Apolipoprotein A-IV binds αIIbβ3 integrin and inhibits thrombosis

作者:Xu, Xiaohong Ruby; Wang, Yiming; Adili, Reheman; Ju, Lining; Spring, Christopher M.; Jin, Joseph Wuxun; Yang, Hong; Neves, Miguel A. D.; Chen, Pingguo; Yang, Yan; Lei, Xi; Chen, Yunfeng; Gallant, Reid C.; Xu, Miao; Zhang, Hailong; Song, Jina; Ke, Peifeng; Zhang, Dan; Carrim, Naadiya; Yu, Si-Yang; Zhu, Guangheng; She, Yi-Min; Cyr, Terry; Fu, Wenbin; Liu, Guoqing; Connelly, Philip W.; Rand, Margaret L.; Adeli, Khosrow; Freedman, John; Lee, Jeffrey E.; Tso, Patrick; Marchese, Patrizia
来源:Nature Communications, 2018, 9(1): 3608.
DOI:10.1038/s41467-018-05806-0

摘要

Platelet alpha IIb beta 3 integrin and its ligands are essential for thrombosis and hemostasis, and play key roles in myocardial infarction and stroke. Here we show that apolipoprotein A-IV (apoA-IV) can be isolated from human blood plasma using platelet beta 3 integrin-coated beads. Binding of apoA-IV to platelets requires activation of alpha IIb beta 3 integrin, and the direct apoA-IV-alpha IIb beta 3 interaction can be detected using a single-molecule Biomembrane Force Probe. We identify that aspartic acids 5 and 13 at the N-terminus of apoA-IV are required for binding to alpha IIb beta 3 integrin, which is additionally modulated by apoA-IV C-terminus via intra-molecular interactions. ApoA-IV inhibits platelet aggregation and postprandial platelet hyperactivity. Human apoA-IV plasma levels show a circadian rhythm that negatively correlates with platelet aggregation and cardiovascular events. Thus, we identify apoA-IV as a novel ligand of alpha IIb beta 3 integrin and an endogenous inhibitor of thrombosis, establishing a link between lipoprotein metabolism and cardiovascular diseases.