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- W2889133055 abstract "Paroxysmal nocturnal hemoglobinuria (PNH)-is frequently complicated by thrombosis. It has been suggested that the abnormal interactions of PNH platelets with complement contribute to thrombosis. Using purified complement proteins, we have previously demonstrated that the platelets from some patients with PNH do not demonstrate elevated activity of C3bBb, the alternative pathway C3 amplification enzyme complex, even though they lack the C3bBb regulatory protein, decay accelerating factor (DAF). As measured by fluorescence flow cytometry, washed platelets from both normal donors and PNH patients released the fluid phase C3bBb regulatory protein, factor H, in response to the deposition of purified complement proteins. Platelet factor H was localized to the alpha granules by immunocytochemical techniques. A quantitative radioimmunoassay demonstrated that normal platelets released 54 ± 6 ng factor H/108 platelets in response to thrombin stimulation. PNH platelets contained less factor H (22 ±7 ng/108 platelets) than normal platelets. Thrombin stimulated platelets from patients with elevated C3bBb activity released less than half of the factor H measured in detergent extracts. However, thrombin stimulated platelets from PNH patients exhibiting normal C3bBb activity released nearly all their factor H. The release of factor H from normal platelets was blocked by treating the platelets with metabolic inhibitors. In the absence of factor H release, the activity of the C3bBb complex increased three-fold. In addition, the number of molecules of 1251-factor B bound per C3b increased from 0.40 to 0.92 when factor H release was blocked. The inhibition of DAF by anti-DAF had no effect on the activity of C3bBb if factor H could be released from the platelets. However, when factor H release was blocked by treatment with metabolic inhibitors, the inhibition of DAF by anti-DAF increased the activity of C3bBb by 40%. Therefore, in the absence of DAF, platelets can regulate complement activation by the alternative pathway via the release of platelet factor H. Since factor H is an alpha granule protein, platelet release in the presence of activated complement may contribute to the occurrence of thrombosis." @default.
- W2889133055 created "2018-09-07" @default.
- W2889133055 creator A5006207744 @default.
- W2889133055 creator A5071776286 @default.
- W2889133055 date "1987-01-01" @default.
- W2889133055 modified "2023-09-23" @default.
- W2889133055 title "PLATELET FACTOR H REGULATES THE ACTIVITY OF THE ALTERNATIVE PATHWAY OF COMPLEMENT ON THE SURFACE OF NORMAL AND PAROXYSMAL NOCTURNAL HEMOGLOBINURIA PLATELETS" @default.
- W2889133055 doi "https://doi.org/10.1055/s-0038-1643979" @default.
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