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An EF hand mutation in Stim1 causes premature platelet activation and bleeding in mice
Johannes Grosse, Attila Braun, David Varga-Szabo, Niklas Beyersdorf, Boris Schneider, Lutz Zeitlmann, Petra Hanke, Patricia Schropp, Silke Mühlstedt, Carolin Zorn, Michael Huber, Carolin Schmittwolf, Wolfgang Jagla, Philipp Yu, Thomas Kerkau, Harald Schulze, Michael Nehls, Bernhard Nieswandt
Johannes Grosse, Attila Braun, David Varga-Szabo, Niklas Beyersdorf, Boris Schneider, Lutz Zeitlmann, Petra Hanke, Patricia Schropp, Silke Mühlstedt, Carolin Zorn, Michael Huber, Carolin Schmittwolf, Wolfgang Jagla, Philipp Yu, Thomas Kerkau, Harald Schulze, Michael Nehls, Bernhard Nieswandt
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Research Article Hematology

An EF hand mutation in Stim1 causes premature platelet activation and bleeding in mice

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Abstract

Changes in cytoplasmic Ca2+ levels regulate a variety of fundamental cellular functions in virtually all cells. In nonexcitable cells, a major pathway of Ca2+ entry involves receptor-mediated depletion of intracellular Ca2+ stores followed by the activation of store-operated calcium channels in the plasma membrane. We have established a mouse line expressing an activating EF hand motif mutant of stromal interaction molecule 1 (Stim1), an ER receptor recently identified as the Ca2+ sensor responsible for activation of Ca2+ release–activated (CRAC) channels in T cells, whose function in mammalian physiology is not well understood. Mice expressing mutant Stim1 had macrothrombocytopenia and an associated bleeding disorder. Basal intracellular Ca2+ levels were increased in platelets, which resulted in a preactivation state, a selective unresponsiveness to immunoreceptor tyrosine activation motif–coupled agonists, and increased platelet consumption. In contrast, basal Ca2+ levels, but not receptor-mediated responses, were affected in mutant T cells. These findings identify Stim1 as a central regulator of platelet function and suggest a cell type–specific activation or composition of the CRAC complex.

Authors

Johannes Grosse, Attila Braun, David Varga-Szabo, Niklas Beyersdorf, Boris Schneider, Lutz Zeitlmann, Petra Hanke, Patricia Schropp, Silke Mühlstedt, Carolin Zorn, Michael Huber, Carolin Schmittwolf, Wolfgang Jagla, Philipp Yu, Thomas Kerkau, Harald Schulze, Michael Nehls, Bernhard Nieswandt

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Figure 5

Preactivation and decreased life span of Stim1Sax/+ platelets.

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Preactivation and decreased life span of Stim1Sax/+ platelets.
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(A) The circulating platelet population was fluorescently labeled in the indicated mice and the portion of labeled cells in the total platelet population was monitored by flow cytometry (n = 6 per group). The total platelet count did not change significantly during the experiment. (B) Platelet counts in WT (black bars) and Stim1Sax/+ (gray bars) mice prior to (d0) and at the indicated time points after splenectomy. (C) Basal Ca2+ concentrations in WT and Stim1Sax/+ platelets were measured in the presence or absence of 2 mM extracellular Ca2+. (D) Oregon Green BAPTA-1/FuraRed–loaded WT and Stim1Sax/+ platelets were exposed to alternating extracellular Ca2+ concentrations, and [Ca2+]i concentrations were monitored by flow cytometry (E) Transmission electron microscopy reveals the absence of the marginal band of microtubules (inset) and a less prominent canalicular membrane system (cms) in Stim1Sax/+ platelets. Original magnification, ×9,500; inset, ×27,000. (F) Increased basal levels of activated integrin αIIbβ3 (JON/A-PE) were detectable in unstimulated and epinephrine-stimulated Stim1Sax/+ platelets. A PE-conjugated isotype control antibody yielded identical negative signals in WT and mutant platelets (data not shown). The results are expressed as mean fluorescence intensity ± SD of 9 experiments.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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