摘要
Objective-The sensitivity of platelets to aggregating agents increases when low-density lipoprotein (LDL) binds to apolipoprotein E receptor 2' (apoER2'), triggering activation of p38(MAPK) and formation of thromboxane A(2). LDL signaling is terminated by PECAM-1 through recruitment and activation of the Ser/Thr protein phosphatase PP2A, but platelets remain unresponsive to LDL when PECAM-1 activation disappears. We report a second mechanism that halts LDL signaling and in addition lowers platelet responsiveness to aggregating agents. Methods and Results-After a first stimulation with LDL, platelets remain unresponsive to LDL for 60 minutes, despite normal apoER2' activation by a second dose of LDL. A possible cause is persistent activation of the tyrosine phosphatases SHP-1 and SHP-2, which may not only block a second activation of p38(MAPK), PECAM-1, and PP2A by LDL but also seem to reduce aggregation by TRAP, collagen, and ADP. Conclusion-These findings reveal that p38(MAPK) phosphorylation and platelet activation by LDL are suppressed by two mechanisms: (1) short activation of PECAM-1/PP2A, and (2) prolonged activation of SHP-1 and SHP-2. Activation of SHP-1 and SHP-2 is accompanied by reduced responsiveness to aggregating agents, which-if present in vivo-would make LDL an aggregation inhibitor during prolonged contact with platelets. (Arterioscler Thromb Vasc Biol. 2009;29:372-379.)
- 出版日期2009-3