Interaction of P-selectin and PSGL-1 generates microparticles that correct hemostasis in a mouse model of hemophilia A

I Hrachovinová, B Cambien, A Hafezi-Moghadam… - Nature medicine, 2003 - nature.com
I Hrachovinová, B Cambien, A Hafezi-Moghadam, J Kappelmayer, RT Camphausen…
Nature medicine, 2003nature.com
High plasma levels of soluble P-selectin are associated with thrombotic disorders and may
predict future cardiovascular events. Mice with high levels of soluble P-selectin have more
microparticles in their plasma than do normal mice. Here we show that chimeras of P-
selectin and immunoglobulin (P-sel–Ig) induced formation of procoagulant microparticles in
human blood through P-selectin glycoprotein ligand-1 (PSGL-1; encoded by the Psgl1 gene,
officially known as Selpl). In addition, Psgl1−/− mice produced fewer microparticles after P …
Abstract
High plasma levels of soluble P-selectin are associated with thrombotic disorders and may predict future cardiovascular events. Mice with high levels of soluble P-selectin have more microparticles in their plasma than do normal mice. Here we show that chimeras of P-selectin and immunoglobulin (P-sel–Ig) induced formation of procoagulant microparticles in human blood through P-selectin glycoprotein ligand-1 (PSGL-1; encoded by the Psgl1 gene, officially known as Selpl). In addition, Psgl1−/− mice produced fewer microparticles after P-sel–Ig infusion and did not spontaneously increase their microparticle count in old age as do wild-type mice. Injected microparticles specifically bound to thrombi and thus could be involved in thrombin generation at sites of injury. Infusion of P-sel–Ig into hemophilia A mice produced a 20-fold increase over control immunoglobulin in microparticles containing tissue factor. This significantly improved the kinetics of fibrin formation in the hemophilia A mice and normalized their tail-bleeding time. P-sel–Ig treatment could become a new approach to sustained control of bleeding in hemophilia.
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