[HTML][HTML] The podoplanin-CLEC-2 axis inhibits inflammation in sepsis

J Rayes, S Lax, S Wichaiyo, SK Watson, Y Di… - Nature …, 2017 - nature.com
J Rayes, S Lax, S Wichaiyo, SK Watson, Y Di, S Lombard, B Grygielska, SW Smith…
Nature communications, 2017nature.com
Platelets play a critical role in vascular inflammation through the podoplanin and
collagen/fibrin receptors, C-type-lectin-like-2 (CLEC-2) and glycoprotein VI (GPVI),
respectively. Both receptors regulate endothelial permeability and prevent peri-vascular
bleeding in inflammation. Here we show that platelet-specific deletion of CLEC-2 but not
GPVI leads to enhanced systemic inflammation and accelerated organ injury in two mouse
models of sepsis–intra-peritoneal lipopolysaccharide and cecal ligation and puncture. CLEC …
Abstract
Platelets play a critical role in vascular inflammation through the podoplanin and collagen/fibrin receptors, C-type-lectin-like-2 (CLEC-2) and glycoprotein VI (GPVI), respectively. Both receptors regulate endothelial permeability and prevent peri-vascular bleeding in inflammation. Here we show that platelet-specific deletion of CLEC-2 but not GPVI leads to enhanced systemic inflammation and accelerated organ injury in two mouse models of sepsis–intra-peritoneal lipopolysaccharide and cecal ligation and puncture. CLEC-2 deficiency is associated with reduced numbers of podoplanin-expressing macrophages despite increased cytokine and chemokine levels in the infected peritoneum. Pharmacological inhibition of the interaction between CLEC-2 and podoplanin regulates immune cell infiltration and the inflammatory reaction during sepsis, suggesting that activation of podoplanin underlies the anti-inflammatory action of platelet CLEC-2. We suggest podoplanin-CLEC-2 as a novel anti-inflammatory axis regulating immune cell recruitment and activation in sepsis.
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