The glycoprotein (GP) Ib-IX-V complex contains a high-affinity binding
site for thrombin on the platelet surface with a poorly defined role
in platelet activation by this agonist. Four polypeptides comprise the
complex: GP Ibn, GP Ib beta, GP IX, and GP V, The site within the com
plex that binds thrombin has been localized to a 45-kD region at the a
mino terminus of GP Ib alpha, which also contains the site through whi
ch the complex interacts with von Willebrand factor. A GP Ib-IX comple
x that lacks GP V can be efficiently expressed on the surface of trans
fected cells, We examined the ability of L cells expressing the GP Ib-
IX complex (L2H cells) to bind thrombin at high affinity, and found no
increase over the level of thrombin binding to control L cells, Becau
se it is one of the few substrates for thrombin on the platelet surfac
e, GP V has also been implicated as possibly participating in thrombin
's actions on the platelet, To examine the role of GP V in forming the
high-affinity thrombin-binding site, we compared the binding of throm
bin to L2H cells versus cells that express the entire GP Ib-IX-V compl
ex (L2H/V cells). Surface expression of GP Ib alpha was equivalent in
these two stable cell lines, Thrombin binding to L2H/V cells was detec
table at 0.25 nmol/L thrombin and reached a plateau at 1 nmol/L, No bi
nding to L2H cells was detectable at these concentrations. Comparable
results were obtained when thrombin binding to L2H cells transiently e
xpressing GP V was compared with its binding to sham-transfected L2H c
ells. Again, only cells transiently expressing GP V bound thrombin spe
cifically. As with the platelet polypeptide, thrombin cleaved GP V fro
m the surface of L2H/V cells. To test whether GP V cleavage was requir
ed for enhancing thrombin binding to the complex, we tested the bindin
g of enzymatically inactive D-phenylalanyl-Lprolyl-L-arginine chlorome
thylketone (PPACK)-thrombin to L2H and L2H/V cells. Like native thromb
in, PPACK-thrombin at 1 nmol/L bound only to L2H/V cells, indicating t
hat GP V cleavage is not a prerequisite for the formation of the high-
affinity thrombin receptor. These data provide the first indication of
a physiologic function for GP V, and suggest that formation of the hi
gh-affinity thrombin receptor on the platelet surface has complex allo
steric requirements. (C) 1997 by The American Society of Hematology.