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Circulation. 2000;102:1924-1930

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(Circulation. 2000;102:1924.)
© 2000 American Heart Association, Inc.


Clinical Investigation and Reports

Participation of Tyrosine Phosphorylation in Cytoskeletal Reorganization, {alpha}IIbß3 Integrin Receptor Activation, and Aspirin-Insensitive Mechanisms of Thrombin-Stimulated Human Platelets

M. Teresa Santos, PhD; Antonio Moscardó, MS; Juana Vallés, PhD; Marcial Martínez, PhD; Marta Piñón, MS; Justo Aznar, MD, PhD; M. Johan Broekman, PhD; Aaron J. Marcus, MD

From the Research Center and Department of Clinical Pathology (M.T.S., A.M., J.V., M.M., M.P., J.A.), University Hospital La Fe, Valencia, Spain; Division of Hematology and Medical Oncology (M.J.B., A.J.M.), Department of Medicine, VA New York Harbor Health Care System, New York, NY; and Division of Hematology and Medical Oncology (M.J.B., A.J.M.), Departments of Medicine and Pathology, Weill Medical College of Cornell University, New York, NY.

Correspondence to M. Teresa Santos, PhD, Research Center, University Hospital La Fe, Avda Campanar 21, 46009 Valencia, Spain. E-mail santos_ter{at}gva.es


*    Abstract
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Background—Fibrinogen binding to the active conformation of the {alpha}IIbß3 integrin receptor (glycoprotein IIb/IIIa) and cytoskeletal reorganization are important events in platelet function. Tyrosine phosphorylation of platelet proteins plays an essential role in platelet signal transduction pathways. We studied the participation of tyrosine kinases on these aspects of platelet reactivity and their importance in cyclooxygenase (COX)-1–independent mechanisms in thrombin-stimulated human platelets.

Methods and Results—Using washed platelets from normal donors and tyrphostin-A47 and aspirin as tyrosine kinase and COX-1 inhibitors, respectively, we found that tyrphostin-A47 downregulated (1) the thrombin-activated conformational change of {alpha}IIbß3, (2) actin polymerization and cytoskeletal reorganization, and (3) the quantity of tyrosine-phospho-rylated proteins associated with the reorganized cytoskeleton. The latter are important components of multimolecular signaling complexes. Concomitantly, platelet aggregation and secretion were significantly reduced. Aspirin did not affect receptor activation or tyrosine phosphorylation but did decrease the initial (30-second) burst of actin polymerization. Importantly, aspirin significantly amplified the inhibitory effect of tyrphostin-A47 on all aspects of platelet reactivity that we evaluated.

Conclusions—Tyrosine protein phosphorylation is a regulatory control system of the inside-out mechanism of {alpha}IIbß3 activation and cytoskeletal assembly in thrombin-stimulated human platelets. Inhibition of these aspects of platelet function with tyrphostin-A47 is amplified when platelets are treated with aspirin. Therefore, tyrosine phosphorylation is a major component of early signaling events and of COX-1–independent mechanisms of thrombin-induced platelet reactivity. The study results may indicate a novel target for therapeutic intervention.


Key Words: platelets • tyrosine kinases • glycoproteins • cytoskeleton • aspirin • thrombin


*    Introduction
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The regulation of agonist-induced platelet reactivity requires coordination and control of multiple biochemical signaling pathways that culminate in platelet functional responses. These pathways include activation of GTP-binding proteins, inositol phospholipid turnover, eicosanoid metabolism, calcium movement, and protein phosphorylation processes.1 2 With regard to phosphorylation, various serine/threonine and tyrosine kinases and phosphatases are involved in biochemical events that lead to platelet activation.3 4 5

The precise role of protein tyrosine phosphorylation in signal transduction in platelets is not fully understood. However, it has functional implications. The stimulation of platelets with physiologically relevant agonists, such as collagen or thrombin, induces the phosphorylation of tyrosine residues of several platelet proteins.3 6 Conversely, the treatment of platelets with inhibitors of tyrosine kinases results in inhibition of platelet aggregation and secretion.3 4 7 8 9

Agonist-induced platelet aggregation requires fibrinogen binding to the {alpha}IIbß3 integrin receptor and cell–cell contact to achieve ligand-mediated bridging of {alpha}IIbß3 complexes between platelets.5 In resting platelets, the {alpha}IIbß3 receptor is present in an inactive, nonadhesive conformation. On platelet stimulation, a conformational change occurs, enabling binding of adhesive proteins to the integrin. This results from an intracellular signal transduction process known as "inside-out" receptor signaling.5 Fibrinogen binding to the active conformation of the receptor initiates another biochemical pathway known as "outside-in" signaling that reinforces the platelet aggregation process.5 The latter has been consistently associated with tyrosine phosphorylation of platelet proteins and is altered in Glanzman’s thrombasthenic platelets.4 5 Less information is available concerning the role of tyrosine kinases in the regulation of "inside-out" mechanism or mechanisms of {alpha}IIbß3 receptor signaling.5

