Table Of ContentPlatelets, Thrombosis and the Vessel Wall
Advances in Vascular Biology  
A series of books bringing together important advances and reviewing all areas 
of vascular biology.  
Edited by Mathew A.Vadas, The Hanson Centre for Cancer Research, Adelaide, 
South Australia and John Harlan, Division of Hematology, University of 
Washington, Seattle, USA.  
Volume One  
Vascular Control of Hemostasis  
edited by Victor W.M.van Hinsbergh  
Volume Two  
Immune Functions of the Vessel Wall  
edited by Göran K.Hansson and Peter Libby  
Volume Three  
The Selectins: Initiators of Leukocyte Endothelial Adhesion  
edited by Dietmar Vestweber  
Volume Four  
The Role of Herpesviruses in Atherogenesis  
edited by David P.Hajjar and Stephen M.Schwartz  
Volume Five  
Plasma Lipids and Their Role in Disease  
edited by Philip J.Barter and Kerry-Anne Rye  
Volume Six  
Platelets, Thrombosis and the Vessel Wall  
edited by Michael C.Berndt  
Volume in Preparation  
Structure and Function of Endothelial Cell to Cell Junctions  
edited by Elisabetta Dejana  
This book is part of a series. The publisher will accept continuation orders which may 
be cancelled at any time and which provide for automatic billing and shipping of each
title in the series upon publication. Please write for details.
Platelets, Thrombosis and 
the Vessel Wall  
edited by  
Michael C. Berndt  
Baker Medical Research Institute  
Prahran, Victoria  
Australia  
 
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British Library Cataloguing in Publication Data  
Platelets, thrombosis and the vessel wall.—(Advances in  
vascular biology; v. 6)  
1. Blood platelets 2. Thrombosis 3. Hemostasis  
I. Berndt, Michael C.  
612.1′17  
ISBN 0-203-30432-2 Master e-book ISBN 
ISBN 0-203-35376-5 (Adobe eReader Format) 
ISBN: 90-5702-369-5 (Print Edition)  
ISSN: 1072–0618
CONTENTS  
   Series Preface  vii
   Preface  viii
   List of Contributors  ix
Chapter 1 Thrombopoietin 
   
John E.J.Rasko and C.Glenn Begley  1
Chapter 2 Platelets and Fibrinolysis 
   
Jane A.Leopold and Joseph Loscalzo  29
Chapter 3 von Willebrand Factor and Platelet Adhesion 
   
Christopher M.Ward and Michael C.Berndt  56
Chapter 4 A Unique Receptor for a Unique Function: The 
Glycoprotein Ib-IX-V Complex in Platelet Adhesion and 
   
Activation 
José A.López, David R.Smith and Jing-Fei Dong  88
Chapter 5 The Platelet Glycoprotein IIb-IIIa Complex (Integrin α β )
  IIb 3  
Xiaoping Du  111
Chapter 6 The Platelet Cytoskeleton 
   
Joan E.B.Fox and Sylvie C.Meyer  137
Chapter 7 The Role of the Phosphoinositide-Derived Second Messenger 
Molecules in Platelet Activation 
   
Janine K.Campbell, Susan Brown, Adam D.Munday and 
Christina A.Mitchell  169
Chapter 8 The Biology of CD36 
  Rick F.Thorne, Douglas J.Dorahy, Robyn M.Wilkinson and   
Gordon F.Burns  198
Chapter 9 CD9 Structure and Function 
   
Lisa K.Jennings, Joseph T.Crossno, Jr. and Melanie M.White  230
Chapter 10 Neutrophil-Platelet Interactions 
   
Dominique Pidard, Mustapha Si-Tahar and Michel Chignard  253
Chapter 11 P-Selectin 
   
Rodger P.McEver  279
Chapter 12 Role of PECAM-1 in Vascular Biology 
   
Robert K.Andrews and Michael C.Berndt  309
Chapter 13 Role of Thrombospondins in Vascular Biology 
   
Philip J.Hogg and Kylie A.Hotchkiss  338
Chapter 14 Platelet-Derived Growth Factor: Regulation of Gene 
Expression and Roles in Vascular Pathobiology 
   
Levon M.Khachigian, Eric S.Silverman, Volkhard Lindner, Amy 
J.Williams, Colin N.Chesterman and Tucker Collins  356
Chapter 15 Antiphospholipid Antibodies
Tracy McNally and Michael C.Berndt  384
Chapter 16 Resistance to Activated Protein C and Inherited 
Thrombosis: Molecular Mechanism, Diagnosis and Clinical 
   
