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Updated: Jan 7, 2026

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
The endothelial cell ecto-ADPase responsible for inhibition of platelet function is CD39
A J Marcus1, M J Broekman, J H Drosopoulos
1Department of Medicine, Veterans Affairs Medical Center, New York 10010-5050, USA. ajmarcus@mail.med.cornell.edu
Insights
Endothelial cells possess an ecto-ADPase, identified as CD39, which metabolizes platelet ADP. This enzyme inhibits platelet aggregation, offering potential for antithrombotic therapies.
Area of Science:
- Biochemistry
- Immunology
- Vascular Biology
Background:
- Platelets become unresponsive to agonists near endothelial cells.
- This inhibition is mediated by an endothelial ecto-ADPase that metabolizes platelet ADP.
- The enzyme was biochemically classified as an E-type ATP-diphosphohydrolase.
Purpose of the Study:
- To identify the endothelial ecto-ADPase responsible for inhibiting platelet aggregation.
- To characterize its role in endothelial cell function and thromboregulation.
Main Methods:
- Biochemical assays to classify ecto-ADPase activity.
- Immunoprecipitation using monoclonal antibodies to CD39.
- Confocal microscopy and flow cytometry for surface localization.
- Gene transfection (COS cells) and molecular analyses (PCR, Northern blot).
Main Results:
- Endothelial ecto-ADPase activity was identified as CD39.
- CD39 was confirmed to be localized on the surface of human umbilical vein endothelial cells (HUVEC).
- Transfection of CD39 into COS cells conferred ecto-ADPase activity and inhibited platelet aggregation.
Conclusions:
- Endothelial CD39 is a potent inhibitor of platelet reactivity.
- CD39 acts as a key endothelial thromboregulator.
- The identification of CD39 opens new avenues for antithrombotic therapeutic strategies.
Abstract:
We previously demonstrated that when platelets are in motion and in proximity to endothelial cells, they become unresponsive to agonists (Marcus, A.J., L.B. Safier, K.A. Hajjar, H.L. Ullman, N. Islam, M.J. Broekman, and A.M. Eiroa. 1991. J. Clin. Invest. 88:1690-1696). This inhibition is due to an ecto-ADPase on the surface of endothelial cells which metabolizes ADP released from activated platelets, resulting in blockade of the aggregation response. Human umbilical vein endothelial cells (HUVEC) ADPase was biochemically classified as an E-type ATP-diphosphohydrolase. The endothelial ecto-ADPase is herein identified as CD39, a molecule originally characterized as a lymphoid surface antigen. All HUVEC ecto-ADPase activity was immunoprecipitated by monoclonal antibodies to CD39. Surface localization of HUVEC CD39 was established by confocal microscopy and flow cytometric analyses. Transfection of COS cells with human CD39 resulted in both ecto-ADPase activity as well as surface expression of CD39. PCR analyses of cDNA obtained from HUVEC mRNA and recombinant human CD39 revealed products of the same size, and of identical sequence. Northern blot analyses demonstrated that HUVEC express the same sized transcripts for CD39 as MP-1 cells (from which CD39 was originally cloned). We established the role of CD39 as a prime endothelial thromboregulator by demonstrating that CD39-transfected COS cells acquired the ability to inhibit ADP-induced aggregation in platelet-rich plasma. The identification of HUVEC ADPase/CD39 as a constitutively expressed potent inhibitor of platelet reactivity offers new prospects for antithrombotic therapeusis.
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