Transcription factor RUNX1 regulates coagulation factor XIII-A (F13A1): decreased platelet-megakaryocyte F13A1 expression and clot contraction in RUNX1 haplodeficiency

Background: Germline RUNX1 haplodeficiency (RHD) is associated with thrombocytopenia, platelet dysfunction, and predisposition to myeloid malignancies. Platelet expression profiling of an RHD patient showed decreased F13A1, encoding for the A subunit of factor (F)XIII, a transglutaminase that cross-...

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Main Authors: Fabiola Del Carpio-Cano, Natthapol Songdej, Liying Guan, Guangfen Mao, Lawrence E. Goldfinger, Jeremy G.T. Wurtzel, Kiwon Lee, Michele P. Lambert, Mortimer Poncz, A. Koneti Rao
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Research and Practice in Thrombosis and Haemostasis
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Online Access:http://www.sciencedirect.com/science/article/pii/S2475037925000044
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author Fabiola Del Carpio-Cano
Natthapol Songdej
Liying Guan
Guangfen Mao
Lawrence E. Goldfinger
Jeremy G.T. Wurtzel
Kiwon Lee
Michele P. Lambert
Mortimer Poncz
A. Koneti Rao
author_facet Fabiola Del Carpio-Cano
Natthapol Songdej
Liying Guan
Guangfen Mao
Lawrence E. Goldfinger
Jeremy G.T. Wurtzel
Kiwon Lee
Michele P. Lambert
Mortimer Poncz
A. Koneti Rao
author_sort Fabiola Del Carpio-Cano
collection DOAJ
description Background: Germline RUNX1 haplodeficiency (RHD) is associated with thrombocytopenia, platelet dysfunction, and predisposition to myeloid malignancies. Platelet expression profiling of an RHD patient showed decreased F13A1, encoding for the A subunit of factor (F)XIII, a transglutaminase that cross-links fibrin and induces clot stabilization. FXIII-A is synthesized by hematopoietic cells, megakaryocytes, and monocytes. Objectives: To understand RUNX1 regulation of F13A1 expression in platelets/megakaryocytes and the mechanisms and consequences of decreased F13A1 in RHD. Methods: We performed studies in platelets, human erythroleukemia (HEL) cells, and human CD34+ cell-derived megakaryocytes including on clot contraction in cells following small inhibitor RNA knockdown (KD) of RUNX1 or F13A1. Results: Platelet F13A1 mRNA and protein were decreased in our index patient and in 2 siblings from an unrelated family with RHD. Platelet-driven clot contraction was decreased in the patient and affected daughter. Promoter studies in HEL cells showed that RUNX1 regulates F13A1 transcription; RUNX1 overexpression increased, and small inhibitor RNA RUNX1 KD reduced F13A1 promoter activity and protein. Following RUNX1 or F13A1 KD, clot contraction by HEL cells was decreased, as were FXIII-A surface expression, myosin light chain phosphorylation, and PAC1 antibody binding upon activation. F13A1 expression and clot contraction were impaired in RUNX1 downregulation in human megakaryocytes. Conclusion: RUNX1 regulates platelet-megakaryocyte F13A1 expression, which is decreased in RHD, reflecting regulation of a coagulation protein by a hematopoietic transcription factor. Platelet and megakaryocyte clot contraction is decreased in RHD, related to multiple impaired mechanisms including F13A1 expression, myosin phosphorylation, and αIIbβ3 activation.
