The human platelet transcriptome and proteome is altered and pro-thrombotic functional responses are increased during prolonged hypoxia exposure at high altitude

Exposure to hypoxia, through ascension to high altitudes (HAs), air travel, or human disease, is associated with an increased incidence of thrombosis in some settings. Mechanisms underpinning this increased thrombosis risk remain incompletely understood, and the effects of more sustained hypoxia on...

Full description

Bibliographic Details
Main Authors: Chunxiang Shang, Tana Wuren, Qing Ga, Zhenzhong Bai, Li Guo, Alicia S. Eustes, Kyra N. McComas, Matthew T. Rondina, Rili Ge
Format: Article
Language:English
Published: Taylor & Francis Group 2020-01-01
Series:Platelets
Subjects:
Online Access:http://dx.doi.org/10.1080/09537104.2019.1572876
_version_ 1797684239701901312
author Chunxiang Shang
Tana Wuren
Qing Ga
Zhenzhong Bai
Li Guo
Alicia S. Eustes
Kyra N. McComas
Matthew T. Rondina
Rili Ge
author_facet Chunxiang Shang
Tana Wuren
Qing Ga
Zhenzhong Bai
Li Guo
Alicia S. Eustes
Kyra N. McComas
Matthew T. Rondina
Rili Ge
author_sort Chunxiang Shang
collection DOAJ
description Exposure to hypoxia, through ascension to high altitudes (HAs), air travel, or human disease, is associated with an increased incidence of thrombosis in some settings. Mechanisms underpinning this increased thrombosis risk remain incompletely understood, and the effects of more sustained hypoxia on the human platelet molecular signature and associated functional responses have never been examined. We examined the effects of prolonged (≥2 months continuously) hypobaric hypoxia on platelets isolated from subjects residing at HA (3,700 meters) and, for comparison, matched subjects residing under normoxia conditions at sea level (50 meters). Using complementary transcriptomic, proteomic, and functional methods, we identified that the human platelet transcriptome is markedly altered under prolonged exposure to hypobaric hypoxia at HA. Among the significantly, differentially expressed genes (mRNA and protein), were those having canonical roles in platelet activation and thrombosis, including membrane glycoproteins (e.g. GP4, GP6, GP9), integrin subunits (e.g. ITGA2B), and alpha-granule chemokines (e.g. SELP, PF4V1). Platelets from subjects residing at HA were hyperactive, as demonstrated by increased engagement and adhesion to fibrinogen, fewer alpha granules by transmission electron microscopy, increased circulating PF4 and ADP, and significantly enhanced clot retraction. In conclusion, we identify that prolonged hypobaric hypoxia exposure due to HA alters the platelet transcriptome and proteome, triggering increased functional activation responses that may contribute to thrombosis. Our findings may also have relevance across a range of human diseases where chronic hypoxia, platelet activation, and thrombosis are increased.
first_indexed 2024-03-12T00:27:45Z
format Article
id doaj.art-f679d4e1e5ed4e27b8051779d59becbf
institution Directory Open Access Journal
issn 0953-7104
1369-1635
language English
last_indexed 2024-03-12T00:27:45Z
publishDate 2020-01-01
publisher Taylor & Francis Group
record_format Article
series Platelets
spelling doaj.art-f679d4e1e5ed4e27b8051779d59becbf2023-09-15T10:32:01ZengTaylor & Francis GroupPlatelets0953-71041369-16352020-01-01311334210.1080/09537104.2019.15728761572876The human platelet transcriptome and proteome is altered and pro-thrombotic functional responses are increased during prolonged hypoxia exposure at high altitudeChunxiang Shang0Tana Wuren1Qing Ga2Zhenzhong Bai3Li Guo4Alicia S. Eustes5Kyra N. McComas6Matthew T. Rondina7Rili Ge8Qinghai UniversityQinghai UniversityQinghai UniversityQinghai UniversityUniversity of UtahUniversity of UtahUniversity of UtahUniversity of UtahQinghai UniversityExposure to hypoxia, through ascension to high altitudes (HAs), air travel, or human disease, is associated with an increased incidence of thrombosis in some settings. Mechanisms underpinning this increased thrombosis risk remain incompletely understood, and the effects of more sustained hypoxia on the human platelet molecular signature and associated functional responses have never been examined. We examined the effects of prolonged (≥2 months continuously) hypobaric hypoxia on platelets isolated from subjects residing at HA (3,700 meters) and, for comparison, matched subjects residing under normoxia conditions at sea level (50 meters). Using complementary transcriptomic, proteomic, and functional methods, we identified that the human platelet transcriptome is markedly altered under prolonged exposure to hypobaric hypoxia at HA. Among the significantly, differentially expressed genes (mRNA and protein), were those having canonical roles in platelet activation and thrombosis, including membrane glycoproteins (e.g. GP4, GP6, GP9), integrin subunits (e.g. ITGA2B), and alpha-granule chemokines (e.g. SELP, PF4V1). Platelets from subjects residing at HA were hyperactive, as demonstrated by increased engagement and adhesion to fibrinogen, fewer alpha granules by transmission electron microscopy, increased circulating PF4 and ADP, and significantly enhanced clot retraction. In conclusion, we identify that prolonged hypobaric hypoxia exposure due to HA alters the platelet transcriptome and proteome, triggering increased functional activation responses that may contribute to thrombosis. Our findings may also have relevance across a range of human diseases where chronic hypoxia, platelet activation, and thrombosis are increased.http://dx.doi.org/10.1080/09537104.2019.1572876blood plateletshypoxiatranscriptomicthrombosis
spellingShingle Chunxiang Shang
Tana Wuren
Qing Ga
Zhenzhong Bai
Li Guo
Alicia S. Eustes
Kyra N. McComas
Matthew T. Rondina
Rili Ge
The human platelet transcriptome and proteome is altered and pro-thrombotic functional responses are increased during prolonged hypoxia exposure at high altitude
Platelets
blood platelets
hypoxia
transcriptomic
thrombosis
title The human platelet transcriptome and proteome is altered and pro-thrombotic functional responses are increased during prolonged hypoxia exposure at high altitude
title_full The human platelet transcriptome and proteome is altered and pro-thrombotic functional responses are increased during prolonged hypoxia exposure at high altitude
title_fullStr The human platelet transcriptome and proteome is altered and pro-thrombotic functional responses are increased during prolonged hypoxia exposure at high altitude
title_full_unstemmed The human platelet transcriptome and proteome is altered and pro-thrombotic functional responses are increased during prolonged hypoxia exposure at high altitude
title_short The human platelet transcriptome and proteome is altered and pro-thrombotic functional responses are increased during prolonged hypoxia exposure at high altitude
title_sort human platelet transcriptome and proteome is altered and pro thrombotic functional responses are increased during prolonged hypoxia exposure at high altitude
topic blood platelets
hypoxia
transcriptomic
thrombosis
url http://dx.doi.org/10.1080/09537104.2019.1572876
work_keys_str_mv AT chunxiangshang thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT tanawuren thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT qingga thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT zhenzhongbai thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT liguo thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT aliciaseustes thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT kyranmccomas thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT matthewtrondina thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT rilige thehumanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT chunxiangshang humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT tanawuren humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT qingga humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT zhenzhongbai humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT liguo humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT aliciaseustes humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT kyranmccomas humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT matthewtrondina humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude
AT rilige humanplatelettranscriptomeandproteomeisalteredandprothromboticfunctionalresponsesareincreasedduringprolongedhypoxiaexposureathighaltitude