Thrombocytopathy leading to impaired in vivo haemostasis and thrombosis in platelet type von Willebrand disease

Harmanpreet Kaur; Kathryn Corscadden; Jerry Ware; Maha Othman

doi:10.1160/TH16-04-0317

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 2017; 117(03): 543-555
DOI: 10.1160/TH16-04-0317

Cellular Haemostasis and Platelets

Schattauer GmbH

Thrombocytopathy leading to impaired in vivo haemostasis and thrombosis in platelet type von Willebrand disease

Harmanpreet Kaur

¹Department of Biomedical and Molecular Sciences, School of Medicine, Queen’s University, Kingston, Ontario, Canada

,

Kathryn Corscadden

¹Department of Biomedical and Molecular Sciences, School of Medicine, Queen’s University, Kingston, Ontario, Canada

,

Jerry Ware

²Department of Physiology and Biophysics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA

,

Maha Othman

¹Department of Biomedical and Molecular Sciences, School of Medicine, Queen’s University, Kingston, Ontario, Canada

³School of Baccalaureate Nursing, St Lawrence College, Kingston, Ontario, Canada

› Author Affiliations

Abstract

Summary

Platelet defects due to hyper-responsive GPIbα causing enhanced VWF interaction, counter-intuitively result in bleeding rather than thrombosis. The historical explanation of platelet/VWF clearance fails to explain mechanisms of impaired haemostasis particularly in light of reported poor platelet binding to fibrinogen. This study aimed to evaluate the defects of platelets with hyper-responsive GPIbα and their contribution to impaired in vivo thrombosis. Using the PT-VWD mouse model, platelets from the hTg^G233V were compared to control hTg^WT mice. Platelets’ pro-coagulant capacity was evaluated using flowcytometry assessment of P-selectin and annexin V. Whole blood platelet aggregation in response to ADP, collagen and thrombin was tested. Clot kinetics using laser injury thrombosis model and the effect of GPIbα inhibition in vivo using 6B4; a monoclonal antibody, were evaluated. Thrombin-induced platelet P-selectin and PS exposure were significantly reduced in hTg^G233V compared to hTg^WT and not signifi-cantly different when compared to unstimulated platelets. The hTg^G233V platelets aggregated normally in response to collagen, and had a delayed response to ADP and thrombin, when compared to hTgWT platelets. Laser injury showed significant impairment of in vivo thrombus formation in hTg^G233V compared to hTg^WT mice. There was a significant lag in in vitro clot formation in turbidity assay but no impairment in thrombin generation was observed using thromboelastography. The in vivo inhibition of GPIbα facilitated new – unstable – clot formation but did not improve the lag. We conclude platelets with hyper-responsive GPIbα have complex intrinsic defects beyond the previously described mechanisms. Abnormal signalling through GPIbα and potential therapy using inhibitors require further investigations.

Supplementary Material to this article is available online at www.thrombosis-online.com.

Keywords

GPIbα inhibition - platelet activation - thrombin - platelet bleeding disorders - hyperresponsive GPIbα

Full Text

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