Rationale:
Besides their essential role in hemostasis, platelets also have functions in inflammation. In platelets, junctional adhesion molecule (JAM)-A was previously identified as an inhibitor of integrin α
IIb
β
3
-mediated outside-in signaling and its genetic knockdown resulted in hyperreactivity.
Objective:
This gain-of-function was specifically exploited to investigate the role of platelet hyperreactivity in plaque development.
Methods and Results:
JAM-A–deficient platelets showed increased aggregation and cellular and sarcoma tyrosine-protein kinase activation. On α
IIb
β
3
ligation, JAM-A was shown to be dephosphorylated, which could be prevented by protein tyrosine phosphatase nonreceptor type 1 inhibition. Mice with or without platelet-specific (tr)JAM-A-deficiency in an apolipoprotein e (
apoe
–/–
) background were fed a high-fat diet. After ≤12 weeks of diet,
trJAM-A
–/–
apoe–/–
mice showed increased aortic plaque formation when compared with trJAM-A
+/+
apoe
–/–
controls, and these differences were most evident at early time points. At 2 weeks, the plaques of the
trJAM-A
–/–
apoe
–/–
animals revealed increased macrophage, T cell, and smooth muscle cell content. Interestingly, plasma levels of chemokines CC chemokine ligand 5 and CXC-chemokine ligand 4 were increased in the
trJAM-A
–/–
apoe
–/–
mice, and JAM-A–deficient platelets showed increased binding to monocytes and neutrophils. Whole-blood perfusion experiments and intravital microscopy revealed increased recruitment of platelets and monocytes to the inflamed endothelium in blood of
trJAM-A
–/–
apoe
–/–
mice. Notably, these proinflammatory effects of JAM-A–deficient platelets could be abolished by the inhibition of α
IIb
β
3
signaling in vitro.
Conclusions:
Deletion of
JAM-A
causes a gain-of-function in platelets, with lower activation thresholds and increased inflammatory activities. This leads to an increase of plaque formation, particularly in early stages of the disease.