The septic milieu triggers expression of spliced tissue factor mRNA in human platelets.

The septic milieu triggers expression of spliced tissue factor mRNA in human platelets.
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DOI:
10.1111/j.1538-7836.2011.04208.x
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发表时间:
2011-04
期刊:
Journal of thrombosis and haemostasis : JTH
影响因子:
--
通讯作者:
Zimmerman GA
Zimmerman GA
中科院分区:
其他
文献类型:
--
作者:
Rondina MT;Schwertz H;Harris ES;Kraemer BF;Campbell RA;Mackman N;Grissom CK;Weyrich AS;Zimmerman GA

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Activated platelets have previously-unrecognized mechanisms of post-transcriptional gene expression that may influence hemostasis and inflammation. A novel pathway involves splicing of pre-mRNAs in resting platelets to mature, translatable mRNAs in response to cellular activation. We asked if bacterial products and host agonists present in the septic milieu induce tissue factor pre-mRNA splicing in platelets from healthy subjects. In parallel, we asked if spliced tissue factor mRNA is present in platelets from septic patients in a proof-of-principle analysis. Tissue factor pre-mRNA and mRNA expression patterns were characterized in platelets from septic patients and in platelets isolated from healthy subjects activated with bacteria, toxins, and inflammatory agonists. Procoagulant activity was also measured. Live bacteria, staphylococcal α-toxin, and lipopolysaccharide induced tissue factor pre-mRNA splicing in platelets isolated from healthy subjects. Toxin-stimulated platelets accelerated plasma clotting, a response that was blocked by a previously-characterized splicing inhibitor and by an anti-tissue factor antibody. Platelets from septic patients expressed spliced tissue factor mRNA, whereas it was absent from unselected and age-matched control subjects. Tissue factor-dependent procoagulant activity was elevated in platelets from a subset of septic patients. Thus, bacterial and host factors induce splicing of tissue factor pre-mRNA, expression of tissue factor mRNA, and tissue factor-dependent clotting activity in human platelets. Tissue factor mRNA is present in platelets from some septic patients, indicating that it may be a marker of altered platelet phenotype and function in sepsis and that splicing pathways are induced in this syndrome.
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