The 14-3-3 family of adaptor
proteins regulate diverse cellular functions including cell proliferation, metabolism, adhesion and apoptosis. Platelets express numerous 14-3-3
isoforms, including 14-3-3ζ, which has previously been implicated in regulating GPIbα function. Here we show an important role for 14-3-3ζ in regulating arterial
thrombosis. Interestingly, this
thrombosis defect is not related to alterations in
von Willebrand factor (VWF)-GPIb adhesive function or platelet activation, but instead associated with reduced platelet
phosphatidylserine (PS) exposure and procoagulant function. Decreased PS exposure in 14-3-3ζ-deficient platelets is associated with more sustained levels of metabolic
ATP and increased mitochondrial respiratory reserve, independent of alterations in cytosolic
calcium flux. Reduced platelet PS exposure in 14-3-3ζ-deficient mice does not increase
bleeding risk, but results in decreased
thrombin generation and protection from
pulmonary embolism, leading to prolonged survival. Our studies define an important role for 14-3-3ζ in regulating platelet bioenergetics, leading to decreased platelet PS exposure and procoagulant function.