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Updated: Jun 26, 2026

Alternative Methods for the Detection of Superoxide Anion Generation in Platelets
Published on: March 29, 2024
Platelet activation by low concentrations of intact oxidized LDL particles involves the PAF receptor
Rui Chen1, Xi Chen, Robert G Salomon
1Department of Cell Biology, Lerner Research Institute, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH 44195, USA.
Objective:
Mitochondrial depolarization aids platelet activation. Oxidized LDL (oxLDL) contains the medium length oxidatively truncated phospholipid hexadecyl azelaoyl-lysoPAF (HAz-LPAF) that disrupts mitochondrial function in nucleated cells, so oxLDL may augment platelet activation.
Methods And Results:
Flow cytometry showed intact oxLDL particles synergized with subthreshold amounts of soluble agonists to increase intracellular Ca2+, and initiate platelet aggregation and surface expression of activated gpIIb/IIIa and P-selectin. oxLDL also induced aggregation and increased intracellular Ca2+ in FURA2-labeled cells by itself at low, although not higher, concentrations. HAz-LPAF, alone and in combination with substimulatory amounts of thrombin, rapidly increased cytoplasmic Ca2+ and initiated aggregation. HAz-LPAF depolarized mitochondria in intact platelets, but this required concentrations beyond those that directly activated platelets. An unexpectedly large series of chemically pure truncated phospholipids generated by oxidative fragmentation of arachidonoyl-, docosahexaneoyl-, or linoleoyl alkyl phospholipids were platelet agonists. The PAF receptor, thought to effectively recognize only phospholipids with very short sn-2 residues, was essential for platelet activation because PAF receptor agonists blocked signaling by all these medium length phospholipids and oxLDL.
Conclusions:
Intact oxLDL particles activate platelets through the PAF receptor, and the PAF receptor responds to a far wider range of oxidized phospholipids in oxLDL than anticipated.
Insights
Oxidized LDL (oxLDL) activates platelets via the PAF receptor, a response mediated by various oxidized phospholipids. This finding reveals a broader role for the PAF receptor in platelet activation than previously understood.
Area of Science:
- Cardiovascular Biology
- Platelet Physiology
- Lipid Metabolism
Background:
- Mitochondrial depolarization is a known factor in platelet activation.
- Oxidized low-density lipoprotein (oxLDL) contains specific oxidized phospholipids that affect mitochondrial function in nucleated cells.
- It is hypothesized that oxLDL may enhance platelet activation.
Purpose of the Study:
- To investigate the role of intact oxLDL particles in platelet activation.
- To identify the specific mechanisms and receptors involved in oxLDL-mediated platelet activation.
- To determine the range of oxidized phospholipids recognized by the platelet activation pathway.
Main Methods:
- Flow cytometry was used to assess platelet responses, including intracellular calcium (Ca2+) levels, platelet aggregation, and the expression of activated glycoprotein IIb/IIIa and P-selectin.
- Platelets were stimulated with oxLDL alone or in combination with subthreshold amounts of soluble agonists.
- The role of the platelet-activating factor (PAF) receptor was investigated using PAF receptor agonists.
Main Results:
- Intact oxLDL particles, in synergy with low agonist concentrations, increased intracellular Ca2+, induced platelet aggregation, and promoted the expression of activated markers.
- oxLDL alone induced platelet aggregation and increased intracellular Ca2+ at lower concentrations.
- Specific oxidized phospholipids, including hexadecyl azelaoyl-lysoPAF (HAz-LPAF), were identified as potent platelet agonists, activating platelets and depolarizing mitochondria.
- The PAF receptor was found to be essential for oxLDL-induced platelet activation, recognizing a wider array of oxidized phospholipids than previously expected.
Conclusions:
- Intact oxLDL particles activate platelets through the platelet-activating factor (PAF) receptor.
- The PAF receptor demonstrates a broader recognition profile for oxidized phospholipids present in oxLDL than previously anticipated.
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