Kindlin-3 in platelets and myeloid cells differentially regulates deep vein thrombosis in mice

Yanyan Yan1, Hongqin Yang1, Xiao Hu1

  • 1Collaborative Research Program for Cell Adhesion Molecules, Shanghai University School of Life Sciences, Shanghai, China.

Aging
|September 4, 2019
PubMed

Insights

Kindlin-3 in platelets suppresses deep vein thrombosis (DVT), while its absence in myeloid cells enhances DVT by increasing neutrophil extracellular traps (NETs). This reveals distinct roles for kindlin-3 in thrombosis regulation.

Area of Science:

  • Hematology
  • Thrombosis Research
  • Cellular Biology

Background:

  • Platelets and myeloid cells are crucial for deep vein thrombosis (DVT) development.
  • Kindlin-3 acts as a key integrin activator in these blood cells.
  • The specific roles of kindlin-3 in different cell types during DVT remain unclear.

Purpose of the Study:

  • To investigate the role of kindlin-3 in regulating stenosis-induced deep vein thrombosis (DVT) in mice.
  • To elucidate the distinct functions of kindlin-3 in platelets versus myeloid cells in DVT pathogenesis.
  • To uncover the underlying mechanisms by which kindlin-3 influences DVT, particularly concerning neutrophil extracellular traps (NETs).

Main Methods:

  • Utilized genetically modified mouse models with specific deficiencies in kindlin-3 in platelets (Kindlin-3fl/flPF4-Cre) and myeloid cells (Kindlin-3fl/flLysM-Cre).
  • Induced deep vein thrombosis (DVT) via inferior vena cava (IVC) stenosis.
  • Quantified plasma levels of neutrophil extracellular traps (NETs) and assessed DVT progression.
  • Administered DNase I and a PAD4 inhibitor to evaluate their impact on DVT in the context of kindlin-3 deficiency.

Main Results:

  • Mice with a defective kindlin-3 mutant showed suppressed DVT, confirming kindlin-3's requirement for integrin signaling in DVT.
  • Platelet-specific deficiency of kindlin-3 significantly suppressed DVT.
  • Conversely, myeloid cell-specific deficiency of kindlin-3 markedly enhanced early DVT development.
  • Elevated plasma NET levels were observed in myeloid-deficient kindlin-3 mice, which were reduced by DNase I or PAD4 inhibitor treatment.
  • Kindlin-3-integrin αIIbβ3 signaling in platelets was essential for promoting NET release.

Conclusions:

  • Kindlin-3 plays differential roles in platelets and myeloid cells in regulating DVT.
  • Kindlin-3 in myeloid cells, particularly neutrophils, restrains NET release, thereby inhibiting DVT.
  • Kindlin-3 in platelets promotes DVT, partly by facilitating NET release.
  • These findings provide novel mechanistic insights into DVT pathogenesis and the dual role of kindlin-3.

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