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1884   Part XII  Hemostasis and Thrombosis

        ACTN1- and FLNA-Related Thrombocytopenias             Bryckaert M, Rosa JP, Denis CV, et al: Of von Willebrand factor and platelets.
        These result from mutations in the genes that encode α-actinin or   Cell Mol Life Sci 72(2):307–326, 2015.
        filamin A, both functioning as cross-linking proteins in the actin-  Franco AT, Corken A, Ware J: Platelets at the interface of thrombosis, inflam-
        based cytoskeleton. Filamin A is also critical in binding the cytoplas-  mation, and cancer. Blood 126(5):582–588, 2015.
        mic  tail  of  GPIbα  to  the  filamentous  actin  network.  Monoallelic   Freson K, Wijgaerts A, van Geet C: Update on the causes of platelet dis-
        mutations in either gene result in abnormalities of proplatelet forma-  orders and functional consequences. Int J Lab Hematol 36(3):313–325,
        tion and variable degrees of macrothrombocytopenia. 86   2014.
                                                              Harrison P, Lordkipanidze M: Testing platelet function. Hematol Oncol Clin
        Wiskott-Aldrich Syndrome and X-linked                    North Am 27(3):411–441, 2013.
        Thrombocytopenia                                      Harrison  P,  Mackie  I,  Mumford  A,  et al:  Guidelines  for  the  laboratory
        Wiskott-Aldrich syndrome (WAS) and X-linked thrombocytopenia   investigation  of  heritable  disorders  of  platelet  function.  Br  J  Haematol
        (XLT)  are  caused  by  mutations  in  the  WAS  gene.  Mutations  that   155(1):30–44, 2011.
        result in nonexpression of WASp cause WAS that manifests as severe   Heemskerk JW, Mattheij NJ, Cosemans JM: Platelet-based coagulation: dif-
        immune  dysregulation,  in  addition  to  thrombocytopenia.  XLT  is   ferent  populations,  different  functions.  J Thromb  Haemost  11(1):2–16,
        caused by mutations that decrease expression of the normal protein.   2013.
        These syndromes have the unique characteristic of microthrombocy-  Huizing  M,  Helip-Wooley  A, Westbroek W,  et al:  Disorders  of  lysosome-
        topenia. WASp is involved in regulation of actin polymerization; the   related  organelle  biogenesis:  clinical  and  molecular  genetics.  Annu  Rev
        defect  in  platelet  production  may  be  the  result  of  ectopic  platelet   Genomics Hum Genet 9:359–386, 2008.
        shedding by megakaryocytes. 85,93                     Italiano JE, Jr, Richardson JL, Patel-Hett S, et al: Angiogenesis is regulated
                                                                 by a novel mechanism: pro- and antiangiogenic proteins are organized
        Bernard-Soulier Syndrome                                 into  separate  platelet  alpha  granules  and  differentially  released.  Blood
        In addition to the functional adhesive defect (described in the section   111(3):1227–1233, 2008.
        on Abnormalities of Platelet Adhesion), patients have thrombocyto-  Kunishima S, Saito H: Advances in the understanding of MYH9 disorders.
        penia  and  giant  platelets.  Abnormalities  in  proplatelet  formation   Curr Opin Hematol 17(5):405–410, 2010.
        resemble those seen in mutations of cytoskeletal proteins, suggesting   Li R, Emsley J: The organizing principle of the platelet glycoprotein Ib-IX-V
        that the anchoring of the actin filament network by GPIbα to the   complex. J Thromb Haemost 11(4):605–614, 2013.
        plasma  membrane  is  a  required  part  of  this  process,  disrupted  by   McFadyen JD, Kaplan ZS: Platelets are not just for clots. Transfus Med Rev
        deficiency of the GPIb–IX–V transmembrane protein complex. 15,86    29(2):110–119, 2015.
        Most heterozygotes do not have macrothrombocytopenia, but there   Nieuwland R, van der Pol E, Gardiner C, et al: Platelet-derived microparticles.
        are exceptions where specific mutations (e.g., p.A156V, the Bolzano   In  Michelson  AD,  editor:  Platelets,  ed  3,  San  Diego,  2013,  Academic
        mutation)  or  monoallelic  BSS  (e.g.,  Velo-Cardio-Facial  syndrome)   Press, pp 453–467.
        cause mild macrothrombocytopenia.                     Notarangelo LD, Ochs HD: Wiskott-Aldrich Syndrome: a model for defec-
                                                                 tive  actin  reorganization,  cell  trafficking  and  synapse  formation.  Curr
        ITGA2B/ITGB3-Related Thrombocytopenias                   Opin Immunol 15(5):585–591, 2003.