Another early event after platelet activation is cytoskeletal reorganization.10 11 12 This results in a rapid increase in actin polymerization and the association of {alpha}IIbß3 with actin-binding proteins (ABPs) and signaling molecules into the platelet actin-based cytoskeleton.11 The anchorage of {alpha}IIbß3 to cytoskeletal structures regulates adhesive properties of the receptor and stabilizes fibrinogen binding via mechanisms that are not completely elucidated.5 10 13 Tyrosine-phospho-rylated proteins may play an important role in the formation of cytoskeletal multimolecular protein complexes.14 15

Eicosanoid synthesis via cyclooxygenase-1 (COX-1) is an important pathway by which platelets respond to agonists. The inhibition of COX-1 by aspirin (ASA) is clinically beneficial for patients with vascular diseases.16 Nevertheless, platelets readily respond to stimuli by mechanisms independent of COX-1.2 17 Platelet reactivity is also modulated by cell–cell interactions that involve other blood cells, via both COX-1–dependent and –independent mechanisms.18 19 20 21 22 Mechanisms that regulate COX-1–independent pathways are of pathophysiological importance but are incompletely understood.

We evaluated the participation of tyrosine kinases in inside-out {alpha}IIbß3 receptor activation and cytoskeletal reorganization in thrombin-stimulated platelets. Furthermore, we determined the role of tyrosine phosphorylation in COX-1–independent mechanisms of platelet activation by thrombin. We used ASA for COX-1 inhibition and tyrphostin-A47 (AG213; RG-50864) as an inhibitor of tyrosine kinases.7 8 Tyrphostin-A47 inhibits Src, Fyn, Yes, and Lyn tyrosine kinases and platelet aggregation and secretion.7 8

Our data demonstrate that protein tyrosine phosphorylation plays an important regulatory role in the early events of stimulus–response coupling in thrombin-stimulated platelets. This includes both inside-out mechanisms of {alpha}IIbß3 receptor activation and cytoskeletal reorganization. Moreover, protein tyrosine phosphorylation is a major component of ASA-insensitive mechanisms of platelet reactivity, suggesting the possibility of a novel pharmacological approach for the treatment of thrombotic diatheses.


*    Methods
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Equipment and Reagents
Platelet aggregometer model 540 was obtained from Chronolog. Cell counter Microdiff 18, Epics XL flowcytometer, and Phoenix software were obtained from Coulter. The blotting system was obtained from Hoefer. Collagen was obtained from Hormon. Aprotinin was obtained from Bayer. Leupeptin, pepstatin, and phenylmethylsulfonyl fluoride (PMSF) were obtained from Boehringer-Mannheim. Tyrphostin-A47 (AG 213, RG-50864) and tyrphostin-1 (tyrphostin-A1, AG9) were obtained from Sigma-Aldrich. Metrizamide was obtained from Nycomed. FITC-PAC-1 monoclonal antibody was obtained from Becton Dickinson. PAGE reagents and nitrocellulose membranes were obtained from Bio-Rad. [14C]5-Hydroxytryptamine (5-HT [serotonin]) creatinine sulfate, anti-mouse IgG peroxidase-linked antibody, and Hyperfilm-ECL Western blotting detection reagents were obtained from Amersham. Anti-phosphotyrosine mouse monoclonal 4G10 was obtained from Upstate Biotechnology. Protein standards were obtained from Novex. All other reagents were obtained from Sigma-Aldrich or Merck.

Blood Collection, Platelet Processing, and Labeling
Venous blood (160 mL) was obtained via free flow (after an overnight fast) from normal volunteers who had been medication free for >=15 days.18 The blood was collected into 50-mL polypropylene tubes containing 6 mL acid-citrate-dextrose as anticoagulant (total 46 mL)18 23 after informed consent was obtained, as approved by the institutional review board. Platelets were isolated, washed, and adjusted to 109 cells/mL.18 23 PRP from acid-citrate-dextrose–anticoagulated blood was also used to prepare 14C-5-HT–labeled platelets.21 23 For flow cytometry, platelets were obtained before and 2 hours after the ingestion of 500 mg ASA, isolated in a metrizamide gradient,24 and suspended in calcium-free HEPES buffer A (5 mmol/L HEPES, 140 mmol/L NaCl, 5 mmol/L KCl, 1.2 mmol/L MgCl2, pH 7.4).

Plate Aggregation
Platelet aggregation was assessed with optical aggregometry in 500 µL washed platelet suspension (2x108 platelets/mL) in HEPES buffer A containing 1 mmol/L CaCl2 and 0.38 mg/mL fibrinogen at 37° with constant stirring (1200 rpm). Thrombin-induced platelet aggregation was monitored for up to 5 minutes. Tyrphostin-A47 and tyrphostin-1 (analog with similar structure but lacking tyrosine kinase inhibitory activity) were prepared as DMSO stock solutions (-70°C); working dilutions of inhibitors and ASA were prepared daily in buffer. Inhibitors were added to platelets, mixed, and maintained at 37°C for 10 minutes without stirring before platelet stimulation. Solvent controls (DMSO <0.1%) were run in parallel.

