“…Following initial tethering via P-selectin and PSGL-1, it was suggested that additional molecular interactions, involving the b2 integrin a M b 2 (Mac-1), a4b1 and VCAM-1, extracellular matrix metalloproteinase inducer, and triggering receptor expressed on myeloid cells-1 may be involved in strengthening monocyteplatelet binding (13)(14)(15)(16)(17). Although the exact contribution made by these additional molecules remains to be determined, it also was shown that the interaction with P-selectin promotes the association of PSGL-1 with the cytoskeletal proteins ezrin and moesin and the tyrosine kinase Syk (18), resulting in phosphorylation of the Src family kinases and activation of PI3K (19)(20)(21). These pathways were shown to regulate a number of important monocyte functions, including cytoskeletal rearrangement, activation of b2 integrins (16,18), the transcription of proinflammatory genes, and the induction of inflammatory cytokine and chemokine secretion (7,9,10,19,(22)(23)(24).…”