Management 
Ross Baker and John Eikelboom  410
   Index  451
SERIES PREFACE  
It is our privilege to live at a time when scientific discoveries are providing insights into
human biology at an unprecedented rate. It is also a time when the sheer quantity of
information tends to obscure underlying principles, and when hypotheses or insights that
simplify and unify may be relegated to the shadow of hard data.  
The driving force for editing a series of books on Vascular Biology was to partially 
redress this balance. In inviting editors of excellence and experience, it is our aim to draw
together  important  facts,  in  particular  areas  of  vascular  biology,  and  to  allow  the
generation of hypotheses and principles that unite an area and define newer horizons. We
also anticipate that, as is often the case in biology, the formulation and application of
these principles will interrelate with other disciplines.  
Vascular biology is a frontier that has been recognised since at least the time of
Cohnheim and Metchikoff, but has really come into prominence over the last 10–15 
years, once the molecules that mediate the essential functions of the blood vessel started
to be defined. The boundaries of this discipline are, however, not clear. There are
intersections,  for  example,  with  hypertension  and  atherogenesis  that  bring  in,
respectively, neuroendocrine control of vessel tone and lipid biochemistry which exist as
separate bodies of knowledge. Moreover, it would be surprising if some regional vascular
biology (for example, pulmonary, renal, etc.) were not to emerge as subgroups in the
future. Our aims for the moment, however, are to concentrate on areas of vascular
biology that have a wide impact.  
It is our hope to publish two books each year for the next 3–4 years. Indeed the first 
five books have been commissioned and address areas primarily in endothelial biology
(hemostasis  and  thrombosis),  immunology,  leukocyte  adhesion  molecules,  platelet
adhesion  molecules,  adhesion  molecules  that  mediate  cell-cell  contact.  Subsequent 
volumes will cover the physiology and pathology of other vascular cells as well as
developmental vascular biology.  
We thank the editors and contributors for their very hard work.  
Mathew VADAS      John HARLAN
PREFACE  
Unstable angina, myocardial infarction and stroke, precipitated by thrombosis, are the
leading combined causes of death in the Western world. In response to vascular trauma,
platelets rapidly adhere to the exposed subendothelial matrix. At high shear flow rates, as
would occur at sites of stenosis, the initial platelet adhesion is dependent upon von
Willebrand factor and a specific von Willebrand factor receptor on platelets, the GP Ib-
IX-V complex. Platelet activation through agonist and adhesion receptors leads to a 
cascade of signaling events, cytoskeletal re-organization and secretion of the contents of 
platelet dense bodies and alpha-granules. Substances released from platelets include ADP
that acts in the recruitment of additional platelets to the developing thrombus. A variety
of proteins involved in the regulation of coagulation and fibrinolysis are also released as
well as proteins such as thrombospondin and platelet-derived growth factor that are 
involved in subsequent vascular remodeling and wound repair. Concomitant with platelet
activation and release, the platelet integrin, GP-IIb-IIIa, is converted from a low affinity
to a high affinity receptor for fibrinogen and von Willebrand factor leading to platelet
aggregation and subsequent thrombus. Activated platelets also express adhesion receptors
for neutrophils and endothelial cells and therefore there is the potential for cross-talk 
between these cell types in the developing thrombus.  
In recent years, there have been major advances in our understanding of platelets and 
their role within the vasculature. The purpose of this text is not to provide an exhaustive
overview of this subject, but to highlight key aspects of platelet function in the regulation
of  thrombosis  and  haemostasis.  The  various  chapters  cover  the  regulation  of
megakaryocytopoiesis and platelet production, platelet cell surface receptors and ligands
involved in platelet adhesion, aggregation, and the interaction of platelets with leukocytes
and endothelial cells, the role of the platelet cytoskeleton in agonist-dependent platelet 
activation, the role of platelets in regulation of fibrinolysis, and mechanisms of cross-talk 
between  platelets,  leukocytes  and  endothelium.  Finally,  there  are  two  chapters
highlighting  two  major  clinical  causes  of  thrombosis,  circulating  anti-phospholipid 
antibodies and genetic predisposition.
LIST OF CONTRIBUTORS  
Andrews, Robert K.  
Hazel and Pip Appel Vascular Biology Laboratory  
Baker Medical Research Institute  
PO Box 348, Commercial Road  
Prahran,VIC 3181  
Australia  
Baker, Ross  
Clinical Thrombosis Unit  
Haematology Department  
Royal Perth Hospital  
University of Western Australia  
GPO Box X2213  
Perth, WA 6001  
Australia  
Begley, C.Glenn  
The Walter and Eliza Hall Institute for Medical Research  
PO Royal Melbourne Hospital  
Melbourne, VIC 3050  
Australia  
Berndt, Michael C.  
Hazel and Pip Appel Vascular Biology Laboratory  
Baker Medical Research Institute  
PO Box 348, Commercial Road  
Prahran,VIC 3181  
Australia  
Brown, Susan  
Department of Medicine  
Monash Medical School  
Box Hill Hospital  
Nelson Road  
Box Hill, VIC 3128  
Australia  
Burns, Gordon F.  
Cancer Research Unit, Level 5