Murine macrophage P2X7 receptors support rapid prothrombotic responses

Cell Signal. 2007 Apr;19(4):855-66. doi: 10.1016/j.cellsig.2006.10.010. Epub 2006 Dec 18.


Non-apoptotic externalization of phosphatidylserine (PS) can act as a reactive surface for the efficient assembly of the prothrombinase complex leading to thrombin generation and coagulation. Here we show that extracellular ATP, acting at the macrophage P2X(7) receptor, drives the rapid Ca(2+)-dependent formation and release of PS-rich microvesicles that enhance the assembly of the prothrombinase complex and subsequent formation of thrombin. Incubation with P2X(7) receptor antagonists (KN-62 and Brilliant Blue G) attenuates ATP induced prothrombotic responses. Consistent with the hypothesis that exposed PS enhances prothrombinase activity; pre-incubation with annexin V blocks the increase in thrombin formation. The rapid translocation of PS and formation of pro-thrombotic microvesicles occurs in the absence of cell lysis. These data demonstrate that the pro-inflammatory P2X(7) receptor can also support and propagate rapid increases in thrombin formation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenosine Triphosphate / pharmacology
  • Animals
  • Annexin A5 / metabolism
  • Biological Transport / drug effects
  • Calcium / metabolism
  • Cattle
  • Cell Line
  • Cell Survival / drug effects
  • Cytoplasmic Vesicles / drug effects
  • Cytoplasmic Vesicles / metabolism
  • Ethidium / metabolism
  • Humans
  • L-Lactate Dehydrogenase / metabolism
  • Macrophages / cytology
  • Macrophages / metabolism*
  • Macrophages / ultrastructure
  • Mice
  • Phosphatidylserines / metabolism
  • Protein Binding / drug effects
  • Prothrombin / metabolism*
  • Receptors, Purinergic P2 / metabolism*
  • Receptors, Purinergic P2X7
  • Thromboplastin / metabolism


  • Annexin A5
  • P2RX7 protein, human
  • P2rx7 protein, mouse
  • Phosphatidylserines
  • Receptors, Purinergic P2
  • Receptors, Purinergic P2X7
  • Adenosine Triphosphate
  • Prothrombin
  • Thromboplastin
  • L-Lactate Dehydrogenase
  • Ethidium
  • Calcium