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1 Department of Pharmacology and Toxicology, Queen's University, Kingston, ON, Canada
* To whom correspondence should be addressed. E-mail: mauriced{at}post.queensu.ca.
An elevated circulating level of the adipocyte-derived satiety hormone leptin is an independent risk factor for cardiovascular disease. Since thrombus formation is a major cause of acute coronary events and leptin was shown previously to facilitate ADP-induced platelet aggregation, we chose to define the signaling events involved in leptin-mediated platelet activation. Using pharmacological, biochemical and cell biological approaches we show that leptin-induced platelet activation required activation of a signaling cascade that included the long-form of the leptin receptor, three kinases (Janus kinase 2 (Jak2), phosphatidylinositol 3-kinase (PI3K) and protein kinase B (PKB/Akt)), the insulin receptor substrate-1 (IRS-1) and the major human platelet cAMP phosphodiesterase, phosphodiesterase 3A (PDE3A). Moreover, we identify a role for an intraplatelet LEPR/Jak2/IRS-1/PI3K/PKB/PDE3A molecular complex that allows for the selective leptin-mediated activation of platelets. Our data demonstrate that leptin promotes platelet activation, provides a mechanistic basis for the prothrombotic effect of this hormone and identifies a potentially novel therapeutic avenue to limit obesity-associated cardiovascular disease.
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