5-HT Release
Imipramine (2.5 µmol/L) was added 1 minute before stimulation to 14C-5-HT–labeled washed platelets (2x10 platelets/mL). Aggregation was monitored for 3 minutes, and 125 µL 5x ice-cold stop solution (0.63 mol/L formaldehyde, 0.05 mol/L EDTA) was added.25 The sample was immediately transferred to an Eppendorf tube (0°C) and centrifuged (13 000g, 1 minute) within 1 hour. Supernatant [14C]5-HT was quantified through scintillation counting.21 23

Protein Tyrosine Phosphorylation
Protein tyrosine phosphorylation was examined as described.8 Thrombin-induced platelet aggregation was terminated by the addition of 125 µL 5x stop solution (2% SDS, 1 mmol/L EDTA, 1 mmol/L EGTA, 0.5 mmol/L Na3VO4, 10 mmol/L NaF, 10 mmol/L HEPES, 2 mg/mL aprotinin, 0.5 mg/mL leupeptin, 0.7 mg/mL pepstatin, 170 mg/mL PMSF, pH 7.4) and stored at -20°C. Samples were diluted 1:1 with 2x Laemmli’s buffer, reduced with 5% ß-mercaptoethanol, and heated (30 minutes, 60°C). Proteins were separated with SDS-PAGE (7.5% gels).

Separated proteins were transferred onto nitrocellulose.26 Membranes were stained with Ponceau S to determine protein transfer efficiency. Nitrocellulose was soaked (1 hour) in blocking buffer TBS (20 mmol/L Tris base, 137 mmol/L NaCl, pH 7.4) that contained 5% low-fat powdered milk and 0.05% NaN3. Membranes were washed twice (5 minutes) in TBS and incubated (2 hours, 20°C) with anti-phosphotyrosine antibody 4G10 (diluted 1:1000 in blocking buffer).8 Membranes were washed 3 times (5 minutes) with TBS and incubated with peroxidase-conjugated secondary antibody (diluted 1:3000 in blocking buffer without NaN3). After 5 washes (5 minutes) with TBS, blots were visualized with ECL chemiluminescence. Molecular weights of phosphorylated substrates were compared with known standards.

Cytoskeleton Isolation
Cytoskeleton isolation was performed essentially as described.11 Thrombin-induced aggregation (0.5 mL; 2x108 platelets/mL) was terminated with 125 µL 5x ice-cold lysis buffer (1% Triton X-100, 5 mmol/L EGTA, 1 mg/mL leupeptin, 1 mmol/L PMSF, 1 mmol/L Na3VO4, 50 mmol/L Tris-HCl, pH 7.4). Detergent-insoluble fractions were pelleted (15 600g, 4 minutes), rinsed twice with 1x lysis buffer, resuspended in 200 µL Laemmli’s buffer, and boiled for 3 minutes. Proteins were separated with SDS-PAGE and detected with Coomassie blue. The presence of phosphorylated tyrosine residues in cytoskeletal proteins was determined with immunoblotting as described above. In these experiments, 0.4 U/mL thrombin was used to enhance the degree of cytoskeletal reorganization.

Flow Cytometry
Aspirin-free or ASA-treated platelets (2x108 platelets/mL) in HEPES buffer (10 mmol/L HEPES, 150 mmol/L NaCl, 5 mmol/L KCl, 1 mmol/L MgSO4, 10 mmol/L glucose, pH 7.4) plus 1 mmol/L CaCl2 were incubated without stirring (10 minutes, 37°C) with tyrphostin-A47, tyrphostin-1 (negative control), or solvent. Thrombin was added, and incubation was continued for 5 minutes without stirring. Duplicate 5-µL aliquots of thrombin-stimulated platelets were transferred to polypropylene tubes that contained 50 µL HEPES buffer without calcium.27 To each sample, 4 µL FITC-PAC-1 monoclonal antibody (25 µg/mL) was added, kept undisturbed (30 minutes, 20°C, dark), quench-diluted with 500 µL ice-cold HEPES, and maintained at 0°C in the dark. To quantify the percentage of platelets binding FITC-PAC-1, 5000 platelets per sample were analyzed. Because 0.1 U thrombin/mL yielded PAC-1 binding in only 4.25% of platelets, 1 and 0.4 U/mL concentrations were used.


