Binding of low density lipoprotein (LDL) to platelets enhances platelet responsiveness to various aggregation-inducing agents. However, the identity of the platelet surface receptor for LDL is unknown. We have previously reported that binding of the LDL component apolipoprotein B100 to platelets induces rapid phosphorylation of p38 mitogen-activated protein kinase (p38 MAPK ). Here, we show that LDL-dependent activation of this kinase is inhibited by receptor-associated protein (RAP), an inhibitor of members of the LDL receptor family. Confocal microscopy revealed a high degree of co-localization of LDL and a splice variant of the LDL receptor family member apolipoprotein E receptor-2 (apoER2) at the platelet surface, suggesting that apoER2 may contribute to LDL-induced platelet signaling. Indeed, LDL was unable to induce p38 MAPK activation in platelets of apoER2-deficient mice. Furthermore, LDL bound efficiently to soluble apoER2, and the transient LDL-induced activation of p38 MAPK was mimicked by an anti-apoER2 antibody. Association of LDL to platelets resulted in tyrosine phosphorylation of apoER2, a process that was inhibited in the presence of PP1, an inhibitor of Src-like tyrosine kinases. Moreover, phosphorylated but not native apoER2 co-precipitated with the Src family member Fgr. This suggests that exposure of platelets to LDL induces association of apoER2 to Fgr, a kinase that is able to activate p38 MAPK . In conclusion, our data indicate that apoER2 contributes to LDL-dependent sensitization of platelets.
Platelets and low density lipoproteins (LDL)1 are key elements in the development of atherothrombotic complications.The interplay between both elements is apparent from the notion that LDL particles markedly enhance the responsiveness of platelets to various aggregation-inducing agents (1-4). These agonists mediate the release of growth factors, vasoactive substances, and chemotactic agents that are known to stimulate atherosclerotic plaque formation. Sensitization of platelets by LDL involves the major LDL constituent apolipoprotein B100 (apoB100) (5), a 4563 amino acid protein that is wrapped around the LDL particle (6). LDL particles are recognized by the classical hepatic LDL receptor (LDL-R) through the apoB100 moiety, and in particular through a region within the apoB100 protein that is enriched in positively charged amino acids, the so-called B-site (7). Like LDL, a synthetic peptide mimicking this B-site associates to the platelet surface (5). Moreover, this peptide interferes with binding of LDL to platelets (5), suggesting that both elements share similar binding sites. This possibility is supported by the observation that binding of either LDL or the B-site peptide to the platelet results in a near immediate activation of the intracellular enzyme p38 mitogen-activated protein kinase (p38 MAPK ) (5, 8). Activation of this Ser/Thr kinase is associated with downstream phosphorylation and activation of cytosolic phospholipase A 2 , which leads to the formation of thromboxane A 2 (9, 10). Fi...