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P2Y12 protects platelets from apoptosis via PI3k-dependent Bak/Bax inactivation.

AbstractBACKGROUND:
Platelet ADP receptor P2Y(12) is well studied and recognized as a key player in platelet activation, hemostasis and thrombosis. However, the role of P2Y(12) in platelet apoptosis remains unknown.
OBJECTIVES:
To evaluate the role of the P2Y(12) receptor in platelet apoptosis.
METHODS:
We used flow cytometry and Western blotting to assess apoptotic events in platelets treated with ABT-737 or ABT-263, and stored at 37°C, combined with P2Y(12) receptor antagonists or P2Y(12) -deficient mice.
RESULTS:
 P2Y(12) activation attenuated apoptosis induced by ABT-737 in human and mouse platelets in vitro, evidenced by reduced phosphatidylserine (PS) exposure, diminished depolarization of mitochondrial inner transmembrane potential (ΔΨm) and decreased caspase-3 activation. Through increasing the phosphorylation level of Akt and Bad, and changing the interaction between different Bcl-2 family proteins, P2Y(12) activation inactivated Bak/Bax. This antiapoptotic effect could be abolished by P2Y(12) antagonism or PI3K inhibition. We also observed the antiapoptotic effect of P2Y(12) activation in platelets stored at 37°C. P2Y(12) activation improved the impaired activation responses of apoptotic platelets stressed by ABT-737. In platelets from mice dosed with ABT-263 in vivo, clopidogrel or deficiency of P2Y(12) receptor enhanced apoptosis along with increased Bak/Bax activation.
CONCLUSIONS:
This study demonstrates that P2Y(12) activation protects platelets from apoptosis via PI3k-dependent Bak/Bax inactivation, which may be physiologically important to counter the proapoptotic challenge. Our findings that P2Y(12) blockade exaggerates platelet apoptosis induced by ABT-263 (Navitoclax) also imply a novel drug interaction of ABT-263 and P2Y(12) antagonists.
AuthorsS Zhang, J Ye, Y Zhang, X Xu, J Liu, S H Zhang, S P Kunapuli, Z Ding
JournalJournal of thrombosis and haemostasis : JTH (J Thromb Haemost) Vol. 11 Issue 1 Pg. 149-60 (Jan 2013) ISSN: 1538-7836 [Electronic] England
PMID23140172 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Copyright© 2012 International Society on Thrombosis and Haemostasis.
Chemical References
  • ABT-737
  • Aniline Compounds
  • BAD protein, human
  • BAK1 protein, human
  • BAX protein, human
  • Bad protein, mouse
  • Bak1 protein, mouse
  • Bax protein, mouse
  • Biphenyl Compounds
  • Nitrophenols
  • P2RY12 protein, human
  • P2ry12 protein, mouse
  • Phosphatidylserines
  • Piperazines
  • Protein Kinase Inhibitors
  • Purinergic P2Y Receptor Antagonists
  • Receptors, Purinergic P2Y12
  • Sulfonamides
  • bcl-2 Homologous Antagonist-Killer Protein
  • bcl-2-Associated X Protein
  • bcl-Associated Death Protein
  • Phosphatidylinositol 3-Kinase
  • Proto-Oncogene Proteins c-akt
  • CASP3 protein, human
  • Casp3 protein, mouse
  • Caspase 3
  • navitoclax
Topics
  • Aniline Compounds (pharmacology)
  • Animals
  • Apoptosis (drug effects)
  • Biphenyl Compounds (pharmacology)
  • Blood Platelets (drug effects, enzymology, pathology)
  • Blotting, Western
  • Caspase 3 (blood)
  • Dose-Response Relationship, Drug
  • Flow Cytometry
  • Humans
  • Membrane Potential, Mitochondrial
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Nitrophenols (pharmacology)
  • Phosphatidylinositol 3-Kinase (blood)
  • Phosphatidylserines (blood)
  • Phosphorylation
  • Piperazines (pharmacology)
  • Protein Kinase Inhibitors (pharmacology)
  • Proto-Oncogene Proteins c-akt (blood)
  • Purinergic P2Y Receptor Antagonists (pharmacology)
  • Receptors, Purinergic P2Y12 (blood, deficiency, drug effects, genetics)
  • Signal Transduction
  • Sulfonamides (pharmacology)
  • Time Factors
  • bcl-2 Homologous Antagonist-Killer Protein (blood)
  • bcl-2-Associated X Protein (blood)
  • bcl-Associated Death Protein (blood)

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