Anti-glycoprotein VI treatment severely compromises hemostasis in mice with reduced alpha2beta1 levels or concomitant aspirin therapy

Circulation. 2004 Nov 2;110(18):2946-51. doi: 10.1161/01.CIR.0000146341.63677.3C. Epub 2004 Oct 25.

Abstract

Background: Platelet inhibition is a major strategy to prevent arterial thrombosis, but it is frequently associated with increased bleeding because of impaired primary hemostasis. The activating platelet collagen receptor, glycoprotein VI (GP VI), may serve as a powerful antithrombotic target because its inhibition or absence results in profound protection against arterial thrombosis but no major bleeding in mice.

Methods and results: Mice lacking (-/-) or expressing half-levels (+/-) of the other major platelet collagen receptor, integrin alpha2beta1, were injected with the anti-GP VI antibody JAQ1 and analyzed on day 5. Anti-GP VI treatment resulted in a marked hemostatic defect in alpha2-/- or alpha2+/- mice, as shown by dramatically prolonged tail bleeding times. Platelet adhesion to collagen was studied in an ex vivo whole-blood perfusion system under high shear conditions. Weak integrin activation by thromboxane A2 (TxA2) receptor stimulation restored defective adhesion of anti-GP VI-treated wild-type but not alpha2-/- or alpha2+/- platelets to collagen. This process required the simultaneous activation of the G(q) and G13 signaling pathways, as demonstrated by use of the respective knockout strains. Conversely, inhibition of TxA2 production by aspirin severely compromised hemostasis in anti-GP VI-treated or GP VI/Fc receptor gamma-chain-deficient but not control mice.

Conclusions: Anti-GP VI therapy may result in defective hemostasis in patients with reduced alpha2beta1 levels or concomitant aspirin therapy. These observations may have important implications for a potential use of anti-GP VI-based therapeutics in the prevention of cardiovascular disease.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid / pharmacology
  • Animals
  • Antibodies, Monoclonal / administration & dosage
  • Antibodies, Monoclonal / pharmacology
  • Antibodies, Monoclonal / toxicity*
  • Aspirin / administration & dosage
  • Aspirin / toxicity*
  • Bleeding Time
  • Collagen / pharmacology
  • Collagen / physiology
  • Drug Evaluation, Preclinical
  • Drug Synergism
  • Fibrinolytic Agents / toxicity*
  • GTP-Binding Protein alpha Subunits, G12-G13 / deficiency
  • GTP-Binding Protein alpha Subunits, G12-G13 / genetics
  • GTP-Binding Protein alpha Subunits, G12-G13 / physiology
  • GTP-Binding Protein alpha Subunits, Gq-G11 / deficiency
  • GTP-Binding Protein alpha Subunits, Gq-G11 / genetics
  • GTP-Binding Protein alpha Subunits, Gq-G11 / physiology
  • Hemorrhage / chemically induced*
  • Hemorrhage / prevention & control
  • Hemostasis / drug effects*
  • Hemostasis / physiology
  • Integrin alpha2beta1 / deficiency*
  • Integrin alpha2beta1 / genetics
  • Mice
  • Mice, Knockout
  • Platelet Activation / drug effects
  • Platelet Activation / physiology
  • Platelet Adhesiveness / drug effects
  • Platelet Membrane Glycoproteins / antagonists & inhibitors*
  • Platelet Membrane Glycoproteins / deficiency
  • Platelet Membrane Glycoproteins / physiology
  • Receptors, Thromboxane A2, Prostaglandin H2 / drug effects
  • Receptors, Thromboxane A2, Prostaglandin H2 / physiology
  • Signal Transduction
  • Thrombosis / prevention & control*

Substances

  • Antibodies, Monoclonal
  • Fibrinolytic Agents
  • Integrin alpha2beta1
  • Platelet Membrane Glycoproteins
  • Receptors, Thromboxane A2, Prostaglandin H2
  • platelet membrane glycoprotein VI
  • 15-Hydroxy-11 alpha,9 alpha-(epoxymethano)prosta-5,13-dienoic Acid
  • Collagen
  • GTP-Binding Protein alpha Subunits, G12-G13
  • GTP-Binding Protein alpha Subunits, Gq-G11
  • Aspirin