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Updated: Aug 9, 2026

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Inhibitory mechanisms of activated matrix metalloproteinase-9 on platelet activation
Ye-Ming Lee1, Jie-Jen Lee, Ming-Yi Shen
1Department of Surgery, Hsinchu Mackay Memorial Hospital, Hsinchu, Taiwan.
Abstract:
The intracellular mechanisms underlying the signaling pathways of activated matrix metalloproteinase-9 (MMP-9) in platelets are not yet completely understood. Therefore, the aim of this study was to further examine the effects of activated MMP-9 in preventing platelet aggregation. In this study, activated MMP-9 time-dependently (3-60 min) inhibited platelet aggregation in washed human platelet suspensions stimulated by agonists. However, activated MMP-9 had no significant effect on the binding of FITC-triflavin to the platelet glycoprotein IIb/IIIa complex. Triflavin is a specific antagonist of the glycoprotein IIb/IIIa complex purified from snake venom. Moreover, activated MMP-9 (21 and 90 ng/ml) markedly decreased the fluorescence intensity of platelet membranes tagged with diphenylhexatriene. The thrombin-evoked increase in pHi was inhibited in the presence of activated MMP-9 (21 and 90 ng/ml). In addition, activated MMP-9 (21 and 90 ng/ml) markedly reduced the electron spin resonance (ESR) signal intensity of hydroxyl radicals in collagen (1 mug/ml)-activated platelets. These results indicate that the antiplatelet activity of activated MMP-9 may involve the following pathways: (1) activated MMP-9 may initially induce conformational changes in platelet membranes and hydroxyl radical formation, leading to inhibition of platelet aggregation; and (2) activated MMP-9 also inhibits the Na(+)/H(+) exchanger, leading to reduced intracellular Ca(2+) mobilization, and ultimately to inhibition of platelet aggregation. This study further provides new insights concerning the effects of activated MMP-9 on platelet aggregation.
Insights
Activated matrix metalloproteinase-9 (MMP-9) inhibits platelet aggregation by altering platelet membranes and reducing hydroxyl radical formation. It also impacts the Na(+)/H(+) exchanger, decreasing calcium mobilization and further preventing platelet activation.
Area of Science:
- Biochemistry
- Hematology
- Molecular Biology
Background:
- Platelet aggregation is crucial in hemostasis and thrombosis.
- The role of matrix metalloproteinase-9 (MMP-9) in platelet signaling remains incompletely understood.
- Investigating MMP-9's effects on platelets can reveal novel antiplatelet mechanisms.
Purpose of the Study:
- To elucidate the intracellular mechanisms of activated MMP-9 in regulating platelet aggregation.
- To examine how activated MMP-9 influences platelet membrane properties and signaling pathways.
Main Methods:
- Washed human platelet suspensions were used to assess aggregation.
- FITC-triflavin binding to glycoprotein IIb/IIIa was measured.
- Platelet membrane fluidity was assessed using diphenylhexatriene.
- Intracellular pH (pHi) changes and hydroxyl radical formation (via ESR) were monitored.
Main Results:
- Activated MMP-9 time-dependently inhibited agonist-stimulated platelet aggregation.
- No significant effect on glycoprotein IIb/IIIa binding was observed.
- MMP-9 decreased platelet membrane fluidity and thrombin-induced pHi increase.
- MMP-9 reduced hydroxyl radical formation in activated platelets.
Conclusions:
- Activated MMP-9 exerts antiplatelet effects by inducing membrane conformational changes and inhibiting hydroxyl radical formation.
- MMP-9 also inhibits the Na(+)/H(+) exchanger, reducing intracellular calcium mobilization.
- These findings provide new insights into MMP-9's role in platelet function and potential therapeutic strategies.
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