PMID- 30557883 OWN - NLM STAT- MEDLINE DCOM- 20200508 LR - 20200508 IS - 1662-8128 (Electronic) IS - 1662-811X (Print) IS - 1662-811X (Linking) VI - 11 IP - 2 DP - 2019 TI - Platelet-Dense Granules Worsen Pre-Infection Thrombocytopenia during Gram-Negative Pneumonia-Derived Sepsis. PG - 168-180 LID - 10.1159/000494147 [doi] AB - Platelet-dense (delta) granules are important for platelet function. Platelets contribute to host defense and vascular integrity during pneumonia and sepsis, and delta granule products, including adenosine diphosphate (ADP), can influence inflammatory responses. We therefore aimed to study the role of platelet delta granules in the host response during sepsis. Hermansky-Pudlak syndrome (Hps)3coa mice (with reduced delta granule content), mice treated with the platelet ADP receptor inhibitor clopidogrel, and appropriate control mice were infected with the human sepsis pathogen Klebsiella pneumoniae via the airways to induce pneumonia and sepsis. In order to override potential redundancy in platelet functions, we also studied Hps3coa and control mice with moderate antibody-induced thrombocytopenia (10%) prior to infection. We found that sepsis-induced thrombocytopenia tended to be less severe in Hps3coa mice, and was significantly ameliorated in Hps3coa mice with low pre-infection platelet counts. Bacterial growth was similar in Hps3coa and control mice in the presence of normal platelet counts prior to infection, but lower in the lungs of Hps3coa mice with low pre-infection platelet counts. Hps3coa mice had unaltered lung pathology and distant organ injury during pneumosepsis, irrespective of pre-infection platelet counts; lung bleeding did not differ between Hps3coa and control mice. Clopidogrel did not influence any host response parameter. These data suggest that platelet delta granules can play a detrimental role in pneumosepsis by aggravating thrombocytopenia and impairing local antibacterial defense, but that these unfavorable effects only become apparent in the presence of low platelet counts. CI - (c) 2018 The Author(s) Published by S. Karger AG, Basel. FAU - Claushuis, Theodora A M AU - Claushuis TAM AD - Center for Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands, t.a.claushuis@amc.uva.nl. FAU - de Vos, Alex F AU - de Vos AF AD - Center for Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. FAU - Roelofs, Joris J T H AU - Roelofs JJTH AD - Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands. FAU - de Boer, Onno J AU - de Boer OJ AD - Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands. FAU - van 't Veer, Cornelis AU - van 't Veer C AD - Center for Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. FAU - van der Poll, Tom AU - van der Poll T AD - Center for Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. AD - Division of Infectious Diseases, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181217 PL - Switzerland TA - J Innate Immun JT - Journal of innate immunity JID - 101469471 RN - 0 (Hps3 protein, mouse) RN - 0 (Intracellular Signaling Peptides and Proteins) SB - IM MH - Animals MH - Blood Platelets/*immunology MH - Disease Models, Animal MH - Humans MH - Intracellular Signaling Peptides and Proteins/genetics MH - Klebsiella Infections/*immunology MH - Klebsiella pneumoniae/*physiology MH - Mice MH - Mice, Inbred C57BL MH - Mice, Mutant Strains MH - Mutation/genetics MH - Pneumonia, Bacterial/*immunology MH - Secretory Vesicles/*metabolism MH - Sepsis/*immunology MH - Thrombocytopenia/*immunology PMC - PMC6738263 OTO - NOTNLM OT - Animal models OT - Bacterial infection OT - Host defense OT - Platelets OT - Sepsis EDAT- 2018/12/18 06:00 MHDA- 2020/05/10 06:00 PMCR- 2018/12/17 CRDT- 2018/12/18 06:00 PHST- 2018/08/11 00:00 [received] PHST- 2018/09/23 00:00 [accepted] PHST- 2018/12/18 06:00 [pubmed] PHST- 2020/05/10 06:00 [medline] PHST- 2018/12/18 06:00 [entrez] PHST- 2018/12/17 00:00 [pmc-release] AID - 000494147 [pii] AID - jin-0011-0168 [pii] AID - 10.1159/000494147 [doi] PST - ppublish SO - J Innate Immun. 2019;11(2):168-180. doi: 10.1159/000494147. Epub 2018 Dec 17.