Exacerbation of Glycoprotein VI-Dependent Platelet Responses in a Rhesus Monkey Model of Type 1 Diabetes

Thrombosis is a life-threatening complication of diabetes. Platelet reactivity is crucial to thrombus formation, particularly in arterial vessels and in thrombotic complications causing myocardial infarction or ischaemic stroke, but diabetic patients often respond poorly to current antiplatelet medi...

Full description

Saved in:
Bibliographic Details
Main Authors: J. F. Arthur, Y. Shen, Y. Chen, J. Qiao, R. Ni, Y. Lu, R. K. Andrews, E. E. Gardiner, J. Cheng
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2013/370212
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832562397112434688
author J. F. Arthur
Y. Shen
Y. Chen
J. Qiao
R. Ni
Y. Lu
R. K. Andrews
E. E. Gardiner
J. Cheng
author_facet J. F. Arthur
Y. Shen
Y. Chen
J. Qiao
R. Ni
Y. Lu
R. K. Andrews
E. E. Gardiner
J. Cheng
author_sort J. F. Arthur
collection DOAJ
description Thrombosis is a life-threatening complication of diabetes. Platelet reactivity is crucial to thrombus formation, particularly in arterial vessels and in thrombotic complications causing myocardial infarction or ischaemic stroke, but diabetic patients often respond poorly to current antiplatelet medication. In this study, we used a nonhuman primate model of Type 1 diabetes to measure early downstream signalling events following engagement of the major platelet collagen receptor, glycoprotein (GP)VI. Diabetic monkeys were given enough insulin to maintain their blood glucose levels either at ~8 mM (well-controlled diabetes) or ~15 mM (poorly controlled diabetes). Flow cytometric analysis was used to measure platelet reactive oxygen species (ROS) generation, calcium mobilisation, receptor surface expression, and immature platelet fraction. We observed exacerbated intracellular ROS and calcium flux associated with engagement of GPVI in monkeys with poorly controlled diabetes. GPVI surface levels did not differ between healthy monkeys or the two diabetic groups. Treatment of platelets with the specific Syk inhibitor BAY61-3606 inhibited GPVI-dependent ROS and, importantly, reduced ROS generation in the poorly controlled diabetes group to that observed in healthy monkeys. These data indicate that glycaemic control is important in reducing GPVI-dependent platelet hyperreactivity and point to a potential antithrombotic therapeutic benefit of Syk inhibition in hyperglycaemic diabetes.
format Article
id doaj-art-4a7219424424406f9693d320056f2436
institution Kabale University
issn 2314-6745
2314-6753
language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Journal of Diabetes Research
spelling doaj-art-4a7219424424406f9693d320056f24362025-02-03T01:22:44ZengWileyJournal of Diabetes Research2314-67452314-67532013-01-01201310.1155/2013/370212370212Exacerbation of Glycoprotein VI-Dependent Platelet Responses in a Rhesus Monkey Model of Type 1 DiabetesJ. F. Arthur0Y. Shen1Y. Chen2J. Qiao3R. Ni4Y. Lu5R. K. Andrews6E. E. Gardiner7J. Cheng8Australian Centre for Blood Diseases, Alfred Medical Research & Education Precinct (AMREP), Monash University, Melbourne, VIC 3004, AustraliaAustralian Centre for Blood Diseases, Alfred Medical Research & Education Precinct (AMREP), Monash University, Melbourne, VIC 3004, AustraliaKey Laboratory of Transplant Engineering and Immunology, West China Hospital, Ministry of Health, Sichuan University, Chengdu 610041, ChinaAustralian Centre for Blood Diseases, Alfred Medical Research & Education Precinct (AMREP), Monash University, Melbourne, VIC 3004, AustraliaKey Laboratory of Transplant Engineering and Immunology, West China Hospital, Ministry of Health, Sichuan University, Chengdu 610041, ChinaKey Laboratory of Transplant Engineering and Immunology, West China Hospital, Ministry of Health, Sichuan University, Chengdu 610041, ChinaAustralian Centre for Blood Diseases, Alfred Medical Research & Education Precinct (AMREP), Monash University, Melbourne, VIC 3004, AustraliaAustralian Centre for Blood Diseases, Alfred Medical Research & Education Precinct (AMREP), Monash University, Melbourne, VIC 3004, AustraliaKey Laboratory of Transplant Engineering and Immunology, West China Hospital, Ministry of Health, Sichuan University, Chengdu 610041, ChinaThrombosis is a life-threatening complication of diabetes. Platelet reactivity is crucial to thrombus formation, particularly in arterial vessels and in thrombotic complications causing myocardial infarction or ischaemic stroke, but diabetic patients often respond poorly to current antiplatelet medication. In this study, we used a nonhuman primate model of Type 1 diabetes to measure early downstream signalling events following engagement of the major platelet collagen receptor, glycoprotein (GP)VI. Diabetic monkeys were given enough insulin to maintain their blood glucose levels either at ~8 mM (well-controlled diabetes) or ~15 mM (poorly controlled diabetes). Flow cytometric analysis was used to measure platelet reactive oxygen species (ROS) generation, calcium mobilisation, receptor surface expression, and immature platelet fraction. We observed exacerbated intracellular ROS and calcium flux associated with engagement of GPVI in monkeys with poorly controlled diabetes. GPVI surface levels did not differ between healthy monkeys or the two diabetic groups. Treatment of platelets with the specific Syk inhibitor BAY61-3606 inhibited GPVI-dependent ROS and, importantly, reduced ROS generation in the poorly controlled diabetes group to that observed in healthy monkeys. These data indicate that glycaemic control is important in reducing GPVI-dependent platelet hyperreactivity and point to a potential antithrombotic therapeutic benefit of Syk inhibition in hyperglycaemic diabetes.http://dx.doi.org/10.1155/2013/370212
spellingShingle J. F. Arthur
Y. Shen
Y. Chen
J. Qiao
R. Ni
Y. Lu
R. K. Andrews
E. E. Gardiner
J. Cheng
Exacerbation of Glycoprotein VI-Dependent Platelet Responses in a Rhesus Monkey Model of Type 1 Diabetes
Journal of Diabetes Research
title Exacerbation of Glycoprotein VI-Dependent Platelet Responses in a Rhesus Monkey Model of Type 1 Diabetes
title_full Exacerbation of Glycoprotein VI-Dependent Platelet Responses in a Rhesus Monkey Model of Type 1 Diabetes
title_fullStr Exacerbation of Glycoprotein VI-Dependent Platelet Responses in a Rhesus Monkey Model of Type 1 Diabetes
title_full_unstemmed Exacerbation of Glycoprotein VI-Dependent Platelet Responses in a Rhesus Monkey Model of Type 1 Diabetes
title_short Exacerbation of Glycoprotein VI-Dependent Platelet Responses in a Rhesus Monkey Model of Type 1 Diabetes
title_sort exacerbation of glycoprotein vi dependent platelet responses in a rhesus monkey model of type 1 diabetes
url http://dx.doi.org/10.1155/2013/370212
work_keys_str_mv AT jfarthur exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes
AT yshen exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes
AT ychen exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes
AT jqiao exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes
AT rni exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes
AT ylu exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes
AT rkandrews exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes
AT eegardiner exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes
AT jcheng exacerbationofglycoproteinvidependentplateletresponsesinarhesusmonkeymodeloftype1diabetes