Mice that lack the matricellular angiogenesis inhibitor, thrombospondin-2 (TSP2), display a bleeding diathesis, despite normal blood coagulation and the lack of thrombocytopenia. Although platelets do not contain detectable levels of TSP2, TSP2-null platelets are compromised in their ability to aggregate in vivo in response to denudation of the carotid artery endothelium, and in vitro following exposure to adenosine diphosphate (ADP) .
IntroductionThrombospondin-2 (TSP2) is a potent inhibitor of angiogenesis that participates in the processes of development and tissue repair. 1 Specifically, TSP2 is expressed during embryonic development, and during healing of dermal wounds and the foreign body response to implanted biomaterials. [2][3][4][5] In addition, TSP2 has been implicated in the process of tumor growth where it has been shown to inhibit blood vessel formation and limit the growth of squamous cell carcinomas. 6 As a matricellular protein, TSP2 can interact with both cell-surface receptors and extracellular matrix (ECM) components and is believed to function as a modulator of cell-matrix interactions. 7 We have previously shown that mice that lack TSP2 develop a pleiotropic phenotype characterized by connective tissue abnormalities that include abnormal collagen fibrillogenesis. 8 In addition, these mice display increased angiogenesis, increased bone formation, reduced fibroblast adhesion, and an unexpected bleeding diathesis. We hypothesized that the latter could result from an intrinsic qualitative platelet defect, from a subendothelial defect, or both. While we have preliminary evidence for the contribution of a connective tissue abnormality to the bleeding diathesis ("Discussion"), we were surprised to find a reproducible defect in aggregation in the response of TSP2-null platelets to a mild agonist. Since TSP2, unlike TSP1, is not present in platelets we hypothesized that the abnormality might arise earlier, during megakaryocyte (MK) development.Proplatelets are long processes that issue from the surface of fully mature MKs, migrate through the endothelial barrier of marrow sinusoids, and fragment into platelets. At the molecular level, little is understood regarding the regulation of these events, except that 1 tubulin and protein kinase C␣ (PKC␣) are essential. 9,10 Analysis of platelet function on the other hand, has benefited from the generation of genetic disruptions in mice that lead to the development of platelet abnormalities. Such models have provided new insights into the functional significance of several platelet proteins. For example, deficiencies in -calpain, 11 ␣ IIb  3 , 12 platelet endothelial cell adhesion molecule-1 (PECAM-1), 13 and von Willebrand factor (VWF) 14 have led to the development of distinct platelet abnormalities and/or bleeding diatheses. Interestingly, platelet aggregation defects are not always associated with prolonged bleeding times, as was seen in -calpain-null mice. 11 The opposite condition, in which a bleeding diathesis can develop without a platelet defect, ...