*    Results
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Effects of Tyrphostin-A47 on Platelet Function and Tyrosine Phosphorylation of Proteins
Platelet aggregation and release were monitored 3 minutes after the addition of thrombin (0.1 U/mL) to ASA-free or ASA-treated platelets (same donor). Aspirin alone yielded the expected inhibition of platelet aggregation and release compared with ASA-free platelets (Table 1Down). Tyrphostin-A47 significantly inhibited platelet aggregation and 5-HT release in ASA-free platelets (Table 1Down), as reported for tyrosine kinase inhibitors.3 4 8 9 When ASA and tyrphostin-A47 were combined, a further reduction in platelet aggregation and secretion occurred, exceeding the effect of either ASA or tyrphostin-A47 alone (Table 1Down). The inactive analog (tyrphostin-1) had no significant inhibitory effect (Table 1Down). Functional effects of tyrphostin-A47 occurred concomitant with a decrease in tyrosine-phosphorylated substrates in thrombin-stimulated platelets (Figure 1Down). The effect was greater when ASA and tyrphostin-A47 were combined (Figure 1Down). In contrast, the tyrphostin-1 analog had no effect on protein tyrosine phosphorylation of ASA-free or ASA-treated platelets (Figure 1Down).


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Table 1. Functional Effects of Tyrosine Kinase Inhibition: Effect of ASA



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Figure 1. Patterns of thrombin-induced tyrosine phosphorylation of platelet proteins. Washed platelets (2x108 platelets/mL) were incubated without stirring (10 minutes, 37°C) in presence of solvent (control), tyrphostin-A47, tyrphostin-1 (inactive analog), ASA (1 mmol/L), or ASA plus tyrphostin. Platelet aggregation was initiated by thrombin (0.1 U/mL) and stirring. At 3 minutes, reaction was halted by addition of stopping solution (see Methods). Proteins were separated with SDS-PAGE and detected with immunoblotting (see Methods). Arrows indicate phosphorylated proteins of indicated molecular weight. Data are representative of 5 separate experiments.

Time course studies of platelet aggregation in response to thrombin demonstrated a time-dependent increase in amplitude (Table 2Down, control). This was inhibited at all time points with either ASA or tyrphostin-A47 alone. Interestingly, inhibition with ASA at 30 seconds (53%) was much greater than that at 3 minutes (21%). Platelet aggregation was inhibited even more strongly when tyrphostin-A47 was added to ASA-treated platelets, particularly at an early time point (30 seconds, 97%) (Table 2Down).


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Table 2. Kinetics of Platelet Aggregation: Tyrphostin-A47 Reduces the Platelet Aggregation Response to Thrombin

The results of kinetic studies of the effect of tyrphostin-A47 on protein tyrosine phosphorylation in whole cell extracts of ASA-free and ASA-treated platelets are shown in Figure 2Down. Tyrphostin-A47 (90 µmol/L) markedly inhibited tyrosine phosphorylation of the 75/80-, 64-, and 50- to 60-kDa substrates and virtually blocked phosphorylation of the 95/97-kDa proteins (Figure 2Down).



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Figure 2. Kinetics of thrombin-induced tyrosine phosphorylation of platelet proteins. Platelets (2x108 platelets/mL) were incubated (10 minutes, 37°C) without stirring with solvent (control), tyrphostin-A47 (90 µmol/L), ASA (1 mmol/L), or ASA plus tyrphostin-A47 (ASA+Tyr). Platelet aggregation was initiated by thrombin (0.1 U/mL) and stirring. At indicated times, reaction was halted by addition of stopping solution (see Methods). Proteins were separated and detected (see Methods). Arrows indicate phosphorylated proteins of indicated molecular weight. Data are representative of 4 separate experiments.

Aspirin treatment alone had no effect on tyrosine phosphorylation at any time point (Figure 2Up). Importantly, tyrphostin-A47 had a much greater inhibitory effect on tyrosine phosphorylation when added to ASA-treated platelets (Figure 2Up). Tyrphostin-A47 consistently induced phosphorylation of a 90-kDa protein. This was strongly reduced with ASA in tyrphostin-A47–treated platelets (Figure 2Up).

To confirm the greater effect of tyrosine kinase inhibition in ASA-treated platelets, we also used a different tyrosine kinase inhibitor, genistein. The treatment of platelets with 100 µmol/L genistein had a greater inhibitory effect on tyrosine phosphorylation and platelet function when platelets were treated with ASA (not shown). Thus, tyrosine phosphorylation of platelet proteins is an important regulatory mechanism in COX-1–independent platelet reactivity to thrombin.

Effect of Tyrphostin-A47 on Inside-Out Activation of the {alpha}IIbß3 Integrin Receptor: Modulation by Aspirin
The binding of FITC-PAC-1, a monoclonal antibody specific for neoepitopes exposed on the activated form of the {alpha}IIbß3, was determined in ASA-free and ASA-treated platelets through flow cytometry.27 28 Tyrphostin-A47 (90 µmol/L) significantly reduced thrombin (1 U/mL)-induced PAC-1 binding, whereas, as reported,29 ASA alone had no effect (Figure 3Down). The reduction in PAC-1 binding was significantly enhanced when ASA-treated platelets were exposed to tyrphostin-A47. This trend was also observed with 0.4 U/mL thrombin (Figure 3Down). In contrast, tyrphostin-1 did not modify PAC-1 binding.



