1996
DOI: 10.1182/blood.v87.4.1238.bloodjournal8741238
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Defects in hemostasis in P-selectin-deficient mice

Abstract: Recently, our laboratory showed that platelets, like leukocytes, roll on activated endothelium expressing P-selectin, thus suggesting a role for P-selectin in hemostasis (Frenette et at, Proc Natl Acad Sci USA 92:7450, 1995). We report here that the P-selectin--deficient mice show a 40% prolongation of the bleeding time on amputation of the tip of the tail. Moreover, defective hemostasis was observed in a local Shwartzman- like reaction induced by skin injections of lipopolysaccharide followed by tumor necrosi… Show more

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Cited by 191 publications
(86 citation statements)
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“…P-selectin deficiency may inhibit monocyte trafficking [50] and release of cytokines [51]; however, neutrophils predominate in brain at 24 h after CCI [1,35]. Lack of P-selectin prolongs bleeding time and increases hemorrhage in a local Schwartzman reaction in mice [52]; however, inhibition of P-selectin did not increase central nervous system bleeding in a rat stroke model [53] or after CCI in this study. Other studies suggest a role for P-selectin in neuronal apoptosis and expression of heat shock proteins in ischemic brain [42].…”
Section: Discussionmentioning
confidence: 72%
“…P-selectin deficiency may inhibit monocyte trafficking [50] and release of cytokines [51]; however, neutrophils predominate in brain at 24 h after CCI [1,35]. Lack of P-selectin prolongs bleeding time and increases hemorrhage in a local Schwartzman reaction in mice [52]; however, inhibition of P-selectin did not increase central nervous system bleeding in a rat stroke model [53] or after CCI in this study. Other studies suggest a role for P-selectin in neuronal apoptosis and expression of heat shock proteins in ischemic brain [42].…”
Section: Discussionmentioning
confidence: 72%
“…Third, this model does not include a role for P-selectin. Yet, antibodies to P-selectin inhibit fibrin formation (11), P-selectin null mice have a prolonged bleeding time (39), and thrombi formed in vitro indicate architectural differences when formed from blood of wildtype and P-selectin null mice (40). Using digital videomicroscopy to image the microcirculation of a living mouse, Figure 7.…”
Section: Discussionmentioning
confidence: 99%
“…Activated platelets with surface-exposed P-selectin could associate with and activate previously unactivated platelets, thus providing a mechanism for propagation of platelet thrombi. Failure of this mechanism could explain the mild bleeding diathesis of P-selectin–deficient mice 45 and could contribute to the bleeding tendency in patients with Bernard-Soulier syndrome, the genetic disorder resulting from deficiency of the GP Ib-IX-V complex 46. Nevertheless, this mechanism is likely to be only of secondary importance, as no defect in aggregation has been found in the platelets of patients with Bernard-Soulier syndrome (although a subtle defect might not be detected by conventional methods of performing aggregation).…”
Section: Discussionmentioning
confidence: 99%