In the absence of appropriate stimuli, polymorphonuclear neutrophils r
apidly undergo characteristic changes indicative of programmed cell de
ath or apoptosis. We report here that neutrophils cultured in the pres
ence of platelets (neutrophil:platelet ratios of 1:50, 1:25, and 1:10)
show a dramatic inhibition of apoptosis compared with neutrophils cul
tured alone. Similar degrees of apoptosis delay were induced by viable
unstimulated platelets, fixed unstimulated platelets, or fixed activa
ted (1 U/ml thrombin) platelets, Inhibition of apoptosis was associate
d with prolongation of the functional lifespan of the neutrophil, as i
ndicated by the higher capacity of platelet-treated neutrophils to dis
play chemiluminescence responses triggered by FMLP, immune complexes,
and zymosan. The mechanism responsible for the inhibition of neutrophi
l apoptosis by platelets has not yet been defined. However, it seems t
hat classical recognition systems such as those mediated by the intera
ction between platelet P-selectin (CD62) or glycoprotein IIb/IIIa comp
lex and their counter-receptors expressed by neutrophils are not invol
ved.