WASP plays a novel role in regulating platelet responses dependent on alphaIIbbeta3 integrin outside-in signalling

Br J Haematol. 2010 Feb;148(3):416-27. doi: 10.1111/j.1365-2141.2009.07959.x. Epub 2009 Oct 27.


The most consistent feature of Wiskott Aldrich syndrome (WAS) is profound thrombocytopenia with small platelets. The responsible gene encodes WAS protein (WASP), which functions in leucocytes as an actin filament nucleating agent -yet- actin filament nucleation proceeds normally in patient platelets regarding shape change, filopodia and lamellipodia generation. Because WASP localizes in the platelet membrane skeleton and is mobilized by alphaIIbbeta3 integrin outside-in signalling, we questioned whether its function might be linked to integrin. Agonist-induced alphaIIbbeta3 activation (PAC-1 binding) was normal for patient platelets, indicating normal integrin inside-out signalling. Inside-out signalling (fibrinogen, JON/A binding) was also normal for wasp-deficient murine platelets. However, adherence/spreading on immobilized fibrinogen was decreased for patient platelets and wasp-deficient murine platelets, indicating decreased integrin outside-in responses. Another integrin outside-in dependent response, fibrin clot retraction, involving contraction of the post-aggregation actin cytoskeleton, was also decreased for patient platelets and wasp-deficient murine platelets. Rebleeding from tail cuts was more frequent for wasp-deficient mice, suggesting decreased stabilisation of the primary platelet plug. In contrast, phosphatidylserine exposure, a pro-coagulant response, was enhanced for WASP-deficient patient and murine platelets. The collective results reveal a novel function for WASP in regulating pro-aggregatory and pro-coagulant responses downstream of integrin outside-in signalling.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Animals
  • Blood Platelets / metabolism
  • Blood Platelets / physiology*
  • Child
  • Child, Preschool
  • Female
  • Fibrin / physiology
  • Fibrinogen / metabolism
  • Hemostasis / physiology
  • Humans
  • Infant
  • Male
  • Mice
  • Mice, Knockout
  • Middle Aged
  • Platelet Aggregation / physiology
  • Platelet Count
  • Platelet Glycoprotein GPIIb-IIIa Complex / metabolism
  • Platelet Glycoprotein GPIIb-IIIa Complex / physiology*
  • Signal Transduction / physiology
  • Wiskott-Aldrich Syndrome / blood*
  • Wiskott-Aldrich Syndrome / genetics
  • Wiskott-Aldrich Syndrome Protein / deficiency
  • Wiskott-Aldrich Syndrome Protein / genetics
  • Wiskott-Aldrich Syndrome Protein / physiology*
  • Young Adult


  • Platelet Glycoprotein GPIIb-IIIa Complex
  • Wiskott-Aldrich Syndrome Protein
  • Fibrin
  • Fibrinogen