Functional factor XIII-A is exposed on the stimulated platelet surface

Joanne L Mitchell, Ausra S Lionikiene, Steven R Fraser, Claire S Whyte, Nuala A Booth, Nicola J Mutch

Research output: Contribution to journalArticlepeer-review

79 Citations (Scopus)


Factor XIII (FXIII) stabilizes thrombi against fibrinolysis by cross-linking α2-antiplasmin (α2AP) to fibrin. Cellular FXIII (FXIII-A) is abundant in platelets, but the extracellular functions of this pool are unclear, as it is not released by classical secretion mechanisms. We examined the function of platelet FXIII-A using Chandler model thrombi formed from FXIII-depleted plasma. Platelets stabilized FXIII-depleted thrombi in a transglutaminase-dependent manner. FXIII-A activity on activated platelets was unstable and was rapidly lost over 1 h. Inhibiting platelet activation abrogated the ability of platelets to stabilize thrombi. Incorporation of a neutralizing antibody to α2AP into FXIII-depleted thrombi revealed that the stabilizing effect of platelet FXIII-A on lysis was α2AP-dependent. Platelet FXIII-A activity and antigen were associated with the cytoplasm and membrane fraction of unstimulated platelets and these fractions were functional in stabilizing FXIII-depleted thrombi against lysis. Fluorescence confocal microscopy and flow cytometry revealed exposure of FXIII-A on activated membranes with maximal signal detected with thrombin and collagen stimulation. FXIII-A was evident in protruding 'caps' on the surface of phosphatidylserine-positive platelets. Our data show a functional role for platelet FXIII-A through exposure on the activated platelet membrane where it exerts antifibrinolytic function through cross-linking α2AP to fibrin.

Original languageEnglish
Pages (from-to)3982–3990
Number of pages9
Issue number26
Early online date20 Oct 2014
Publication statusPublished - 18 Dec 2014


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