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Figure 3. Effect of tyrphostin-A47 on activation of {alpha}IIbß3 integrin receptor. Washed platelets (2x108 platelets/mL) were incubated without stirring (10 minutes, 37°C) with inhibitors or solvent (control). Thrombin was added, and incubation proceeded for 5 minutes without stirring at 37°C. Duplicate aliquots of thrombin-stimulated platelets were studied by flow cytometry (see Methods). Data are mean±SEM of percentage of platelets that bind PAC-1 (n=10 separate experiments). Tyrphostin-A47 significantly reduced PAC-1 binding in ASA-free and ASA-treated platelets (*P<0.05). Reduction by tyrphostin (Tyr)+ASA was greater than that by tyrphostin alone ({dagger}P<0.05). Tyrphostin-1 (analog) did not modify PAC-1 binding in ASA-free (mean±SEM control 80.4±2.86, tyrphostin-1 85.68±2.28) or ASA-treated (control 72.80±6.40, tyrphostin-1 72.38±2.83; n=12) platelets. Statistical analysis by ANOVA plus Bonferroni’s test.

Thus, tyrphostin-sensitive tyrosine kinases modulate inside-out {alpha}IIbß3 receptor activation. Moreover, ASA-sensitive events converge with tyrosine kinase–modulated effects to downregulate the initial integrin activation.

Effect of Tyrphostin-A47 on Organization of the Platelet Cytoskeleton: Role of Aspirin
We stimulated ASA-free or ASA-treated platelets with thrombin (0.4 U/mL) in the presence or absence of tyrphostin-A47. Aspirin treatment decreased the quantities of ABP, talin, and polymerized actin at 30 seconds compared with control platelets (Figure 4Down). However, the ASA inhibition was overcome if platelet aggregation was allowed to proceed. Tyrphostin-A47 (90 µmol/L) significantly reduced the quantity of polymerized actin and associated proteins in the cytoskeleton of thrombin-stimulated platelets, particularly at early time points (Figure 4Down). When platelets were simultaneously treated with ASA and tyrphostin-A47, a greater reduction was observed in ABP and talin in the cytoskeleton (Figure 4Down). Thus, tyrosine kinase activities modulate platelet cytoskeletal reorganization, whereas ASA downregulates the initial burst of actin polymerization and augments the inhibitory effects of tyrphostin-A47.



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Figure 4. Effect of tyrphostin-A47 and ASA on cytoskeleton reorganization. Washed platelets (2x108 platelets/mL) were incubated (10 minutes, 37°C) without stirring with solvent (control), tyrphostin-A47 (90 µmol/L), ASA (1 mmol/L), or ASA plus tyrphostin-A47 (ASA+Tyr). Aggregation was initiated by thrombin (0.4 U/mL) and stirring. At indicated times, reaction was halted by addition of lysis buffer (see Methods). Low-speed Triton X-100–insoluble material was separated with centrifugation. Proteins in this fraction were separated with SDS-PAGE and detected with Coomassie blue (see Methods). Prominent platelet proteins are indicated. Data are representative of 4 separate experiments.

Effect of Aspirin and Tyrphostin-A47 on Tyrosine Phosphorylated Proteins on the Cytoskeleton
Shortly after thrombin stimulation, phosphorylation of 130-, 75/80-, 64-, and 50/60-kDa proteins was detected in the cytoskeleton. The 95/97-kDa substrates appeared later (3 minutes) (Figure 5Down). The pattern of tyrosine-phosphorylated substrates in the cytoskeleton was similar, although not identical, to that observed in whole cell extracts (Figure 2Up versus Figure 5Down). Tyrosine-phosphorylated proteins in the cytoskeleton were minimally detectable in unstimulated platelets (not shown).



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Figure 5. Cytoskeleton-associated tyrosine-phosphorylated proteins in thrombin-stimulated platelets show effects of tyrphostin and aspirin. Washed platelets (2x108 platelets/mL) were incubated (10 minutes, 37°C) without stirring with solvent (control), tyrphostin-A47 (90 µmol/L), ASA (1 mmol/L), or ASA plus tyrphostin-A47 (ASA+Tyr). Aggregation was initiated by thrombin (0.4 U/mL) and stirring. Reaction was halted by addition of a lysis buffer (see Methods). Low-speed Triton X-100–insoluble material was separated with centrifugation. Proteins in this fraction were separated with SDS-PAGE and detected with immuno-blotting (see Methods). Arrows indicate phosphorylated proteins of indicated molecular weight. Data are representative of 4 separate experiments.

