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Updated: Dec 3, 2025

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Pro-apoptotic properties and mitochondrial functionality in platelet-like-particles generated from low
Gala Freixer1, Khaoula Zekri-Nechar1, José J Zamorano-León2
1Medicine.
Abstract:
Long-term therapy with low Aspirin (ASA) dose is basis to prevent thrombotic acute events. However, the anti-platelet mechanisms of ASA remain not completely known. The aim was to analyze if in vitro exposure of human megakaryocytes to low ASA concentration may alter the apoptotic features of the newly formed platelets. Cultured Meg-01 cells, a human megakaryoblastic cell line, were stimulated to form platelets with 10 nmol/L phorbol 12-myristate-13-acetate (PMA) in the presence and absence of ASA (0.33 mmol/L). Results revealed that platelet-like particles (PLPs) derived from ASA-exposed Meg-01 cells, showed higher content of pro-apoptotic proteins Bax and Bak than PLPs from non-ASA incubated Meg-01 cells. It was accompanied of reduced cytochrome C oxidase activity and higher mitochondrial content of PTEN-induced putative kinase-1 in PLPs from ASA-incubated Meg-01 cells. However, only after calcium ionophore A23187 stimulation, caspase-3 activity, the cytosolic cytochrome C content, and reduction of mitochondrial membrane potential were higher in PLPs from ASA-incubated megakaryocytes than in those from Meg-01 without ASA. Nitric oxide synthase 3 content was higher in PLPs from ASA-exposed Meg-01 cells than in PLPs from non-ASA incubated Meg-01 cells. The L-arginine antagonist, NG-Nitro-L-arginine Methyl Ester, reduced caspase-3 activity in A23187-stimulated PLPs generated from ASA-incubated Meg-01 cells. As conclusions exposure of megakaryocyte to ASA promotes that the newly generated PLPs have, under stimulating condition, higher sensitivity to go into apoptosis than those PLPs generated from Meg-01 cells without ASA. It could be associated with differences in mitochondrial functionality and NO formation.
Insights
Low-dose aspirin (ASA) exposure in megakaryocytes generates platelets more prone to apoptosis. This increased apoptotic sensitivity in newly formed platelets may be linked to altered mitochondrial function and nitric oxide production.
Area of Science:
- Biochemistry
- Cell Biology
- Hematology
Background:
- Low-dose aspirin (ASA) is a cornerstone for preventing thrombotic events.
- The precise anti-platelet mechanisms of ASA are not fully elucidated.
Purpose of the Study:
- To investigate whether in vitro exposure of human megakaryocytes to low ASA concentrations affects the apoptotic characteristics of newly formed platelets.
- To explore the underlying molecular mechanisms, including mitochondrial function and nitric oxide (NO) pathways.
Main Methods:
- Human megakaryoblastic (Meg-01) cells were cultured and stimulated to form platelet-like particles (PLPs) with or without ASA.
- Analysis of pro-apoptotic proteins (Bax, Bak), mitochondrial markers (cytochrome c oxidase, PTEN-induced putative kinase-1), caspase-3 activity, and nitric oxide synthase 3 (NOS3) content in PLPs.
- Assessment of mitochondrial membrane potential and cytosolic cytochrome C release upon stimulation with calcium ionophore A23187.
Main Results:
- ASA-exposed megakaryocytes produced PLPs with higher Bax and Bak content, reduced cytochrome c oxidase activity, and increased PTEN-induced putative kinase-1.
- Upon A23187 stimulation, ASA-derived PLPs exhibited elevated caspase-3 activity, cytosolic cytochrome C, and decreased mitochondrial membrane potential.
- Higher NOS3 content was observed in PLPs from ASA-exposed cells, and inhibition of NO synthesis partially reversed caspase-3 activation.
Conclusions:
- Megakaryocyte exposure to ASA results in newly generated platelets with an enhanced propensity for apoptosis under specific stimulation conditions.
- This heightened apoptotic sensitivity is potentially mediated by alterations in mitochondrial functionality and nitric oxide production pathways.
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