Several CGHC motif-containing
disulfide isomerases support
thrombosis. We here report that endoplasmic reticulum
protein 72 (
ERp72), with 3 CGHC redox-active sites (ao, a, and a'), supports
thrombosis. We generated a new conditional knockout mouse model and found that Tie2-Cre/ERp72fl/fl mice with blood and endothelial cells lacking
ERp72 had prolonged tail bleeding times and decreased platelet accumulation in
laser-induced cremaster arteriole injury and FeCl3-induced mesenteric arterial injury.
Fibrin deposition was decreased in the
laser injury model. Both platelet and
fibrin accumulation defects were fully rescued by infusion of recombinant
ERp72 containing functional a and a' CGHC motifs (ERp72(oo-ss-ss)). Infusion of
ERp72 containing inactivated a and a' CGHC motifs (ERp72(ss-oo-oo)) inhibited platelet accumulation and
fibrin deposition in wild-type mice. Infusion of ERp72(oo-ss-ss) into β3-null mice increased
fibrin deposition in the absence of platelets. ERp72-null platelets had defective aggregation, JON/A binding,
P-selectin expression, and
adenosine triphosphate (
ATP) secretion. The aggregation and
ATP secretion defects were fully rescued by ERp72(oo-ss-ss) but partially rescued by ERp72(ss-oo-ss) and ERp72(ss-ss-oo). Aggregation and
ATP secretion of human platelets was potentiated by ERp72(oo-ss-ss) but inhibited by ERp72(ss-oo-ss) and ERp72(ss-ss-oo). These data suggest that both the a and a' active sites are required for platelet function.
ERp72 bound poorly to β3-null mouse platelets, and the addition of ERp72(oo-ss-ss) to human platelets generated
thiols in αIIbβ3, suggesting a direct interaction of
ERp72 with αIIbβ3. Defective aggregation of ERp72-null platelets was recovered by
ERp72, but not other
thiol isomerases. In summary,
ERp72 plays a critical role in platelet function and coagulation through the a and a' CGHC motifs.