To cite this article: Herr AB. Direct evidence of a native GPVI dimer at the platelet surface. J Thromb Haemost 2009; 7: 1344-6.See also Jung SM, Tsuji K, Moroi M. Glycoprotein (GP) VI dimer as a major collagen-binding site of native platelets: direct evidence obtained with dimeric GPVI-specific Fabs This issue, pp 1347-55.Glycoprotein VI (GPVI) is an activating receptor expressed on the surface of platelets and megakaryocytes. Clustering of GPVI upon collagen binding triggers a signaling cascade that leads to platelet activation, and depletion or inhibition of GPVI on mouse or human platelets prevents arterial thrombus formation [1,2]. There is great interest in the molecular mechanism by which GPVI recognizes fibrillar collagen. One of the major unresolved questions is whether GPVI exists on the platelet surface as a monomer or dimer, and how its assembly state affects its recognition of fibrillar collagen.GPVI is a multi-chain receptor related to several immune receptors such as the IgA-specific receptor FcaRI [3]. The GPVI ectodomain recognizes several ligands, which include fibrillar collagen, collagen-related peptides (CRPs), or snake venom proteins such as convulxin [4,5]. Unlike the a 2 b 1 integrin, GPVI binds collagen with relatively low affinity [6]; furthermore, GPVI recognizes the quaternary assembly of the collagen fiber and cannot bind to acid-solubilized collagen triple helices [2]. An intriguing possibility is that GPVI forms a cell-surface dimer whose conformation is specific for the quaternary structure of fibrillar collagen.Work from several groups has provided evidence that GPVI may form a dimer that has functional significance. In 2002, Moroi and colleagues showed that a recombinant dimeric GPVI-Fc fusion protein was able to bind fibrillar collagen with moderate affinity whereas binding of monomeric GPVI (called GPVIex) was hardly detectable [6]. The very large discrepancy between the apparent affinities of monomeric and dimeric GPVI for fibrillar collagen is greater than would be expected from a simple avidity effect, suggesting the dimer may recognize a specific conformational epitope in collagen. The GPVI-Fc fusion protein has been used in physiologically relevant settings to demonstrate effective inhibition of thrombus formation, consistent with the ability of the dimeric receptor to bind fibrillar collagen with high specificity and reasonably high affinity [6][7][8][9].The crystal structure of the collagen-binding domain of GPVI was solved in 2006, revealing two receptor chains arranged back-to-back in a dimeric conformation [10]. Computational docking identified a shallow groove on the top of the N-terminal Ig-like domain as the most likely binding site for a collagen triple helix, which agreed with prior mutational results [10][11][12]. Interestingly, the geometry and spacing of the two putative binding grooves in the crystalline GPVI dimer precisely matched the known geometry and spacing of triple helices within the collagen fiber [10]. These structural data provided a plausible mec...