Aspirin treatment of platelets significantly reduced the quantity of tyrosine-phosphorylated proteins in the cytoskeleton at 30 seconds (Figure 5Up). This was in sharp contrast with the lack of effect of ASA on tyrosine phosphorylation in whole cell extracts (Figure 2Up). No differences were observed between control and ASA-treated platelets at later time points (Figure 5Up).

Tyrphostin-treatment (90 µmol/L) of ASA-free platelets markedly decreased tyrosine-phosphorylated proteins in the cytoskeleton at 30 seconds and 3 minutes. However, at 5 minutes, the differences observed between tyrphostin-treated and control platelets were minimal (Figure 5Up). Importantly, tyrphostin-A47 virtually abolished the presence of tyrosine-phosphorylated proteins in the cytoskeleton at all time points in ASA-treated platelets (Figure 5Up).

Because tyrosine-phosphorylated motifs are important for the assembly of multimolecular signaling complexes in the cytoskeleton,14 15 this suggests that ASA plus tyrphostin-A47 is a potent inhibitor of this process.


*    Discussion
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up arrowAbstract
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up arrowResults
*Discussion
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Fibrinogen binding to the activated {alpha}IIbß3 integrin receptor and cytoskeletal reorganization are important events in platelet function. The reorganized cytoskeleton serves as a scaffold for association of cytoskeletal proteins, integrins, and signaling molecules.14 The resulting multimolecular complexes participate in signal transduction and platelet functional responses.3 10 Tyrosine phosphorylation of platelet proteins is an essential component of platelet signal transduction pathways.4 5 We studied the participation of tyrosine kinases on these aspects of platelet reactivity and investigated their importance in COX-1–independent mechanisms in thrombin-stimulated human platelets. COX-1–independent mechanisms are of importance because clinical trials indicate that only 25% to 30% of patients with vascular disease benefit from ASA therapy.16 We hypothesize that the lack of benefit in the remaining 70% of patients is due, at least in part, to platelet activation by mechanisms independent of COX-1. This also includes stimulatory effects elicited by cell–cell interactions with other blood cells as we and others have demonstrated.18 19 20 21 22

Our results extend previous data on the inhibition of platelet aggregation and secretion with tyrosine kinase inhibitors.3 4 8 9 Importantly, this inhibitory effect is significantly increased in ASA-treated platelets (Tables 1Up and 2Up). Thus, tyrosine phosphorylation constitutes a major COX-1–independent mechanism whereby platelets respond to thrombin. The effects of tyrphostin-A47 are due to tyrosine kinase inhibition specifically, because tyrphostin-1 (negative control) is inactive (Table 1Up, Figure 1Up). Moreover, the amplified inhibitory effect with ASA was also observed with genistein (another kinase inhibitor).

Regarding the biochemical mechanisms that underlie these functional effects, our results show that tyrosine kinases modulate (directly and/or indirectly) inside-out signaling of {alpha}IIbß3 in thrombin-stimulated platelets. This follows from our observation that tyrphostin-A47 significantly reduces thrombin-induced PAC-1 binding (Figure 3Up). This is in agreement with data with genistein-treated permeabilized platelets,28 platelets stimulated with the thrombin receptor agonist peptide SFLLRN,29 piceatannol-treated ADP-stimulated platelets,30 and platelets treated with herbimycin A.9 The specific kinases involved have not been identified. Law et al30 reported the participation of Syk tyrosine kinase, because receptor activation is inhibited (32%) in Syk-null murine platelets. However, this partial inhibition suggests that tyrosine kinases other than Syk are also involved in this step of receptor activation.

Although ASA alone did not modify receptor activation, as reported,29 the inhibition of tyrosine kinase in ASA-treated platelets resulted in further reduction in receptor activation as shown by reduced PAC-1 binding (Figure 3Up). This demonstrates ASA amplification of tyrosine kinase inhibition of this important aspect of platelet reactivity and suggests that {alpha}IIbß3 downregulation is at least 1 mechanism whereby tyrosine kinases regulate COX-1–dependent and –independent mechanisms of platelet reactivity.

Our results show that tyrosine kinase inhibition with tyrphostin-A47 reduced actin polymerization and decreased the quantity of actin-associated proteins in cytoskeletons of thrombin-stimulated platelets, particularly at early time points (Figure 4Up). This demonstrates that tyrosine kinases regulate cytoskeletal reorganization. Unexpectedly, we consistently observed an ASA-sensitive, but reversible, decrease in cytoskeletal reorganization shortly after thrombin addition (30 seconds) (Figure 4Up). Thus, an ASA-sensitive mechanism regulates the early burst of actin polymerization. When ASA- and tyrphostin-sensitive mechanisms were inhibited simultaneously, greater inhibition of cytoskeletal reorganization resulted. This represents a novel, COX-1–independent mechanism of tyrosine kinase regulation of platelet function.

