Dual roles of fucoidan-GPIbα interaction in thrombosis and hemostasis: implications for drug development targeting GPIbα

J Thromb Haemost. 2023 May;21(5):1274-1288. doi: 10.1016/j.jtha.2022.12.030. Epub 2023 Jan 9.

Abstract

Background: Platelet GPIbα-von Willebrand factor (VWF) interaction initiates platelet adhesion, activation, and thrombus growth, especially under high shear conditions. Therefore, the GPIb-VWF axis has been suggested as a promising target against arterial thrombosis. The polysaccharide fucoidan has been reported to have opposing prothrombotic and antithrombotic effects; however, its binding mechanism with platelets has not been adequately studied.

Objective: The objective of this study was to explore the mechanism of fucoidan and its hydrolyzed products in thrombosis and hemostasis.

Methods: Natural fucoidan was hydrolyzed by using hydrochloric acid and was characterized by using size-exclusion chromatography, UV-visible spectroscopy, and fluorometry techniques. The effects of natural and hydrolyzed fucoidan on platelet aggregation were examined by using platelets from wild-type, VWF and fibrinogen-deficient, GPIbα-deficient, and IL4Rα/GPIbα-transgenic and αIIb-deficient mice and from human beings. Platelet activation markers (P-selectin expression, PAC-1, and fibrinogen binding) and platelet-VWF A1 interaction were measured by using flow cytometry. GPIbα-VWF A1 interaction was evaluated by using enzyme-linked immunosorbent assay. GPIb-IX-induced signal transduction was detected by using western blot. Heparinized whole blood from healthy donors was used to test thrombus formation and growth in a perfusion chamber.

Results: We found that GPIbα is critical for fucoidan-induced platelet activation. Fucoidan interacted with the extracellular domain of GPIbα and blocked its interaction with VWF but itself could lead to GPIbα-mediated signal transduction and, subsequently, αIIbβ3 activation and platelet aggregation. Conversely, low-molecular weight fucoidan inhibited GPIb-VWF-mediated platelet aggregation, spreading, and thrombus growth at high shear.

Conclusion: Fucoidan-GPIbα interaction may have unique therapeutic potential against bleeding disorders in its high-molecular weight state and protection against arterial thrombosis by blocking GPIb-VWF interaction after fucoidan is hydrolyzed.

Keywords: fucoidan; glycoprotein Ib; platelet; thrombosis; von Willebrand factor.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Platelets / metabolism
  • Fibrinogen / metabolism
  • Humans
  • Mice
  • Platelet Aggregation
  • Platelet Glycoprotein GPIb-IX Complex / metabolism
  • Polysaccharides / pharmacology
  • Protein Binding
  • Thrombosis* / drug therapy
  • Thrombosis* / metabolism
  • Thrombosis* / prevention & control
  • von Willebrand Factor* / metabolism

Substances

  • fucoidan
  • von Willebrand Factor
  • Platelet Glycoprotein GPIb-IX Complex
  • Polysaccharides
  • Fibrinogen

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