TY - JOUR A1 - Mammadova-Bach, Elmina A1 - Braun, Attila T1 - Zinc homeostasis in platelet-related diseases JF - International Journal of Molecular Sciences N2 - Zn\(^{2+}\) deficiency in the human population is frequent in underdeveloped countries. Worldwide, approximatively 2 billion people consume Zn\(^{2+}\)-deficient diets, accounting for 1–4% of deaths each year, mainly in infants with a compromised immune system. Depending on the severity of Zn\(^{2+}\) deficiency, clinical symptoms are associated with impaired wound healing, alopecia, diarrhea, poor growth, dysfunction of the immune and nervous system with congenital abnormalities and bleeding disorders. Poor nutritional Zn\(^{2+}\) status in patients with metastatic squamous cell carcinoma or with advanced non-Hodgkin lymphoma, was accompanied by cutaneous bleeding and platelet dysfunction. Forcing Zn\(^{2+}\) uptake in the gut using different nutritional supplementation of Zn\(^{2+}\) could ameliorate many of these pathological symptoms in humans. Feeding adult rodents with a low Zn\(^{2+}\) diet caused poor platelet aggregation and increased bleeding tendency, thereby attracting great scientific interest in investigating the role of Zn\(^{2+}\) in hemostasis. Storage protein metallothionein maintains or releases Zn\(^{2+}\) in the cytoplasm, and the dynamic change of this cytoplasmic Zn\(^{2+}\) pool is regulated by the redox status of the cell. An increase of labile Zn\(^{2+}\) pool can be toxic for the cells, and therefore cytoplasmic Zn\(^{2+}\) levels are tightly regulated by several Zn\(^{2+}\) transporters located on the cell surface and also on the intracellular membrane of Zn\(^{2+}\) storage organelles, such as secretory vesicles, endoplasmic reticulum or Golgi apparatus. Although Zn\(^{2+}\) is a critical cofactor for more than 2000 transcription factors and 300 enzymes, regulating cell differentiation, proliferation, and basic metabolic functions of the cells, the molecular mechanisms of Zn\(^{2+}\) transport and the physiological role of Zn\(^{2+}\) store in megakaryocyte and platelet function remain elusive. In this review, we summarize the contribution of extracellular or intracellular Zn\(^{2+}\) to megakaryocyte and platelet function and discuss the consequences of dysregulated Zn\(^{2+}\) homeostasis in platelet-related diseases by focusing on thrombosis, ischemic stroke and storage pool diseases. KW - Zinc KW - platelets KW - hemostasis KW - thrombosis KW - ischemic stroke KW - storage-pool diseases Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-285554 SN - 1422-0067 VL - 20 IS - 21 ER - TY - THES A1 - Heck, Johannes T1 - Role of cyclase-associated protein 2 in platelet function and description of an inherited macrothrombocytopenia T1 - Rolle von cyclase-associated protein 2 in der Thrombozytenfunktion und Beschreibung einer erblich bedingten Makrothrombozytopenie N2 - Cyclase-associated protein (CAP)2 is an evolutionarily highly conserved actin-binding protein implicated in striated muscle development, carcinogenesis, and wound healing in mammals. To date, the presence as well as the putative role(s) of CAP2 in platelets, however, remain unknown. Therefore, mice constitutively lacking CAP2 (Cap2gt/gt mice) were examined for platelet function. These studies confirmed the presence of both mammalian CAP isoforms, CAP1 and CAP2, in platelets. CAP2-deficient platelets were slightly larger than WT controls and displayed increased GPIIbIIIa activation and P-selectin recruitment in response to the (hem)ITAM-specific agonists collagen-related peptide and rhodocytin. However, spreading of CAP2-deficient platelets on a fibrinogen matrix was unaltered. In conclusion, the functionally redundant CAP1 isoform may compensate for the lack of CAP2 in murine platelets. Moreover, the studies presented in this thesis unveiled a severe macrothrombocytopenia that occurred independently of the targeted Cap2 allele and which was preliminarily termed orphan (orph). Crossing of the respective mice to C57BL/6J