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spelling doaj-art-411df5e4bc834b42aad2f08d700ca0b52025-02-10T04:34:43ZengElsevierResearch and Practice in Thrombosis and Haemostasis2475-03792025-01-0191102680Transcription factor RUNX1 regulates coagulation factor XIII-A (F13A1): decreased platelet-megakaryocyte F13A1 expression and clot contraction in RUNX1 haplodeficiencyFabiola Del Carpio-Cano0Natthapol Songdej1Liying Guan2Guangfen Mao3Lawrence E. Goldfinger4Jeremy G.T. Wurtzel5Kiwon Lee6Michele P. Lambert7Mortimer Poncz8A. Koneti Rao9Sol Sherry Thrombosis Research Center, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USASol Sherry Thrombosis Research Center, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA; Penn State College of Medicine/Penn State Cancer Institute, Hershey, Pennsylvania, USASol Sherry Thrombosis Research Center, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USASol Sherry Thrombosis Research Center, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USACardeza Foundation for Hematologic Research, Thomas Jefferson University, Philadelphia, Pennsylvania, USACardeza Foundation for Hematologic Research, Thomas Jefferson University, Philadelphia, Pennsylvania, USADepartment of Pediatrics, Division of Hematology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA; Department of Bioscience and Biotechnology, Hankuk University of Foreign Studies, Seoul, South KoreaDepartment of Pediatrics, Division of Hematology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USADepartment of Pediatrics, Division of Hematology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USASol Sherry Thrombosis Research Center, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA; Department of Medicine, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania, USA; Correspondence A. Koneti Rao, Sol Sherry Thrombosis Research Center and Section of Hematology, Lewis Katz School of Medicine at Temple University, 3420 N. Broad St., 204 MRB, Philadelphia, PA 19140, USA.Background: Germline RUNX1 haplodeficiency (RHD) is associated with thrombocytopenia, platelet dysfunction, and predisposition to myeloid malignancies. Platelet expression profiling of an RHD patient showed decreased F13A1, encoding for the A subunit of factor (F)XIII, a transglutaminase that cross-links fibrin and induces clot stabilization. FXIII-A is synthesized by hematopoietic cells, megakaryocytes, and monocytes. Objectives: To understand RUNX1 regulation of F13A1 expression in platelets/megakaryocytes and the mechanisms and consequences of decreased F13A1 in RHD. Methods: We performed studies in platelets, human erythroleukemia (HEL) cells, and human CD34+ cell-derived megakaryocytes including on clot contraction in cells following small inhibitor RNA knockdown (KD) of RUNX1 or F13A1. Results: Platelet F13A1 mRNA and protein were decreased in our index patient and in 2 siblings from an unrelated family with RHD. Platelet-driven clot contraction was decreased in the patient and affected daughter. Promoter studies in HEL cells showed that RUNX1 regulates F13A1 transcription; RUNX1 overexpression increased, and small inhibitor RNA RUNX1 KD reduced F13A1 promoter activity and protein. Following RUNX1 or F13A1 KD, clot contraction by HEL cells was decreased, as were FXIII-A surface expression, myosin light chain phosphorylation, and PAC1 antibody binding upon activation. F13A1 expression and clot contraction were impaired in RUNX1 downregulation in human megakaryocytes. Conclusion: RUNX1 regulates platelet-megakaryocyte F13A1 expression, which is decreased in RHD, reflecting regulation of a coagulation protein by a hematopoietic transcription factor. Platelet and megakaryocyte clot contraction is decreased in RHD, related to multiple impaired mechanisms including F13A1 expression, myosin phosphorylation, and αIIbβ3 activation.http://www.sciencedirect.com/science/article/pii/S2475037925000044clotF13A1FXIIImegakaryocytesplateletsRUNX1
spellingShingle Fabiola Del Carpio-Cano
Natthapol Songdej
Liying Guan
Guangfen Mao
Lawrence E. Goldfinger
Jeremy G.T. Wurtzel
Kiwon Lee
Michele P. Lambert
Mortimer Poncz
A. Koneti Rao
Transcription factor RUNX1 regulates coagulation factor XIII-A (F13A1): decreased platelet-megakaryocyte F13A1 expression and clot contraction in RUNX1 haplodeficiency
Research and Practice in Thrombosis and Haemostasis
clot
F13A1
FXIII
megakaryocytes
platelets
RUNX1
title Transcription factor RUNX1 regulates coagulation factor XIII-A (F13A1): decreased platelet-megakaryocyte F13A1 expression and clot contraction in RUNX1 haplodeficiency
title_full Transcription factor RUNX1 regulates coagulation factor XIII-A (F13A1): decreased platelet-megakaryocyte F13A1 expression and clot contraction in RUNX1 haplodeficiency
title_fullStr Transcription factor RUNX1 regulates coagulation factor XIII-A (F13A1): decreased platelet-megakaryocyte F13A1 expression and clot contraction in RUNX1 haplodeficiency
title_full_unstemmed Transcription factor RUNX1 regulates coagulation factor XIII-A (F13A1): decreased platelet-megakaryocyte F13A1 expression and clot contraction in RUNX1 haplodeficiency
title_short Transcription factor RUNX1 regulates coagulation factor XIII-A (F13A1): decreased platelet-megakaryocyte F13A1 expression and clot contraction in RUNX1 haplodeficiency
title_sort transcription factor runx1 regulates coagulation factor xiii a f13a1 decreased platelet megakaryocyte f13a1 expression and clot contraction in runx1 haplodeficiency
topic clot
F13A1
FXIII
megakaryocytes
platelets
RUNX1
url http://www.sciencedirect.com/science/article/pii/S2475037925000044
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