Servicio de Hematologia y Oncología Médica, Centro Regional de Hemodonación, Hospital Universitario Morales Meseguer, IMIB-Arrixaca, Murcia, Spain.
Red CIBERER CB15/00055, Murcia, Spain.
Thromb Haemost. 2017 Nov;117(11):2079-2091. doi: 10.1160/TH17-04-0241. Epub 2017 Nov 30.
Neonatal platelets are hyporeactive and show impaired agonist-induced secretion despite no obvious abnormalities in their granules. Here, we examined, for the first time, the ultrastructure of neonatal and adult platelets following agonist activation. Under resting conditions, neonatal and adult platelets appeared ultrastructurally identical. Following agonist stimulation, however, noticeable degranulation occurred in adult platelets, while granules in neonatal platelets remained clearly visible and apparently unable to centralize or fuse. To investigate the underlying mechanisms, we first examined the expression levels of the main SNARE proteins, which mediate the membrane fusion events required for exocytosis. Neonatal platelets showed significantly reduced levels of syntaxin-11 and its regulator, Munc18b. Since granule centralization depends on contraction of the microtubule ring, we also examined the expression of its main component, β1-tubulin. Noteworthy, we found decreased mRNA and protein levels in neonatal platelets, while and isoforms were overexpressed, partially compensating for that deficiency. Finally, supporting the functional consequences of defective exocytosis, adhesion kinetic assays, performed in plasma-free medium, demonstrated delayed adhesion and spreading of neonatal platelets. This is the first report showing marked reductions of syntaxin-11-Munc18b complex and β1-tubulin in neonatal platelets, indicating that these proteins, required for platelet degranulation, are developmentally regulated.
新生儿血小板反应性低,尽管其颗粒中没有明显的异常,但在激动剂诱导的分泌方面存在受损。在这里,我们首次检查了激动剂激活后新生儿和成人血小板的超微结构。在静息状态下,新生儿和成人血小板的超微结构看起来相同。然而,在激动剂刺激后,成人血小板发生明显脱颗粒,而新生儿血小板中的颗粒仍然清晰可见,显然无法集中或融合。为了研究潜在的机制,我们首先检查了介导胞吐作用所需的主要 SNARE 蛋白的表达水平。新生儿血小板中突触结合蛋白 11 及其调节剂 Munc18b 的表达水平显著降低。由于颗粒集中取决于微管环的收缩,我们还检查了其主要成分β1-微管蛋白的表达。值得注意的是,我们发现新生儿血小板中 mRNA 和蛋白水平降低,而 和 同工型过表达,部分弥补了这种不足。最后,支持胞吐作用缺陷的功能后果,在无血浆的培养基中进行的黏附动力学测定表明,新生儿血小板的黏附和扩展延迟。这是首次报道新生儿血小板中突触结合蛋白 11-Munc18b 复合物和β1-微管蛋白明显减少,表明这些蛋白是血小板脱颗粒所必需的,其发育受到调控。