Stalker Timothy J, Newman Debra K, Ma Peisong, Wannemacher Kenneth M, Brass Lawrence F
Departments of Medicine and Pharmacology, University of Pennsylvania, Philadelphia, PA, USA.
Handb Exp Pharmacol. 2012(210):59-85. doi: 10.1007/978-3-642-29423-5_3.
This chapter summarizes current ideas about the intracellular signaling that drives platelet responses to vascular injury. After a brief overview of platelet activation intended to place the signaling pathways into context, the first section considers the early events of platelet activation leading up to integrin activation and platelet aggregation. The focus is on the G protein-mediated events utilized by agonists such as thrombin and ADP, and the tyrosine kinase-based signaling triggered by collagen. The second section considers the events that occur after integrin engagement, some of which are dependent on close physical contact between platelets. A third section addresses the regulatory events that help to avoid unprovoked or excessive platelet activation, after which the final section briefly considers individual variations in platelet reactivity and the role of platelet signaling in the innate immune response and embryonic development.
本章总结了目前有关驱动血小板对血管损伤作出反应的细胞内信号传导的观点。在对血小板激活进行简要概述以将信号通路置于相应背景之后,第一部分探讨了血小板激活直至整合素激活和血小板聚集的早期事件。重点是凝血酶和ADP等激动剂所利用的G蛋白介导的事件,以及胶原蛋白引发的基于酪氨酸激酶的信号传导。第二部分探讨了整合素结合后发生的事件,其中一些事件依赖于血小板之间的紧密物理接触。第三部分讨论了有助于避免无端或过度血小板激活的调节事件,最后一部分简要考虑了血小板反应性的个体差异以及血小板信号传导在先天免疫反应和胚胎发育中的作用。