The activation of human platelets by ␣-thrombin is mediated at least in part by cleavage of protease-activated G-protein-coupled receptors, PAR-1 and PAR-4. Platelet glycoprotein Ib␣ also has a high affinity binding site for ␣-thrombin, and this interaction contributes to platelet activation through a still unknown mechanism. In the present study the hypothesis that GpIb␣ may contribute to platelet activation by modulating the hydrolysis of PAR-1 on the platelet membrane was investigated. Gel-filtered platelets from normal individuals were stimulated by ␣-thrombin, and the kinetics of PAR-1 hydrolysis by enzyme was followed with flow cytometry using an anti-PAR-1 monoclonal antibody (SPAN 12) that recognizes only intact PAR-1 molecules. This strategy allowed measurement of the apparent k cat /K m value for thrombin hydrolysis of PAR-1 on intact platelets, which was equal to 1.5 ؎ 0.1 ؋ Platelet activation by the coagulation protease ␣-thrombin plays a crucial role in physiologic hemostatic processes and in thrombotic diseases. The activation of human platelets by thrombin is mediated by at least two receptors belonging to the family of protease-activated receptors (PARs), 1 i.e. PAR-1 and PAR-4 (1-2). These receptors are activated upon cleavage by thrombin and mediate transmembrane signaling by coupling to G-proteins (1-2). ␣-Thrombin also binds with high affinity to the platelet glycoprotein Ib (GpIb) that belongs to the leucinerich repeat family of proteins (3). Thrombin binding to GpIb contributes to platelet activation by the enzyme, as demonstrated by the finding that Bernard-Soulier platelets, which lack the GpIb-IX-V complex, have a delayed response to thrombin stimulation (4). In addition, several in vitro studies have demonstrated that the inhibition of thrombin binding to GpIb by different strategies causes a reduction in thrombin-induced platelet activation (5-9).The mechanism by which the binding of ␣-thrombin to GpIb contributes to platelet activation is not clear. Numerous studies have shown that a proteolytic-active enzyme is required to activate platelets. PPACK-thrombin, which retains its ability to bind to GpIb, does not induce platelet aggregation (10). Moreover, GpIb does not undergo cleavage by thrombin. On the other hand, the cleavage of G-protein-coupled PARs seems to be essential in platelet activation and transmembrane signaling. The finding that thrombin binding to GpIb involves a distinct thrombin domain, the HBS, which is far from the thrombin catalytic site and the fibrinogen recognition site (7-9), would suggest that a ternary complex thrombin⅐GpIb⅐PAR-1 may form on the platelet membrane that could be responsible for optimal hydrolysis and signal transduction.In the present study, the hypothesis that thrombin binding to GpIb may affect the hydrolysis of PAR-1 by the enzyme on intact platelets was investigated. The hydrolysis of PAR-1 was evaluated as a paradigm to construct a model where GpIb acts as a cofactor for PAR(s) cleavage.
EXPERIMENTAL PROCEDURESMaterials-Human ␣-thrombin w...