Functions of Mmrn1 in Platelet Adhesion & Thrombus Formation
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FUNCTIONS OF MMRN1 IN PLATELET ADHESION & THROMBUS FORMATION FUNCTIONS OF MULTIMERIN 1 (MMRN1) IN PLATELET ADHESION AND THROMBUS FORMATION, THROUGH INTERACTIONS WITH VON WILLEBRAND FACTOR (VWF) By: D’ANDRA PARKER, HBSc A Thesis Submitted to the School of Graduate Studies in Partial Fulfilment of the Requirements for the Degree Doctorate of Philosophy in Health Science McMaster University © Copyright by D’Andra Parker, April 2017 McMaster University DOCTORATE OF PHILOSOPHY (2017) Hamilton, Ontario (Health Science) TITLE: Functions of multimerin 1 (MMRN1) in platelet adhesion and thrombus formation, through interactions with von Willebrand factor (VWF) AUTHOR: D’Andra Parker, HBSc (McMaster University) SUPERVISOR: Dr. Catherine P.M. Hayward NUMBER OF PAGES: xiv, 209 ii ABSTRACT Multimerin 1 (MMRN1) is a massive, homopolymeric platelet and endothelial cell protein with functions that are emerging to support platelet adhesive processes. MMRN1 supports platelet adhesion under arterial flow conditions by a mechanism dependent on interactions with von Willebrand factor (VWF). The goals of this thesis were to further define the platelet adhesive functions of MMRN1 by: 1) characterizing the molecular mechanisms of VWF interactions with MMRN1; and 2) investigating if multimerin 1 is important for platelet adhesive functions using mice with and without a selective multimerin 1 (Mmrn1) deficiency. Studies of the mechanism of MMRN1-VWF binding indicated that MMRN1 bound to shear exposed VWF, and that MMRN1 interacted with the A1 and A3 domains in the VWF A1A2A3 region. VWF A1A2A3 also bound to MMRN1 with a physiologically relevant binding affinity, and supported platelet adhesion to MMRN1 at a high shear rate. The selective loss of Mmrn1 in mice had limited effects on tail bleeding times, although it impaired collagen-induced aggregation of washed platelets, as well as high shear platelet adhesion of whole blood on collagen surfaces, in vitro. Additionally, the selective loss of Mmrn1 in mice was associated with impaired and delayed platelet-rich thrombus formation in vivo, in arterioles treated with ferric chloride. These findings provide new insights on platelet adhesive, haemostatic functions at arterial shear rates, and the involvement of the platelet and endothelial cell protein, multimerin 1, to support these processes. iii ACKNOWLEDGMENTS I would like to express my gratitude to individuals that provided me with guidance and support throughout my doctoral degree. I would like to begin by thanking my PhD supervisor, Dr. Catherine P.M. Hayward for continued mentorship, guidance, support and encouragement throughout my graduate studies. Her drive and determination constantly inspired me. I am grateful to my committee members, Drs. Peter Gross and William Sheffield for their continued guidance, feedback, and support. I thank my colleagues in the research laboratories of Drs. Hayward, Kelton, Sheffield, Khan, and Gross who were instrumental in the completion of my doctoral project. A special thank you is owed to Dr. Subia Tasneem for mentorship and support; her openness and willingness to help facilitated my achievements. I would like to extend my gratitude to the collaborators that were involved in my studies. I thank Drs. J. Evan Sadler, Philip G. de Groot, Richard W. Farndale, Dominique Bihan, Eric G. Huizinga, David Lillicrap and Ms. Silvie Sebastian for providing important materials for my studies, and for their guidance with data interpretation. I am grateful to Dr. Ran Ni for providing technical guidance for flow cytometry analysis of mouse samples. A special thank you is owed to Drs. Yiming Wang and Heyu Ni for conducting ferric chloride injury studies on mice, and for providing me with guidance on data interpretation. iv I also thank Dr. Lisa A. Westfield and Mrs. Nola Fuller for providing general technical guidance. During my time at McMaster, I had the pleasure of forming lasting friendships with incredible individuals that helped bring balance to my life, and provided me with moments of comic relief. I would like to especially like to thank soon-to-be Drs. Janice Kim, Zainab Motala and Sharif Shajib for their encouragement and support throughout my graduate studies, and for the memories that I will cherish forever. Finally, I would like to thank my family, by beginning with the woman that brought me into this world and raised me into the woman I am today. A special thank you is owed to my mom for being my rock and safe place. Thank you for pushing me to strive for more; I am forever grateful for your encouragement and support throughout this entire process. I also thank my grandma for being my shield, safe place, and prayer warrior: she kept me focused and reminded me that everything is possible, if we have faith. I owe many thanks to my little brothers D’Vantae Stewart and Enrique Parker, little sister Alecia Beckford- Stewart, and my step-father Denroy Stewart. I also thank the members of my larger than life family, including the Lewis, Hall, Seaton, Mckenzie, Osei and Odamatten clan – I hope I can make you proud. Last, but definitely not least, I need to thank the love of my life, my life partner, Kwaku Osei. Thank you Kwaku for your patience, support, and encouragement. You believe in me like no other, and I am eternally grateful for that. v TABLE OF CONTENTS TITLE PAGE………………………………………………….