Summary
Platelet activation induced by von Willebrand factor (VWF) binding to the membrane
GPIb-IX-V receptor involves multiple signal transduction pathways. Among these, recruitment
and activation of the FcγRIIA and stimulation of phospholipase A2 represent independent events equally essential to support a complete platelet response.
Phospholipase A2 is activated by calcium and by phosphorylation through MAP kinases. In this work,
we found that VWF stimulated the rapid and sustained phosphorylation of p38 MAP kinase
(p38MAPK). In vitro kinase assay revealed that VWF-stimulated phosphorylation of p38MAPK
was associated with increased kinase activity. Binding of VWF to GPIb-IX-V, but not
to integrin αIIbβ3, was required to support phosphorylation of p38MAPK. Neither the blockade of the
membrane FcγRIIA by a specific monoclonal antibody or the prevention of thromboxane
A2 synthesis by cyclooxygenase inhibitors affected VWF-induced p38MAPK activation. However,
phosphorylation of p38MAPK was prevented by the tyrosine kinase Syk inhibitor piceatannol.
Treatment of platelets with the p38MAPK inhibitor SB203580 totally prevented VWFstimulated
platelet aggregation. Moreover, release of arachidonic acid induced by VWF was strongly
impaired by inhibition of p38MAPK. We also found thatVWF induced phosphorylation of
cytosolic phospholipase A2, and that this process was prevented by the p38MAPK inhibitor SB203580.These results
demonstrate that p38MAPK is a key element in the FcγRIIA-independent pathway for VWF-induced
platelet activation, and is involved in the stimulation of phospholipase A2 and arachidonic acid release.
Keywords
p38 MAP kinase - von Willebrand Factor - tyrosine phosphorylation - phospholipase
A
2
- arachidonic acid