In our experiments, tyrphostin-A47 effects on {alpha}IIbß3 activation and cytoskeletal reorganization paralleled a reduction in tyrosine-phosphorylated proteins in the actin-based cytoskeleton (Figure 5Up). Interestingly, ASA also reduced tyrosine phosphorylation of proteins in the cytoskeleton shortly after thrombin addition (30 seconds) (Figure 5Up). This coincides temporally with decreased actin polymerization (Figure 4Up) and the greatest degree of inhibition of platelet aggregation (Table 2Up). It is unrelated to an effect of ASA on tyrosine kinase activity, because ASA had no effect on tyrosine-phosphorylated proteins in whole cell extracts (Figure 2Up). Importantly, tyrphostin-A47 induced a dramatic reduction of tyrosine-phosphorylated proteins in the cytoskeleton of ASA-treated platelets (Figure 5Up). This is of interest if we consider that protein phosphotyrosine domains and SH2 and SH3 homology regions are essential components of protein–protein assembly for multimolecular complex formation in the cytoskeleton.14 These protein complexes participate in focal adhesion, signal transduction, and platelet functional responses.3 10 Therefore, the inhibition demonstrated in our study of tyrosine-phosphorylated proteins in the cytoskeleton might represent a reduction in signaling complex formation in the cytoskeleton of thrombin-stimulated human platelets. This would contribute to the significant inhibition of platelet aggregation (Tables 1Up and 2Up), {alpha}IIbß3 receptor activation (Figure 3Up), and cytoskeletal reorganization (Figure 4Up) that we observed.

In conclusion, our results support the concept that tyrosine kinases participate in inside-out mechanisms of {alpha}IIbß3 receptor activation and extend it to the amplifying effect of ASA on downregulation that results from tyrosine kinase inhibition. In addition, we present novel evidence of regulation by tyrosine kinases of both cytoskeletal organization of structural proteins and the accumulation of tyrosine-phosphorylated proteins in actin-rich cytoskeleton of thrombin-stimulated platelets. These are required for multimolecular signaling complex formation in the cytoskeleton. Furthermore, our ASA experiments demonstrate that tyrosine phosphorylation is a major component of COX-1–independent mechanisms of platelet activation with thrombin. This may constitute a novel target for future antithrombotic drug development.


*    Acknowledgments
 
This work was supported in part by grants 95/0639 and 98/0906 from the Fondo de Investigaciones Sanitarias (FIS) (Drs Santos, Vallés, and Aznar); a Merit Review grant from the Department of Veterans Affairs (Dr Marcus); and NIH grants HL-47073, HL-46403, and HL-07423 (Drs Marcus and Broekman). The authors gratefully acknowledge the technical assistance of M. Carmen Insa, Amparo Garrido, and Pilar Ferriz.

Received February 25, 2000; revision received May 23, 2000; accepted May 31, 2000.


*    References
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up arrowAbstract
up arrowIntroduction
up arrowMethods
up arrowResults
up arrowDiscussion
*References
 
1. Kroll MH, Schafer AI. The analysis of ligand-receptor interactions in platelet activation. In: Joseph M, ed. Immunopharmacology of Platelets. Lille, France: Academic Press; 1995:31–65.

2. Marcus AJ. Platelets: their role in hemostasis, thrombosis, and inflammation. In: Gallin JI, Snyderman R, eds. Inflammation: Basic Principles and Clinical Correlates. Philadelphia, Pa: Lippincott Williams & Wilkins; 1999:77–95.

3. Clark EA, Shattil SJ, Brugge JS. Regulation of protein tyrosine kinases in platelets. Trends Biochem Sci. 1994;19:464–469.[Medline] [Order article via Infotrieve]

4. Levy-Toledano S, Gallet C, Nadal F, et al. Phosphorylation and dephosphorylation mechanisms in platelet function: a tightly regulated balance. Thromb Haemost. 1997;78:226–233.[Medline] [Order article via Infotrieve]

5. Shattil SJ, Kashiwagi H, Pampori N. Integrin signaling: the platelet paradigm. Blood. 1998;91:2645–2657.[Free Full Text]

6. Watson SP. Collagen receptor signaling in platelets and megakaryocytes. Thromb Haemost. 1999;82:365–376.[Medline] [Order article via Infotrieve]

7. Levitzki A, Gazit A. Tyrosine kinase inhibition: an approach to drug development. Science. 1995;267:1782–1788.[Abstract/Free Full Text]

8. Rendu F, Eldor A, Grelac F, et al. Inhibition of platelet activation by tyrosine kinase inhibitors. Biochem Pharmacol. 1992;44:881–888.[Medline] [Order article via Infotrieve]

9. Hers I, Donath J, van Willigen G, et al. Differential involvement of tyrosine and serine/threonine kinases in platelet integrin {alpha}IIbß3 exposure. Arterioscler Thromb Vasc Biol. 1998;18:404–414.[Abstract/Free Full Text]

