Functional factor XIII-A is exposed on the stimulated platelet surface

JL Mitchell, AS Lionikiene, SR Fraser… - Blood, The Journal …, 2014 - ashpublications.org
JL Mitchell, AS Lionikiene, SR Fraser, CS Whyte, NA Booth, NJ Mutch
Blood, The Journal of the American Society of Hematology, 2014ashpublications.org
Factor XIII (FXIII) stabilizes thrombi against fibrinolysis by cross-linking α2-antiplasmin
(α2AP) to fibrin. Cellular FXIII (FXIII-A) is abundant in platelets, but the extracellular functions
of this pool are unclear because it is not released by classical secretion mechanisms. We
examined the function of platelet FXIII-A using Chandler model thrombi formed from FXIII-
depleted plasma. Platelets stabilized FXIII-depleted thrombi in a transglutaminase-
dependent manner. FXIII-A activity on activated platelets was unstable and was rapidly lost …
Abstract
Factor XIII (FXIII) stabilizes thrombi against fibrinolysis by cross-linking α2-antiplasmin (α2AP) to fibrin. Cellular FXIII (FXIII-A) is abundant in platelets, but the extracellular functions of this pool are unclear because it is not released by classical secretion mechanisms. We examined the function of platelet FXIII-A using Chandler model thrombi formed from FXIII-depleted plasma. Platelets stabilized FXIII-depleted thrombi in a transglutaminase-dependent manner. FXIII-A activity on activated platelets was unstable and was rapidly lost over 1 hour. Inhibiting platelet activation abrogated the ability of platelets to stabilize thrombi. Incorporating a neutralizing antibody to α2AP into FXIII-depleted thrombi revealed that the stabilizing effect of platelet FXIII-A on lysis was α2AP dependent. Platelet FXIII-A activity and antigen were associated with the cytoplasm and membrane fraction of unstimulated platelets, and these fractions were functional in stabilizing FXIII-depleted thrombi against lysis. Fluorescence confocal microscopy and flow cytometry revealed exposure of FXIII-A on activated membranes, with maximal signal detected with thrombin and collagen stimulation. FXIII-A was evident in protruding caps on the surface of phosphatidylserine-positive platelets. Our data show a functional role for platelet FXIII-A through exposure on the activated platelet membrane where it exerts antifibrinolytic function by cross-linking α2AP to fibrin.
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