Mounting evidence suggests that agonistinitiated signaling in platelets is closely regulated to avoid excessive responses to injury. A variety of physiologic agonists induce a cascade of signaling events termed as inside-out signaling that culminate in exposure of high-affinity binding sites on integrin ␣ IIb  3 . Once platelet activation has occurred, integrin ␣ IIb  3 stabilizes thrombus formation by providing agonist-independent "outside-in" signals mediated in part by contractile signaling.
Junctional adhesion molecule A (JAM-A
IntroductionPlatelet activation is carefully regulated through both positive and negative regulators. 1 The ultimate result of platelet activation by agonist is conversion of integrin ␣ IIb  3 from its low-affinity state to a high-affinity state capable of binding soluble ligands such as fibrinogen through a process known as inside-out signaling. 2 Ligand binding to the activated integrin induces a cascade of signaling events known as outside-in signaling that stabilizes platelet aggregates and supports the process of clot retraction. 3 Timely and rapid activation of integrin is important for the process of hemostasis, but unwanted activation results in thrombosis. 4 Significant progress has been made toward understanding the process of agonist-induced platelet activation. 5 However, little is known about the process through which unwanted or accidental activation of integrin is discouraged. Here we show that junctional adhesion molecule A is a negative regulator of integrin function and provides protection from thrombosis.Junctional adhesion molecule A (JAM-A) was initially identified as a receptor for a platelet stimulatory mAb F11 (mAbF11) and it was shown that activation of platelets by this Ab occurs through cross-linking of JAM-A with Fc␥RIIA receptor on platelet surface. 6,7 Subsequently, it was been proposed that JAM-A may be regulating platelet function during thrombosis and atherosclerosis. [8][9][10][11] Prior work has shown that JAM-A is expressed on human and mouse platelets, where it can be found on the surface of both resting and activated platelets. 12 Later, JAM-A has been shown to be a member of the cortical thymocyte marker of the Xenopus (CTX) family of cell adhesion molecules (CAMs) that contains 2 extracellular Ig domains. 13 In addition to platelets, JAM-A is shown to be expressed on epithelial and endothelial cells as well as on leukocytes. 14 On epithelial and endothelial cells, JAM-A is exclusively localized to the tight junctions. 15,16 Although significant progress has been made in the elucidation of JAM-A function as a tight-junction protein, not much is known about its function on platelets that lack tight junctions.We generated a Jam-A knockout (Jam-A gt/gt ) mouse by disrupting F11r (Jam-A gene) using the gene-trap technique. 17,18 Using these mice, we show that Jam-A negatively regulates platelet function in vivo, as Jam-A-deficient mice show a prothrombotic phenotype. This gain of function is not because of the lack of endothelial Jam-A because tr...