Related Experiment Video
Updated: May 30, 2026

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Relative contributions of stromal interaction molecule 1 and CalDAG-GEFI to calcium-dependent platelet activation and
F Ahmad1, Y Boulaftali, T K Greene
1Department of Medicine and Cardeza Foundation for Hematologic Research, Thomas Jefferson University, Philadelphia, PA, USA.
Insights
Stromal interaction molecule 1 (STIM1) and CalDAG-GEFI are crucial for platelet procoagulant activity and thrombin generation. STIM1/SOCE is vital for platelet procoagulant function, while CalDAG-GEFI is essential for platelet aggregation.
Area of Science:
- Hematology
- Molecular Biology
- Cardiovascular Research
Background:
- Stromal interaction molecule 1 (STIM1) is a key regulator of store-operated calcium entry (SOCE) in platelets.
- CalDAG-GEFI, a Ca(2+)-sensing guanine nucleotide exchange factor, is critical for platelet Ca(2+) signaling.
Purpose of the Study:
- To compare the roles of STIM1/SOCE and CalDAG-GEFI in platelet activation and thrombosis.
- To elucidate the distinct contributions of STIM1 and CalDAG-GEFI to platelet function.
Main Methods:
- Conditional deletion of the murine Stim1 gene in megakaryocytes/platelets.
- Utilized CalDAG-GEFI(-/-) and Stim1(fl/fl) PF4-Cre mice for in vitro and in vivo studies.
- Assessed platelet responses under static and flow conditions, including aggregation, phosphatidylserine exposure, and thrombosis models.
Main Results:
- CalDAG-GEFI deficiency markedly impaired integrin α(IIb)β(3)-mediated aggregation, unlike STIM1 deficiency.
- Both STIM1 and CalDAG-GEFI deficiency significantly reduced phosphatidylserine exposure on platelets.
- STIM1-deficient platelets formed unstable thrombi with delayed fibrin generation; CalDAG-GEFI deficiency abolished platelet accumulation and reduced fibrin generation.
Conclusions:
- STIM1/SOCE is essential for platelet procoagulant activity but not proadhesive function.
- STIM1 and CalDAG-GEFI are critical for initial thrombin generation by procoagulant platelets at vascular injury sites.
Background:
Stromal interaction molecule 1 (STIM1) was recently identified as a critical component of store-operated calcium entry (SOCE) in platelets. We previously reported the Ca(2+) -sensing guanine nucleotide exchange factor CalDAG-GEFI as a critical molecule in Ca(2+) signaling in platelets.
Objective:
To evaluate the contribution of STIM1/SOCE to Ca(2+) -dependent platelet activation and thrombosis, we here compared the activation responses of platelets lacking STIM1 and platelets lacking CalDAG-GEFI.
Methods:
The murine Stim1 gene was conditionally deleted in the megakaryocyte/platelet lineage. CalDAG-GEFI(-/-) and Stim1(fl/fl) PF4-Cre mice, along with littermate control mice, were used for in vitro and in vivo experiments under flow as well as static conditions.
Results:
Integrin α(IIb) β(3) -mediated aggregation was markedly impaired in CalDAG-GEFI-deficient but not STIM1-deficient platelets, under both static and flow conditions. In contrast, deficiency in either STIM1 or CalDAG-GEFI significantly impaired the ability of platelets to express phosphatidylserine on the cell surface. When subjected to a laser injury thrombosis model, mice lacking STIM1 in platelets were characterized by the formation of unstable platelet-rich thrombi and delayed and reduced fibrin generation in injured arterioles. In CalDAG-GEFI(-/-) mice, fibrin generation was also delayed and reduced, but platelet accumulation was almost abolished.
Conclusions:
Our studies suggest that: (i) STIM1/SOCE is critical for the procoagulant activity but not the proadhesive function of platelets; and (ii) at the site of vascular injury, STIM1 and CalDAG-GEFI are critical for the first wave of thrombin generation mediated by procoagulant platelets.
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