Ristocetin-induced platelet agglutination stimulates GPIIb/IIIa-dependent calcium influx

G. Bertolino, P. Noris, P. Spedini, C. L. Balduini

Research output: Contribution to journalArticlepeer-review


We found that intracellular Ca2+ concentration ([Ca2+](i)) increased during ristocetin-induced agglutination of aequorin loaded platelets resuspended in plasma. Chelation of extracellular Ca2+ had no effect on platelet clumping, but delayed and greatly reduced Ca2+ increase, indicating that it derived for the most part from Ca2+ influx. Nine monoclonal antibodies (MA) against glycoprotein (GP) Ib largely prevented ristocetin-induced platelet clumping and [Ca2+](i) increase, while three anti-GPIb MA with no effect on platelet clumping did not interfere with Ca2+ movement. In unstirred samples platelet agglutination was greatly reduced and [Ca2+](i) increase was abolished, suggesting that close platelet-to-platelet contact in addition to von Willebrand factor (vWF) binding to GPIb, is necessary for Ca2+ transient. Nine MA against GPIIb/IIIa, the gly-arg-gly-asp-ser (GRGDS) peptide and GPIIb/IIIa complex dissociation had no effect on platelet agglutination, but significantly reduced Ca2+ increase. Our results suggest that platelet clumping induced by vWF binding to GPIb is responsible for GPIIb-IIIa dependent Ca2+ influx.

Original languageEnglish
Pages (from-to)689-692
Number of pages4
JournalThrombosis and Haemostasis
Issue number4
Publication statusPublished - 1995

ASJC Scopus subject areas

  • Hematology


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