p38 MAP kinase in human platelets is activated by platelet agonists including thrombin, thromboxane A 2 (TxA 2 ), ADP, and others. However, both upstream mechanisms of p38 MAP kinase activation, and their downstream sequelae, are presently controversial and essentially unclear. Certain studies report sequential activation of cGMP-dependent protein kinase (PKG) and p38/ERK pathways by platelet agonists, leading to integrin activation and secretion, whereas others establish an essential role of Src/ERKmediated TxA 2 generation for fibrinogen receptor activation in human platelets. Here, we show that ADP secreted from platelet-dense granules, and subsequent activation of P2Y 12 receptors, as well as TxA 2 release are important upstream mediators of p38 MAP kinase activation by thrombin. However, p38 MAP kinase activation did not significantly contribute to calcium mobilization, P-selectin expression, ␣IIb3 integrin activation, and aggregation of human platelets in response to thrombin. Finally
IntroductionIn vivo, circulating platelets are continually exposed to both adhesive and/or activating factors (fibrinogen, ADP, von Willebrand factor [VWF], thrombin, TxA 2 , etc), as well as inhibitory factors such as endothelium-derived nitric oxide (NO), prostacyclin (PG-I 2 ), and ADPase. 1 Most of these activating and inhibitory molecules bind to specific platelet receptors and stimulate signaling pathways that promote or inhibit platelet adhesion, aggregation, and secretion. A central role among platelet-activating factors is played by ADP, which induces multiple platelet responses and potentiates platelet aggregation caused by other agonists. 2,3 ADP is released from platelet-dense granules upon activation by agonists such as thrombin and collagen, and binds to purinergic receptors (P2Y 1 , P2Y 12 , P2X 1 ) to reinforce platelet aggregation and thrombus formation. 2,[4][5][6] Recently, new mechanisms for agonist-induced platelet activation and secretion were proposed to involve sequential activation of cGMP-dependent protein kinase (PKG)/p38/integrin or Akt/ eNOS/sGC/cGMP/PKG secretion, respectively, 7-9 whereas others indicate an essential role of Src/ERK-mediated TxA 2 generation for fibrinogen receptor activation in human platelets. 10 We 11,12 and others 10,13 were unable to reproduce the reported ERK activation by PKG. However, both the upstream mechanisms of p38 activation, and their downstream effects, are presently controversial and unclear. Here, we show that ADP secreted from platelet-dense granules, and subsequent activation of P2Y 12 receptors, as well as TxA 2 secretion are important mediators upstream of thrombin-evoked p38 activation. Furthermore, PKG activation does not stimulate, but rather inhibits, thrombin-evoked p38 activation, which alone has no significant effect on platelet stimulation/aggregation.
Materials and methodsAnalysis of P-selectin expression, ␣IIb3 activation, aggregation, and intracellular calcium measurement Platelets were isolated from whole blood obtained from healthy volunteer...