        These  are  rare  macrothrombocytopenias  with  functional  defects   Nurden AT, Nurden P: Congenital platelet disorders and understanding of
        associated with specific monoallelic mutations in ITGA2B or ITGB3   platelet function. Br J Haematol 165(2):165–178, 2014.
        that are distinct from the mutations that cause GT, described previ-  Nurden  AT,  Nurden  P:  Inherited  disorders  of  platelet  function:  selected
        ously. These mutations result in constitutive activation of αIIbβ3 and   updates. J Thromb Haemost 13(Suppl 1):S2–S9, 2015.
        downstream  effectors,  defects  in  actin-myosin  reorganization,  and   Nurden  AT,  Pillois  X,  Fiore  M,  et al:  Glanzmann  thrombasthenia-like
        abnormalities of proplatelet formation. 94               syndromes  associated  with  Macrothrombocytopenias  and  mutations  in
                                                                 the  genes  encoding  the  alphaIIbbeta3  integrin.  Semin Thromb  Hemost
        TUBB1-Related Thrombocytopenia                           37(6):698–706, 2011.
        This is caused by mutations in the gene for β1-tubulin and is associ-  Pecci A, Balduini CL: Lessons in platelet production from inherited throm-
        ated with platelets that are spherical rather than discoid, the result of   bocytopenias. Br J Haematol 165(2):179–192, 2014.
                                    95
        abnormalities of the microtubule coil  (see also Chapter 124).  Ruggeri  ZM:  Platelet  adhesion  under  flow.  Microcirculation  16(1):58–83,
                                                                 2009.
        PRKACG-Related Macrothrombocytopenia                  Senis YA, Mazharian A, Mori J: Src family kinases: at the forefront of platelet
        This is the result of a germ-line mutation in the gene encoding the   activation. Blood 124(13):2013–2024, 2014.
        γ-catalytic  subunit  of  the  cAMP-dependent  protein  kinase  (PK),   Seward SL, Jr, Gahl WA: Hermansky-Pudlak syndrome: health care through-
        PKA. There is a defect in proplatelet formation and a low level of   out life. Pediatrics 132(1):153–160, 2013.
        filamin A in megakaryocytes. 96                       Tijssen MR, Ghevaert C: Transcription factors in late megakaryopoiesis and
                                                                 related platelet disorders. J Thromb Haemost 11(4):593–604, 2013.
                                                              Varga-Szabo D, Braun A, Nieswandt B: STIM and Orai in platelet function.
        SUGGESTED READINGS                                       Cell Calcium 50(3):270–278, 2011.
                                                              Versteeg HH, Heemskerk JW, Levi M, et al: New fundamentals in hemosta-
        Bertozzi  CC,  Schmaier  AA,  Mericko  P,  et al:  Platelets  regulate  lymphatic   sis. Physiol Rev 93(1):327–358, 2013.
           vascular  development  through  CLEC-2-SLP-76  signaling.  Blood   Watson  SP,  Farndale  RW,  Moroi  M,  et al:  Platelet  collagen  receptors.  In
           116(4):661–670, 2010.                                 Marder VJ, Aird WC, Bennett JS, et al, editors: Hemostasis and thrombosis.
        Blair  P,  Flaumenhaft  R:  Platelet  alpha-granules:  basic  biology  and  clinical   Basic principles and clinical practice, ed 6, Philadelphia, 2013, Lippincott
           correlates. Blood Rev 23(4):177–189, 2009.            Williams & Wilkins, pp 420–430.
        Bledzka K, Smyth SS, Plow EF: Integrin alphaIIbbeta3: from discovery to   Wei  AH,  Schoenwaelder  SM,  Andrews  RK,  et al:  New  insights  into  the
           efficacious therapeutic target. Circ Res 112(8):1189–1200, 2013.  haemostatic  function  of  platelets.  Br  J  Haematol  147(4):415–430,
        Boilard  E,  Nigrovic  PA,  Larabee  K,  et al:  Platelets  amplify  inflammation   2009.
           in  arthritis  via  collagen-dependent  microparticle  production.  Science
           327(5965):580–583, 2010.
        Brass  LF,  Newman  DK,  Wannermacher  KM,  et al:  Signal  transduction   REFERENCES
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           San Diego, 2013, Academic Press, pp 367–398.       For the complete list of references, log on to www.expertconsult.com.
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