Objective-Nicotinic acetylcholine receptors, especially ␣7 (nAChR␣7), form Ca 2ϩ channels and are expressed on a variety of neuronal and nonneuronal cells. Also, megakaryocytic cells have been shown to contain components of a nonneuronal cholinergic system, including acetylcholine and acetylcholine esterase. However, the corresponding nAChRs and their role in platelet function have not been demonstrated until now. Our previous platelet transcriptome data indicated the presence of nAChR gene transcripts. Methods and Results-Here, we present evidence that human platelets and megakaryocytic precursor cells express nAChR␣7 subunits, as revealed by mRNA and protein expression. The subunits form functional Ca 2ϩ channels, as demonstrated by Ca 2ϩ entry in platelets induced by the nAChR␣7-selective agonist PNU-282987. PNU-282987 also enhanced fibrinogen receptor activation induced by classical platelet agonists (the thromboxane A 2 analog U46619 and ADP). Furthermore, agonist-induced platelet aggregation was significantly inhibited by the nAChR␣7-selective antagonists ␣-bungarotoxin and methyllycaconitine.
Conclusion-Ca2ϩ influx via nAChR␣7 channels represents a novel pathway for human platelets with significant impact on platelet function. Because platelets were suggested to contain acetylcholine, we conclude that on activation, stored acetylcholine is released, which activates nAChR␣7 channels and thereby contributes to maintaining intracellular Ca