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Special Review Series

Release of α-granule contents during platelet activation

Pages 491-502 | Received 18 Oct 2020, Accepted 28 Mar 2021, Published online: 25 Sep 2021
 

Abstract

Upon activation, platelets release a plethora of factors which help to mediate their dynamic functions in hemostasis, inflammation, wound healing, tumor metastasis and angiogenesis. The majority of these bioactive molecules are released from α-granules, which are unique to platelets, and contain an incredibly diverse repertoire of cargo including; integral membrane proteins, pro-coagulant molecules, chemokines, mitogenic, growth and angiogenic factors, adhesion proteins, and microbicidal proteins. Clinically, activation of circulating platelets has increasingly been associated with various disease states. Biomarkers indicating the level of platelet activation in patients can therefore be useful tools to evaluate risk factors to predict future complications and determine treatment strategies or evaluate antiplatelet therapy. The irreversible nature of α-granule secretion makes it ideally suited as a marker of platelet activation. This review outlines the release and contents of platelet α-granules, as well as the membrane bound, and soluble α–granule cargo proteins that can be used as biomarkers of platelet activation.

Disclosure of interests

The author(s) declares no competing financial interests.

Acknowledgements

The author would like to thank OL Sanchez-Poulter and SC Sanchez-Poulter for enjoyable discussions during preparation of the manuscript.

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