Platelets play a key role in haemostasis, inflammation and cancer biology. They show specific structural elements, including invaginations of the plasma membrane, a network of residual smooth endoplasmic reticulum, a highly specialized cytoskeleton maintaining the discoid structure of platelets and several kinds of organelles. Stimulation occurs by adhesion of platelets to sub‐endothelial matrix proteins, through the action of specific adhesion‐signalling receptors; soluble agonists (including ADP, thrombin, thromboxane A2) act as amplifiers of activation. A series of reactions (collectively forming the ‘outside‐in signalling’) triggers platelet spreading, granule secretion, aggregation and clot retraction. Defects in these complex signalling networks determine inherited or acquired platelet disorders, mainly characterized by altered haemostasis. Nowadays, genomic and post‐genomic techniques allow better identification and classification of platelet‐related diseases.
Key Concepts
Platelets are anucleated cells playing a crucial role in haemostasis and thrombosis, as well as in innate immunity, angiogenesis and cancer promotion.
Platelet activation is a complex signalling network encompassing the response to multiple agonists and acting via interactions among several molecules (including integrins, G‐protein‐coupled receptors, protein kinases and phospholipases).
Ultrastructural studies and omics approaches are ideal ways to investigate platelet sub‐cellular compartments and signalling pathways, playing a fundamental role in the pathogenesis of several pathologies.
The recent identification of specific sub‐network defects in inherited platelet disorders will lead to understanding of the correlation between signal transduction pathways and cell functions.
The identification of specific sub‐network defects in inherited platelet disorders will allow better classification of platelet‐related diseases.