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Activation of Platelet gpIIbIIIa by Phospholipase C from Clostridium perfringens Involves Store-Operated Calcium Entry
Amy E. Bryant, Clifford R. Bayer, Susan M. Hayes-Schroer and Dennis L. Stevens
The Journal of Infectious Diseases
Vol. 187, No. 3 (Feb. 1, 2003), pp. 408-417
Published by: Oxford University Press
Stable URL: http://www.jstor.org/stable/30085369
Page Count: 10
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Clostridium perfringens gas gangrene is characterized by rapid tissue destruction, and amputation remains the single best treatment. Previous studies have demonstrated that tissue destruction follows C. perfringens phospholipase C (PLC)-induced, platelet gpIIbIIIa-mediated formation of occlusive intravascular platelet/leukocyte aggregates. In this study, the intracellular signaling events leading to activation of gpllbllla by PLC were investigated. PLC activated surface expressed gpIIbIIIa and mobilized gpIIbIIIa from internal stores. Chelation of intracellular calcium or inhibition of store-operated calcium entry each blocked PLC-induced activation of gpllbllla, whereas inhibition of protein kinase C was without effect. Thus, PLC initiates an "inside-out" signaling cascade that begins with depletion of internal calcium stores, is sustained by an influx of calcium through store-sensitive channels, and culminates in the functional activation of gpIIbIIIa. These findings suggest that calcium-channel blockade and strategies targeting gpIIbIIIa may prevent vascular occlusion, maintain tissue viability, and provide an alternative to radical amputation for patients with gas gangrene.
The Journal of Infectious Diseases © 2003 Oxford University Press