Summary
The mechanism(s) involved in the clearance of senescent platelets are largely unknown.
We have recently demonstrated that platelet aging in vivo is associated with loss of membrane phospholipid asymmetry, a universal phenomenon
in cells undergoing apoptosis. Thus, we postulated that senescent platelets may exhibit
programmed cell death changes, which may trigger their removal from circulation. Since
platelets contain the apoptosis machinery as well as mitochondria, a key organelle
in the regulation of apoptosis, we studied the appearance of apoptotic-like changes
during platelet aging in vivo. To investigate this, we assessed changes in mitochondrial membrane potential (Δψ)
in circulating canine platelets during decline in platelet count after suppression
of thrombopoiesis by estradiol injection, a validated model to obtain circulating
platelets of increasing mean age. Phosphatidylserine (PS) exposure was determined
by flow cytometry by binding of FITC-labeled annexin V. Mitochondrial Δψ was studied
with the cationic lipophilic dye DIOC6 (3) and the J-aggregate-forming cation JC-1 and analysis by flow cytometry. The proportion
of platelets with exposed PS rose significantly with age, from 2.88% before to 6.7%,
8 days after estradiol injection. By flow cytometry it was demonstrated a significant
decreased in DIOC6 (3) fluorescence (median fluorescence intensity 791 ± 98 vs 567 ± 102 day 0 vs day
8 post injection of estradiol, respectively; n: 11; p <0.01), consistent with mitochondrial
Δψ collapse. JC-1 has the unique property of forming J-aggregates under high mitochondrial
Δψ (red fluorescence, FL2) whereas the monomeric form fluoresces in green (FL1). Aged
platelets in vivo, loaded with JC-1, exhibited a significant increase in FL1/FL2 ratio
(2.5 ± 1.7 vs 4.7 ± 1.6, day 0 vs day 8 post injection of estradiol, respectively;
n: 13; p <0.05), confirming the mitochondrial Δψ alteration.
The results show that platelet aging in vivo is associated with a decrease in mitochondrial
Δψ and PS exposure. In conclusion, our data provide for the first time, evidence that
platelet senescence is associated with changes characteristics of apoptosis, which
may promote their removal from circulation.
Keywords
Platelet aging - apoptosis - mitochondria - platelet removal