The interactions of alpha-thrombin with platelets are critical in haem
ostasis and arterial thrombosis. This study established methods for ch
aracterizing the binding of alpha-thrombin to platelets and some of it
s consequences in platelet-rich plasma. The binding of alpha-thrombin
to platelets and the subsequent platelet activation were quantified by
now cytometry, using affinity purified polyclonal antibodies to human
alpha-thrombin and a monoclonal antibody to GMP-140, respectively. Do
se-dependent binding of alpha-thrombin to platelets and their activati
on occurred in parallel, both reaching the maxima for each enzyme conc
entration within 10 s after greater than or equal to 1.0 nM alpha-thro
mbin was added to recalcified PRP containing 1 mu M recombinant tick a
nticoagulant peptide. The tick anticoagulant peptide abrogated prothro
mbin activation in the platelet-rich plasma. alpha-Thrombin binding to
platelets, and their activation, were abrogated by a monoclonal antib
ody to the hirudin tail-like domain of the seven transmembrane thrombi
n receptor on platelets. Therefore this receptor represents an importa
nt site for alpha-thrombin binding to platelets suspended in plasma. D
-Phe-Pro-ArgCH(2)-alpha-thrombin only bound to platelets when its conc
entration was greater than or equal to 100 nM, and it did so without i
nhibiting platelet activation by alpha-thrombin. Whereas concentration
s of hirudin equimolar to those of alpha-thrombin failed to abrogate a
lpha-thrombin-mediated activation of platelets, a 10-fold molar excess
es of hirudin over alpha-thrombin abrogated alpha-thrombin binding to
platelets. The demonstration that greater than or equal to 1.0 nM alph
a-thrombin can bind to platelets and initiate their activation raises
the possibility that the levels of thrombin generated in venous and ar
terial thrombosis contribute to platelet activation in vivo.