Aging platelets shift their hemostatic properties to inflammatory functions: platelets and thrombopoiesis

Platelets are crucial players in hemostasis and thrombosis but also contribute to immune regulation and host defense, using different receptors, signaling pathways, and effector functions, respectively. Whether distinct subsets of platelets specialize in these diverse tasks is insufficiently underst...

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Hauptverfasser: Anjum, Afra (VerfasserIn) , Mader, Magdalena (VerfasserIn) , Mahameed, Shaan (VerfasserIn) , Muraly, Abhinaya (VerfasserIn) , Denorme, Frederik (VerfasserIn) , Kliem, Fabian P. (VerfasserIn) , Rossaro, Dario (VerfasserIn) , Agköl, Sezer (VerfasserIn) , Di Fina, Lea (VerfasserIn) , Mulkers, Maité (VerfasserIn) , Laun, Lisa (VerfasserIn) , Li, Lukas (VerfasserIn) , Kupper, Nadja (VerfasserIn) , Yue, Keyang (VerfasserIn) , Hoffknecht, Marie-Louise (VerfasserIn) , Akhalkatsi, Anastassia (VerfasserIn) , Loew, Quentin (VerfasserIn) , Pircher, Joachim (VerfasserIn) , Escaig, Raphael (VerfasserIn) , Strasser, Erwin (VerfasserIn) , Wichmann, Christian (VerfasserIn) , Pekayvaz, Kami (VerfasserIn) , Nieswandt, Bernhard (VerfasserIn) , Schulz, Christian (VerfasserIn) , Robles, Maria S. (VerfasserIn) , Kaiser, Rainer (VerfasserIn) , Massberg, Steffen (VerfasserIn) , Campbell, Robert (VerfasserIn) , Nicolai, Leo (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: April 3 2025
In: Blood
Year: 2025, Jahrgang: 145, Heft: 14, Pages: 1568-1582
ISSN:1528-0020
DOI:10.1182/blood.2024024901
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1182/blood.2024024901
Volltext
Verfasserangaben:Afra Anjum, Magdalena Mader, Shaan Mahameed, Abhinaya Muraly, Frederik Denorme, Fabian P. Kliem, Dario Rossaro, Sezer Agköl, Lea Di Fina, Maité Mulkers, Lisa Laun, Lukas Li, Nadja Kupper, Keyang Yue, Marie-Louise Hoffknecht, Anastassia Akhalkatsi, Quentin Loew, Joachim Pircher, Raphael Escaig, Erwin Strasser, Christian Wichmann, Kami Pekayvaz, Bernhard Nieswandt, Christian Schulz, Maria S. Robles, Rainer Kaiser, Steffen Massberg, Robert Campbell, and Leo Nicolai

MARC

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520 |a Platelets are crucial players in hemostasis and thrombosis but also contribute to immune regulation and host defense, using different receptors, signaling pathways, and effector functions, respectively. Whether distinct subsets of platelets specialize in these diverse tasks is insufficiently understood. Here, we used a pulse-labeling method in Mus musculus models for tracking in vivo platelet aging and its functional implications. Using in vitro and in vivo assays, we reveal that young, reticulated platelets show heightened responses in the setting of clot formation, with corresponding, increased responses to agonists, adhesion, and retractile function. Unexpectedly, aged platelets lose their hemostatic proficiency but are more prone to react to inflammatory challenge: compared with reticulated platelets, this cohort was more likely to form platelet-leukocyte aggregates and showed increased adhesion to neutrophils in vitro, as well as enhanced bactericidal function. In vivo, this was reflected in increased pulmonary recruitment of aged platelets in an acute lung injury model. Proteomic analyses confirmed the upregulation of immune pathways in this cohort, including enhanced procoagulant function. In mouse models of prolonged platelet half-life, this resulted in increased pulmonary leukocyte infiltration and inflammation upon acute lung injury. Similarly, human platelet concentrates decreased their hemostatic function and elevated their putative immunomodulatory potential in vitro over time, and in a mouse model of platelet transfusion, aged platelet concentrates resulted in augmented inflammation. In summary, we show that platelets exhibit age-dependent phenotypic shifts, allowing them to fulfill their diverse tasks in the vasculature. Because functional alterations of aging platelets extend to platelet concentrates, this may hold important implications for transfusion medicine. 
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