Polyphosphate/platelet factor 4 complexes can mediate heparin-independent platelet activation in heparin-induced thrombocytopenia

Author:

Cines Douglas B.123,Yarovoi Serge V.13,Zaitsev Sergei V.43,Lebedeva Tatiana13,Rauova Lubica53,Poncz Mortimer53,Arepally Gowthami M.63,Khandelwal Sanjay63,Stepanova Victoria13,Rux Ann H.13,Cuker Adam123,Guo Cecilia773,Ocariza Linnette Mae83,Travers Richard J.93,Smith Stephanie A.93,Kim Hugh77103,Morrissey James H.93,Conway Edward M.83

Affiliation:

1. Department of Pathology and Laboratory Medicine,

2. Department of Medicine, and

3. Faculty of Dentistry,

4. Department of Pharmacology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;

5. Division of Hematology, Children’s Hospital of Philadelphia, Philadelphia, PA;

6. Department of Medicine, Duke University School of Medicine, Durham, NC;

7. Faculty of Biochemistry, and

8. Faculty of Medicine and Centre for Blood Research, University of British Columbia, Vancouver, BC, Canada;

9. Department of Biochemistry, University of Illinois at Urbana-Champaign, Urbana, IL; and

10. Faculty of Molecular Biology, University of British Columbia, Vancouver, BC, Canada

Abstract

Key Points Polyphosphates form antigenic complexes with PF4 that are recognized by HIT antibodies. Polyphosphate/PF4 complexes released by activated platelets can mediate platelet aggregation by HIT antibodies in the absence of heparin or cell-surface chondroitin sulfate.

Publisher

American Society of Hematology

Subject

Hematology

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