protein transport would sensitize MM cells to proteotoxic stress, providing an attractive explanation for bortezomib's clinical activity and a potential means of identifying bortezomibbased combination approaches that will display even greater antitumor effects.
• • • PLATELETS & THROMBOPOIESIS
Comment on Graham et al, page 1083
Granules and thrombus formation ----------------------------------------------------------------------------------------------------------------Walter H. A. Kahr UNIVERSITY OF TORONTOIn this issue of Blood, Graham and colleagues demonstrate the importance of platelet dense granule secretion for in vivo platelet accumulation following laser injury, which is mediated by the SNARE protein Endobrevin/VAMP-8.
Each human platelet contains 50 to 80 ␣-granules, 3 to 8 dense (␦-) granules, and a few lysosomes. ␣-granules carry more than 300 releasable proteins, including adhesion molecules, chemokines, cytokines, fibrinolytic regulators, immunologic modulators, and an assortment of coagulation, complement, growth, and proangiogenic and antiangiogenic factors. Dense granules contain mostly small molecules, including calcium, magnesium, polyphosphate, ATP, ADP, GTP, GDP, and serotonin. Platelet granule release is important for hemostasis, because patients with inherited granule defects have bleeding problems. ␣-granules are absent in the gray platelet and ARC 1 syndromes, while deficient ␦-granules are observed in isolation, in combination with ␣-granule deficiency, or as part of a syndrome in the Hermansky-Pudlak, Chediak-Higashi, and Griscelli syndromes. 2 The molecular mechanisms involved in platelet granule secretion are complex and incompletely understood. 3-5 Platelet activation involves several rapid events, including shape change, aggregation, and granule secretion, and it is difficult to discern the cellular mechanisms involved. Electron microscopy studies have revealed that platelet shape changes are accompanied by cytoskeletal rearrangements and centralization of granules. Platelet exocytosis involves fusion of granules with the plasma membrane or the open canalicular system (extensive channels of internal membranes that communicate with the outer surface) to release their contents into the extracellular space (see figure). Fusion of granule vesicles requires soluble N-ethylmaleimide-sensitive attachment protein receptors (SNAREs), lipid components, and SNARE regulatory proteins (eg, NSF, Sec1/Munc18 proteins). 6 SNAREs from opposing membranes assemble into a complex consisting of parallel 4-helix bundles, which catalyzes the apposition and fusion of the vesicle with the target membrane. Platelets contain vesicle-membrane SNAREs (vSNAREs), including VAMP-2, -3, -7, and -8, and target-membrane SNAREs (t-SNAREs), including syntaxin 2, 4, 7, and 11, and SNAP-23, -25 and -29. 4 Studies have shown that syntaxin 2 and SNAP-23 are involved in all 3 platelet granule secretion events, whereas syntaxin 4 mediates ␣-granule and lysosome release. VAMP-8 is the primary v-SNARE required for secretion...