Differences between men and women exist in platelet function and preliminary data suggest that some of these differences result from a higher fibrinogen binding to platelets from women than men. These sex related features may account for different expressions of coronary heart diseases between women and men. The central hypothesis of this project is that sex hormones regulate megakaryocyte genes that shape the expression and activation of fibrinogen receptors , i.e., GPIIb IIIa, resulting in a greater fibrinogen binding in women.
The first aim of this study is to assess the effects of shear forces on platelet adhesion to various ligands in the context of sex related differences and sex hormone levels.
The second aim i s to use an in vitro model of cultured human megakaryocytes to study the effect of sex hormones on fibrinogen binding parameters.
The third aim i s to identify megakaryocyte molecules that are differently expressed in platelets from women and men in response to sex hormones. This will be accomplished by isolating relevant megakaryocyte cDNAs, which are differentially expressed in platelets from women and men in response to sex hormones, by isolating full length cDNAs, and by demonstrating that they modulate fibrinogen binding to GPIIb IIIa. The results of this investigation will help to identify sex related differences in the expression of coronary heart diseases, the selection of targets for therapeutic intervention, and in understanding the physiology of the platelet fibrinogen receptor.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project (R01)
Project #
5R01HL058564-03
Application #
6043983
Study Section
Cardiovascular and Renal Study Section (CVB)
Project Start
1997-08-01
Project End
2000-01-31
Budget Start
1999-08-01
Budget End
2000-01-31
Support Year
3
Fiscal Year
1999
Total Cost
Indirect Cost
Name
Johns Hopkins University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
045911138
City
Baltimore
State
MD
Country
United States
Zip Code
21218
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McCarty, O J; Mousa, S A; Bray, P F et al. (2000) Immobilized platelets support human colon carcinoma cell tethering, rolling, and firm adhesion under dynamic flow conditions. Blood 96:1789-97
Khetawat, G; Faraday, N; Nealen, M L et al. (2000) Human megakaryocytes and platelets contain the estrogen receptor beta and androgen receptor (AR): testosterone regulates AR expression. Blood 95:2289-96
Faraday, N; Rade, J J; Johns, D C et al. (1999) Ex vivo cultured megakaryocytes express functional glycoprotein IIb-IIIa receptors and are capable of adenovirus-mediated transgene expression. Blood 94:4084-92