title: Platelets amplify inflammation in arthritis via collagen-dependent microparticle production.
abstract: In addition to their pivotal role in thrombosis and wound repair, platelets participate in inflammatory responses. We investigated the role of platelets in the autoimmune disease rheumatoid arthritis. We identified platelet microparticles--submicrometer vesicles elaborated by activated platelets--in joint fluid from patients with rheumatoid arthritis and other forms of inflammatory arthritis, but not in joint fluid from patients with osteoarthritis. Platelet microparticles were proinflammatory, eliciting cytokine responses from synovial fibroblasts via interleukin-1. Consistent with these findings, depletion of platelets attenuated murine inflammatory arthritis. Using both pharmacologic and genetic approaches, we identified the collagen receptor glycoprotein VI as a key trigger for platelet microparticle generation in arthritis pathophysiology. Thus, these findings demonstrate a previously unappreciated role for platelets and their activation-induced microparticles in inflammatory joint diseases.
authors.affiliation: Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Boilard
authors.forename: Peter A
authors.initials: PA
authors.lastname: Nigrovic
authors.forename: Katherine
authors.initials: K
authors.lastname: Larabee
authors.forename: Gerald F M
authors.initials: GF
authors.lastname: Watts
authors.forename: Jonathan S
authors.initials: JS
authors.lastname: Coblyn
authors.forename: Michael E
authors.initials: ME
authors.lastname: Weinblatt
authors.forename: Elena M
authors.initials: EM
authors.lastname: Massarotti
authors.forename: Eileen
authors.initials: E
authors.lastname: Remold-O'Donnell
authors.forename: Richard W
authors.initials: RW
authors.lastname: Farndale
authors.forename: Jerry
authors.initials: J
authors.lastname: Ware
authors.forename: David M
authors.initials: DM
authors.lastname: Lee
mesh_terms: D000818:Animals; D001168:Arthritis / Q000097:blood / Q000276:immunology; D001172:Arthritis, Rheumatoid / Q000097:blood* / Q000276:immunology* / Q000503:physiopathology; D001792:Blood Platelets / Q000166:cytology / Q000502:physiology* / Q000648:ultrastructure; D055252:Cell-Derived Microparticles / Q000378:metabolism / Q000502:physiology*; D002478:Cells, Cultured; D003094:Collagen / Q000378:metabolism*; D016207:Cytokines / Q000378:metabolism*; D005109:Extracellular Matrix / Q000378:metabolism; D005347:Fibroblasts / Q000276:immunology / Q000378:metabolism; D006801:Humans; D007375:Interleukin-1 / Q000378:metabolism; D051379:Mice; D008822:Mice, Transgenic; D015539:Platelet Activation; D010980:Platelet Membrane Glycoproteins / Q000378:metabolism; D038981:Receptors, Collagen / Q000378:metabolism; D013582:Synovial Fluid / Q000166:cytology / Q000276:immunology*; D013583:Synovial Membrane / Q000166:cytology / Q000276:immunology
chemical_list: D016207:Cytokines; D007375:Interleukin-1; D010980:Platelet Membrane Glycoproteins; D038981:Receptors, Collagen; C098341:platelet membrane glycoprotein VI; D003094:Collagen