A novel type of macrothrombocytopenia associated with a defect in α2,3-sialylation.

We describe a novel type of human thrombocytopenia characterized by the appearance of giant platelets and variable neutropenia. Searching for the molecular defect, we found that neutrophils had strongly reduced sialyl-Lewis X and increased Lewis X surface expression, pointing to a deficiency in sial...

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Main Authors: Jones, C, Denecke, J, Sträter, R, Stölting, T, Schunicht, Y, Zeuschner, D, Klumperman, J, Lefeber, D, Spelten, O, Zarbock, A, Kelm, S, Strenge, K, Haslam, S, Lühn, K, Stahl, D, Gentile, L, Schreiter, T, Hilgard, P, Beck-Sickinger, A, Marquardt, T, Wild, M
Format: Journal article
Language:English
Published: 2011
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author Jones, C
Denecke, J
Sträter, R
Stölting, T
Schunicht, Y
Zeuschner, D
Klumperman, J
Lefeber, D
Spelten, O
Zarbock, A
Kelm, S
Strenge, K
Haslam, S
Lühn, K
Stahl, D
Gentile, L
Schreiter, T
Hilgard, P
Beck-Sickinger, A
Marquardt, T
Wild, M
author_facet Jones, C
Denecke, J
Sträter, R
Stölting, T
Schunicht, Y
Zeuschner, D
Klumperman, J
Lefeber, D
Spelten, O
Zarbock, A
Kelm, S
Strenge, K
Haslam, S
Lühn, K
Stahl, D
Gentile, L
Schreiter, T
Hilgard, P
Beck-Sickinger, A
Marquardt, T
Wild, M
author_sort Jones, C
collection OXFORD
description We describe a novel type of human thrombocytopenia characterized by the appearance of giant platelets and variable neutropenia. Searching for the molecular defect, we found that neutrophils had strongly reduced sialyl-Lewis X and increased Lewis X surface expression, pointing to a deficiency in sialylation. We show that the glycosylation defect is restricted to α2,3-sialylation and can be detected in platelets, neutrophils, and monocytes. Platelets exhibited a distorted structure of the open canalicular system, indicating defective platelet generation. Importantly, patient platelets, but not normal platelets, bound to the asialoglycoprotein receptor (ASGP-R), a liver cell-surface protein that removes desialylated thrombocytes from the circulation in mice. Taken together, this is the first type of human thrombocytopenia in which a specific defect of α2,3-sialylation and an induction of platelet binding to the liver ASGP-R could be detected.
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spelling oxford-uuid:d61a49b9-9a41-4023-9dce-b9f3362556dc2022-03-27T08:30:57ZA novel type of macrothrombocytopenia associated with a defect in α2,3-sialylation.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d61a49b9-9a41-4023-9dce-b9f3362556dcEnglishSymplectic Elements at Oxford2011Jones, CDenecke, JSträter, RStölting, TSchunicht, YZeuschner, DKlumperman, JLefeber, DSpelten, OZarbock, AKelm, SStrenge, KHaslam, SLühn, KStahl, DGentile, LSchreiter, THilgard, PBeck-Sickinger, AMarquardt, TWild, MWe describe a novel type of human thrombocytopenia characterized by the appearance of giant platelets and variable neutropenia. Searching for the molecular defect, we found that neutrophils had strongly reduced sialyl-Lewis X and increased Lewis X surface expression, pointing to a deficiency in sialylation. We show that the glycosylation defect is restricted to α2,3-sialylation and can be detected in platelets, neutrophils, and monocytes. Platelets exhibited a distorted structure of the open canalicular system, indicating defective platelet generation. Importantly, patient platelets, but not normal platelets, bound to the asialoglycoprotein receptor (ASGP-R), a liver cell-surface protein that removes desialylated thrombocytes from the circulation in mice. Taken together, this is the first type of human thrombocytopenia in which a specific defect of α2,3-sialylation and an induction of platelet binding to the liver ASGP-R could be detected.
spellingShingle Jones, C
Denecke, J
Sträter, R
Stölting, T
Schunicht, Y
Zeuschner, D
Klumperman, J
Lefeber, D
Spelten, O
Zarbock, A
Kelm, S
Strenge, K
Haslam, S
Lühn, K
Stahl, D
Gentile, L
Schreiter, T
Hilgard, P
Beck-Sickinger, A
Marquardt, T
Wild, M
A novel type of macrothrombocytopenia associated with a defect in α2,3-sialylation.
title A novel type of macrothrombocytopenia associated with a defect in α2,3-sialylation.
title_full A novel type of macrothrombocytopenia associated with a defect in α2,3-sialylation.
title_fullStr A novel type of macrothrombocytopenia associated with a defect in α2,3-sialylation.
title_full_unstemmed A novel type of macrothrombocytopenia associated with a defect in α2,3-sialylation.
title_short A novel type of macrothrombocytopenia associated with a defect in α2,3-sialylation.
title_sort novel type of macrothrombocytopenia associated with a defect in α2 3 sialylation
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