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A shear-dependent NO-cGMP-cGKI cascade in platelets acts as an auto-regulatory brake of thrombosis

Nat Commun. 2018 Oct 16;9(1):4301. doi: 10.1038/s41467-018-06638-8.

Abstract

Mechanisms that limit thrombosis are poorly defined. One of the few known endogenous platelet inhibitors is nitric oxide (NO). NO activates NO sensitive guanylyl cyclase (NO-GC) in platelets, resulting in an increase of cyclic guanosine monophosphate (cGMP). Here we show, using cGMP sensor mice to study spatiotemporal dynamics of platelet cGMP, that NO-induced cGMP production in pre-activated platelets is strongly shear-dependent. We delineate a new mode of platelet-inhibitory mechanotransduction via shear-activated NO-GC followed by cGMP synthesis, activation of cGMP-dependent protein kinase I (cGKI), and suppression of Ca2+ signaling. Correlative profiling of cGMP dynamics and thrombus formation in vivo indicates that high cGMP concentrations in shear-exposed platelets at the thrombus periphery limit thrombosis, primarily through facilitation of thrombus dissolution. We propose that an increase in shear stress during thrombus growth activates the NO-cGMP-cGKI pathway, which acts as an auto-regulatory brake to prevent vessel occlusion, while preserving wound closure under low shear.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Platelets / metabolism*
  • Calcium / metabolism
  • Cyclic GMP / metabolism*
  • Cyclic GMP-Dependent Protein Kinase Type I / genetics
  • Cyclic GMP-Dependent Protein Kinase Type I / metabolism*
  • Fluorescence Resonance Energy Transfer
  • Humans
  • Mice, Transgenic
  • Nitric Oxide / metabolism*
  • Platelet Activation
  • Signal Transduction
  • Stress, Mechanical
  • Thrombosis / metabolism*
  • Thrombosis / physiopathology

Substances

  • Nitric Oxide
  • Cyclic GMP-Dependent Protein Kinase Type I
  • Prkg1 protein, mouse
  • Cyclic GMP
  • Calcium