10. Fox JEB. Platelet activation: new aspects. Haemostasis. 1992;26(suppl 4):102–131.

11. Fox JEB, Lipfert L, Clark EA, et al. On the role of the platelet membrane skeleton in mediating signal transduction: association of GP IIb-IIIa, pp60c- src, pp62c-yes, and the p21ras GTPase-activating protein with the membrane skeleton. J Biol Chem. 1993;268:25973–25984.[Abstract/Free Full Text]

12. Hartwig JH, Barkalow K, Azim A, et al. The elegant platelet: signals controlling actin assembly. Thromb Haemost. 1999;82:392–398.[Medline] [Order article via Infotrieve]

13. Fox JEB, Shattil SJ, Kinlough-Rathbone RL, et al. The platelet cytoskeleton stabilizes the interaction between {alpha}IIbß3 and its ligand and induces selective movements of ligand-occupied integrin. J Biol Chem. 1996;271:7004–7011.[Abstract/Free Full Text]

14. Pawson T, Scott JD. Signaling through scaffold, anchoring, and adaptor proteins. Science. 1997;278:2075–2080.[Abstract/Free Full Text]

15. Clark EA, Brugge JS. Integrins and signal transduction pathways: the road taken. Science. 1995;268:233–239.[Abstract/Free Full Text]

16. Antiplatelet Trialists’ Collaboration. Collaborative overview of randomised trials of antiplatelet therapy, I: prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients. BMJ. 1994;308:81–106.[Abstract/Free Full Text]

17. Coller BS. Platelets in cardiovascular thrombosis and thrombolysis. In: Fozzard HA, Haber E, Jennings RB, et al, eds: The Heart and Cardiovascular System, 2nd ed. New York, NY: Raven Press; 1992:219–273.

18. Santos MT, Valles J, Marcus AJ, et al. Enhancement of platelet reactivity and modulation of eicosanoid production by intact erythrocytes. J Clin Invest. 1991;87:571–580.

19. Santos MT, Valles J, Aznar J, et al. Prothrombotic effects of erythrocytes on platelet reactivity: reduction by aspirin. Circulation. 1997;95:63–68.[Abstract/Free Full Text]

20. Valles J, Santos MT, Aznar J, et al. Erythrocyte promotion of platelet reactivity decreases the effectiveness of aspirin as an antithrombotic therapeutic modality: the effect of low-dose aspirin is less than optimal in patients with vascular disease due to prothrombotic effects of erythrocytes on platelet reactivity. Circulation. 1998;97:350–355.[Abstract/Free Full Text]

21. Valles J, Santos MT, Marcus AJ, et al. Down-regulation of human platelet reactivity by neutrophils: participation of lipoxygenase derivatives and adhesive proteins. J Clin Invest. 1993;92:1357–1365.

22. Lopez-Farre A, Caramelo C, Esteban A, et al. Effects of aspirin on platelet-neutrophil interactions: role of nitric oxide and endothelin-1. Circulation. 1995;91:2080–2088.[Abstract/Free Full Text]

23. Marcus AJ. Eicosanoid interactions between platelets, endothelial cells, and neutrophils. Methods Enzymol. 1990;187:585–598.[Medline] [Order article via Infotrieve]

24. Levy-Toledano S, Maclouf J, Bryon P, et al. Human platelet activation in the absence of aggregation: a calcium-dependent phenomenon independent of thromboxane formation. Blood. 1982;59:1078–1085.[Abstract/Free Full Text]

25. Dangelmaier CA, Holmsen H. Platelet dense granule and lysosome content. In: Harker LA, Zimmerman TS, eds. Measurements of Platelet Function. Edinburgh: Churchill Livingstone; 1983:92–114.

26. Towbin H, Staehelin T, Gordon J. Electrophoretic transfer of proteins from polyacrylamide gels to nitrocellulose sheets: procedure and some applications. Proc Natl Acad Sci U S A. 1979;76:4350–4354.[Abstract/Free Full Text]

27. Shattil SJ, Cunningham M, Hoxie JA. Detection of activated platelets in whole blood using activation-dependent monoclonal antibodies and flow cytometry. Blood. 1987;70:307–315.[Abstract/Free Full Text]

28. Shattil SJ, Cunningham M, Wiedmer T, et al. Regulation of glycoprotein IIb-IIIa receptor function studied with platelets permeabilized by the pore-forming complement proteins C5b-9. J Biol Chem. 1992;267:18424–18431.[Abstract/Free Full Text]

29. Furman MI, Grigoryev D, Bray PF, et al. Platelet tyrosine kinases and fibrinogen receptor activation. Circ Res. 1994;75:172–180.[Abstract/Free Full Text]

30. Law DA, Nannizzi-Alaimo L, Ministri K, et al. Genetic and pharmacological analyses of Syk function in {alpha}IIbß3 signaling in platelets. Blood. 1999;93:2645–2652.[Abstract/Free Full Text]




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