wild-type animals revealed an autosomal recessive inheritance. Orph mice were anemic and developed splenomegaly as well as BM fibrosis, suggesting a general hematopoietic defect. Strikingly, BM MKs of orph mice demonstrated an aberrant morphology and appeared to release platelets ectopically into the BM cavity, thus pointing to defective thrombopoiesis as cause for the low platelet counts. Orph platelets exhibited marked activation defects and spread poorly on fibrinogen. The unaltered protein content strongly suggested a defective alpha-granule release to account for the observed hyporesponsiveness. In addition, the cytoskeleton of orph platelets was characterized by disorganized microtubules and accumulations of filamentous actin. However, further experiments are required to elucidate the activation defects and cytoskeletal abnormalities in orph platelets. Above all, the gene mutation responsible for the phenotype of orph mice needs to be determined by next-generation sequencing in order to shed light on the underlying genetic and mechanistic cause. N2 - Cyclase-associated protein 2 (CAP)2 ist ein evolutionär hoch konserviertes Aktin-bindendes Protein, welches in der Entwicklung der quergestreiften Muskulatur, der Krebsentstehung und der Wundheilung von Säugetieren eine Rolle spielt. Bis heute sind jedoch das Vorhandensein sowie die mutmaßliche(n) Funktion(en) von CAP2 in Thrombozyten unbekannt. Aus diesem Grund wurden Mäuse, denen konstitutiv CAP2 fehlt (Cap2gt/gt-Mäuse), im Hinblick auf ihre Thrombozytenfunktion untersucht. Diese Untersuchungen bestätigten die Anwesenheit beider Säugetierisoforme von CAP, CAP1 und CAP2, in Thrombozyten. CAP2-defiziente Thrombozyten waren geringfügig größer als WT-Kontrollen und zeigten eine erhöhte GPIIbIIIa-Aktivierung und P-Selektin-Rekrutierung nach Stimulation durch die (hem)ITAM-spezifischen Agonisten collagen-related peptide und Rhodozytin. Demgegenüber verlief die Adhäsion (sog. spreading) CAP2-defizienter Thrombozyten auf einer Fibrinogen-Matrix unverändert. Dies legt den Schluss nahe, dass die funktionell redundante CAP1-Isoform in der Lage ist, den Mangel an CAP2 in Mäusethrombozyten zu kompensieren. Darüber hinaus offenbarten die in dieser Dissertation präsentierten Untersuchungen eine schwere Makrothrombozytopenie, welche unabhängig von dem veränderten Cap2-Allel auftrat und welche vorläufig als orphan (orph) bezeichnet wurde. Das Kreuzen der entsprechenden Mäuse mit C57BL/6J-Wildtyp-Tieren enthüllte einen autosomal rezessiven Erbgang. Orph-Mäuse waren anämisch und entwickelten eine Milzvergrößerung sowie eine Knochenmarkfibrose, was einen generellen hämatopoetischen Defekt nahelegte. Bemerkenswerterweise waren Knochenmarksmegakaryozten von orph-Mäusen morphologisch auffällig und gaben allem Anschein nach Thrombozyten ektop in das Knochenmarkstroma ab, was auf eine defekte Thrombopoese als Ursache für die niedrigen Thrombozytenzahlen hindeutet. Orph-Thrombozyten zeigten ausgesprochene Aktivierungsdefekte und adhärierten kaum auf Fibrinogen. Der unveränderte Gehalt an Proteinen lenkte den Verdacht auf eine defekte Exozytose von Alpha-Granula als Ursache der Mindererregbarkeit. Des Weiteren war das Zytoskelett von orph-Thrombozyten durch unorganisierte Mikrotubuli und Akkumulationen von filamentösem Aktin charakterisiert. Weitere Experimente sind jedoch notwendig, um die Aktivierungsdefekte und die Zytoskelettveränderungen aufzuklären. Vor allem aber muss die Genmutation, welche für den Phänotyp der orph-Mäuse verantwortlich ist, mittels Sequenziermethoden der nächsten Generation (next-generation sequencing) aufgeklärt werden um Aufschluss über die zugrunde liegende genetische und mechanistische Ursache zu geben. KW - Thrombozyt KW - Actin KW - Actin-bindende Proteine KW - Thrombozytopenie KW - platelets KW - actin cytoskeleton KW - actin-binding proteins KW - cyclase-associated protein KW - cyclase-associated protein 2 KW - inherited macrothrombocytopenia Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-179968 ER -