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Activation of human platelets by exposure to a monoclonal antibody, PM6/248, to glycoprotein IIb-IIIa

E J Hornby1, S Brown, J M Wilkinson

  • 1Department of Peripheral Pharmacology, Glaxo Group Research, Ware, Hertfordshire.

Insights

Monoclonal antibody PM6/248 triggers human platelet aggregation by linking GPIIb-IIIa to Fc gamma RII. This interaction activates signaling pathways, leading to platelet activation and serotonin release.

Area of Science:

  • Immunology
  • Hematology
  • Cell Biology

Background:

  • The GPIIb-IIIa complex is crucial for platelet aggregation.
  • Fc gamma RII (CD32) is a receptor expressed on platelets.
  • Understanding the role of Fc gamma RII in platelet activation is important for thrombosis research.

Purpose of the Study:

  • To investigate the mechanism by which monoclonal antibody PM6/248 induces platelet activation.
  • To determine the role of GPIIb-IIIa and Fc gamma RII in PM6/248-mediated platelet aggregation.

Main Methods:

  • Platelet aggregation assays using platelet-rich plasma and gel-filtered platelets.
  • Measurement of serotonin secretion and thromboxane A2 synthesis.
  • Use of F(ab')2 fragments of PM6/248 and anti-Fc gamma RII antibody (IV.3) for inhibition studies.
  • Intracellular calcium mobilization assays.

Main Results:

  • Monoclonal antibody PM6/248 induced concentration-dependent platelet aggregation, serotonin secretion, thromboxane A2 synthesis, and intracellular Ca2+ mobilization.
  • The F(ab')2 fragment of PM6/248 did not induce activation but inhibited responses to the whole antibody.
  • Pre-incubation with an anti-Fc gamma RII antibody fragment also inhibited PM6/248-induced platelet responses.
  • High concentrations of PM6/248 inhibited aggregation but not secretion or thromboxane synthesis.

Conclusions:

  • Platelet activation by PM6/248 is mediated by the cross-linking of GPIIb-IIIa to Fc gamma RII.
  • This cross-linking initiates signal transduction via Fc gamma RII, leading to platelet activation.
  • The findings elucidate a novel mechanism of platelet activation involving Fc gamma RII signaling.

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