platelet function and hemostasis in LRP8-deficient mice and littermate controls.
We demonstrated that activation of platelets from both LRP8(+/-) and LRP8(-/-) mice was reduced in vitro in response to either ADP or thrombin. In vivo, LRP8-hemizygous and LRP8(-/-) mice demonstrated 200% and 68% increased time for carotid occlusion in response to FeCl(3) injury, respectively. Moreover, lipidated apoE3, a ligand for LRP8, inhibited platelet activation in a dose-dependent fashion. This inhibition was markedly attenuated in LRP8(-/-) but not LRP8(+/-) mice and did not result from membrane cholesterol efflux or a nitric oxide dependent pathway. Tail bleeding times were unaffected in both genotypes.
Our results suggest that LRP8 is capable of altering thrombosis without affecting normal hemostasis through mechanisms both dependent on and independent of apoE. This suggests a means whereby clot formation could be affected in humans with LRP8 gene variants.
我们的研究小组之前报道了低密度脂蛋白受体相关蛋白8(LRP8)基因多态性与心肌梗死的遗传学研究。本研究的目的是确定血小板表面LRP8在血栓形成中的作用。
采用流式细胞术、血小板聚集试验、活体显微镜检查和尾部出血试验来检测LRP8基因缺陷小鼠和同窝对照小鼠的血小板功能和止血情况。
我们发现,LRP8(+/-)和LRP8(-/-)小鼠的血小板在体外对ADP或凝血酶的反应中活化均降低。在体内,LRP8半合子和LRP8(-/-)小鼠对FeCl3损伤的颈动脉闭塞时间分别增加了200%和68%。此外,LRP8的配体脂化载脂蛋白E3以剂量依赖性方式抑制血小板活化。这种抑制在LRP8(-/-)小鼠中明显减弱,但在LRP8(+/-)小鼠中未减弱,且不是由膜胆固醇流出或一氧化氮依赖性途径引起的。两种基因型的尾部出血时间均未受影响。
我们的结果表明,LRP8能够通过依赖和不依赖载脂蛋白E的机制改变血栓形成,而不影响正常止血。这提示了一种在携带LRP8基因变异的人类中影响血栓形成的方式。