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Updated: May 12, 2026

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Chorein sensitivity of cytoskeletal organization and degranulation of platelets
Eva-Maria Schmidt1, Evi Schmid, Patrick Münzer
1Department of Physiology, University of Tübingen, Gmelinstrasse 5, 72076 Tübingen, Germany.
Insights
Chorea-acanthocytosis (ChAc) is linked to defective chorein. This study finds chorein regulates blood platelet secretion and aggregation, revealing a new function beyond neurodegeneration.
Area of Science:
- Biochemistry
- Hematology
- Cell Biology
Background:
- Chorea-acanthocytosis (ChAc) is a neurodegenerative disorder linked to chorein deficiency.
- The role of chorein in cell types beyond the nervous system was previously unclear.
Purpose of the Study:
- To investigate the function of chorein in blood platelets.
- To explore the impact of chorein deficiency on platelet actin dynamics, signaling, and function.
Main Methods:
- Analysis of platelet actin polymerization in ChAc patients.
- Measurement of signaling pathway components (PI3K, PAK1) and VAMP8 expression in ChAc platelets and chorein-silenced megakaryocytic cells.
- Assessment of platelet secretion (ATP, P-selectin) and aggregation responses.
Main Results:
- ChAc platelets exhibit altered actin dynamics (depolymerization) and reduced phosphorylation of PI3K p85 and PAK1.
- VAMP8 expression is decreased in ChAc platelets and chorein-silenced cells.
- Platelet secretion and aggregation are significantly impaired in ChAc patients.
Conclusions:
- Chorein plays a critical role in regulating blood platelet secretion and aggregation.
- This study uncovers a novel function for chorein in platelet biology, distinct from its known role in neurodegeneration.
Abstract:
Chorea-acanthocytosis (ChAc), a lethal disease caused by defective chorein, is characterized by neurodegeneration and erythrocyte acanthocytosis. The functional significance of chorein in other cell types remained ill-defined. The present study revealed chorein expression in blood platelets. As compared to platelets from healthy volunteers, platelets from patients with ChAc displayed a 47% increased globular/filamentous actin ratio, indicating actin depolymerization. Moreover, phosphoinositide-3-kinase subunit p85 phosphorylation, p21 protein-activated kinase (PAK1) phosphorylation, as well as vesicle-associated membrane protein 8 (VAMP8) expression were significantly reduced in platelets from patients with ChAc (by 17, 22, and 39%, respectively) and in megakaryocytic (MEG-01) cells following chorein silencing (by 16, 54, and 11%, respectively). Activation-induced platelet secretion from dense granules (ATP release) and α granules (P-selectin exposure) were significantly less (by 55% after stimulation with 1 μg/ml CRP and by 33% after stimulation with 5 μM TRAP, respectively) in ChAc platelets than in control platelets. Furthermore, platelet aggregation following stimulation with different platelet agonists was significantly impaired. These observations reveal a completely novel function of chorein, i.e., regulation of secretion and aggregation of blood platelets.
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