……………………...………....…..i DESCRIPTIVE NOTE……………………………………………..…………………………....…ii ABSTRACT……………………………………………………………………………….………iii ACKNOWLEDGMENT………………………………………………..………………………....iv TABLE OF CONTENTS……………… …………………………………………..………........vi LIST OF FIGURES …………………………………………………………………….……........ix LIST OF TABLES…………………………… …………………………………….…...………...xi LIST OF ABBREVIATIONS AND SYMBOLS……………………………………………….....xii Chapter 1: Introduction .................................................................................................................... 1 1.1 Overview of haemostasis ................................................................................................. 2 1.1.1 Protein wave ............................................................................................................. 6 1.1.2 Platelet adhesive functions (primary haemostasis) .................................................. 7 1.1.3 Platelet procoagulant function (secondary haemostasis) and fibrinolysis .............. 18 1.2 Overview of haemostatic functions of plasma and platelet adhesive proteins .............. 20 1.2.1 Fibrinogen and fibrin ............................................................................................. 22 1.2.2 Fibronectin ............................................................................................................. 26 1.2.3 Thrombospondin-1 ................................................................................................. 28 1.3 Overview of von Willebrand factor (human, VWF; mouse, Vwf) ............................... 30 1.3.1 Background on von Willebrand factor ................................................................... 31 1.3.2 VWF protein structure-function relationship ......................................................... 34 1.3.3 Deficiencies in von Willebrand factor, in humans and mice, and its effect on haemostasis ............................................................................................................ 45 1.4 Overview of multimerin 1 (human, MMRN1; mouse, Mmrn1) .................................... 48 1.4.1 Background on multimerin 1 ................................................................................. 49 1.4.2 MMRN1, the main FV/Va binding protein in platelets, and its functions in coagulation ............................................................................................................. 54 1.4.3 MMRN1 functions in platelet adhesion ................................................................. 56 1.4.4 MMRN1 deficiencies in inherited and acquired disease states .............................. 59 1.4.5 Haemostatic functions of Mmrn1 in mice with spontaneous tandem deletion of genes for multimerin 1 and -synuclein ................................................................ 60 1.5 Thesis hypothesis and objectives ................................................................................... 63 vi 1.5.1. Rationale ................................................................................................................ 63 1.5.2 Hypotheses ............................................................................................................. 65 1.5.3 Research objectives ................................................................................................ 65 CHAPTER 2: MATERIALS AND METHODS............................................................................ 67 2.1 Materials ........................................................................................................................ 67 2.1.1 Reagents ................................................................................................................. 67 2.1.2 Antibody sources .................................................................................................... 68 2.1.3 Recombinant proteins ............................................................................................ 70 2.2. Methods .......................................................................................................................... 75 2.2.1 Helsinki Declaration on human research ..............................................................