Glycogen synthase kinase (GSK)3 is a ser-thr kinase that is phosphorylated by the kinase Akt. Although Akt has been shown to regulate platelet function and arterial thrombosis, its effectors in platelets remain unknown. We show here that agonist-dependent phosphorylation of GSK3 in platelets is Akt dependent. To determine whether GSK3 regulates platelet function, platelets from mice lacking a single allele of GSK3 were compared with those of wild-type (WT) controls. GSK3 ؉/؊ platelets demonstrated enhanced agonist-dependent aggregation, dense granule secretion, and fibrinogen binding, compared with WT platelets. Treatment of human platelets with GSK3 inhibitors renders them more sensitive to agonist-induced aggregation, suggesting that GSK3 suppresses platelet function in vitro. Finally, the effect of GSK3 on platelet function in vivo was evaluated using 2 thrombosis models in mice. In the first, 80% of GSK3 ؉/؊ mice (n ؍ 10) formed stable occlusive thrombi after ferric chloride carotid artery injury, whereas the majority of wild-type mice (67%) formed no thrombi (n ؍ 15). In a disseminated thrombosis model, deletion of a single allele of GSK3 in mice conferred enhanced sensitivity to thrombotic insult. Taken together, these results suggest that GSK3 acts as a negative regulator of platelet function in vitro and in vivo.
IntroductionPlatelet activation is critical for hemostasis, as is evident from the identification of patients with bleeding disorders attributed to defects in platelet surface receptors or intracellular signaling molecules. [1][2][3][4][5][6][7][8][9][10][11] The activation of platelets is also a central factor contributing to arterial thrombosis. Inhibitors of platelet agonists such as thrombin or adenosine diphosphate (ADP), or antagonists for their cell surface receptors, have been shown to inhibit platelet aggregation and reduce arterial thrombosis in both mouse models and humans. 4,12,13 Thus, the signaling pathways by which these agonists activate platelets are under intense scrutiny, as they may suggest potential new risk factors for thrombosis or therapeutic targets. One signaling pathway of recent interest is the activation of the ser-thr kinases PI3K and Akt. Both thrombin and ADP activate G protein-coupled receptors on the platelet surface, which in turn have been shown to activate multiple isoforms of PI3K 14 and Akt. 13,15 Deletion of PI3K␥ in mice, 16,17 inhibition of PI3K in human platelets, 18 and deletion of either Akt1 19 or Akt2 13 have all been shown to result in defective platelet aggregation and reduced sensitivity to thrombosis in various models. Therefore, the effectors of Akt are likely to play important roles in regulating platelet activation and thrombosis. However, of the dozens of Akt substrates identified to date, it is unclear which are present and functional in platelets.As in other cells, there are likely to be several Akt effectors in platelets. NOS3 is one candidate effector of Akt in platelets that has been shown to positively regulate platelet ...