ELMO1 deficiency enhances platelet function

Phosphatidylinositol 3-kinase is an important signaling molecule that, once activated, leads to the generation of phosphatidylinositol (3,4,5)-trisphosphate (PIP₃). We performed a proteomic screen to identify PIP₃-interacting proteins in human platelets_. Among these proteins, we found engulfment and cell motility 1 (ELMO1), a scaffold protein with no catalytic activity. ELMO1 is expressed in platelets and interacts with active RhoG. However, the function of ELMO1 in platelets is not known. The focus of this study was to determine the function of ELMO1 in platelets utilizing ELMO1²/² mice. Platelet aggregation, granule secretion, integrin aIIbb3 activation, and thromboxane generation were enhanced in ELMO1²/² platelets in response to glycoprotein VI (GPVI) agonists but unaltered when a protease-activated receptor 4 agonist was used. The kinetics of spreading on immobilized fibrinogen was enhanced in ELMO1²/² platelets compared with wild-type (WT) littermate controls. This suggests that ELMO1 plays a role downstream of the GPVI and integrin aIIbb3 pathway. Furthermore, whole blood from ELMO1²/² mice perfused over collagen exhibited enhanced thrombus formation compared with WT littermate controls. ELMO1²/² mice showed reduced survival compared with control following pulmonary embolism. ELMO1²/² mice also exhibited a shorter time to occlusion using the ferric-chloride injury model and reduced bleeding times compared with WT littermate controls. These results indicate that ELMO1 plays an important role in hemostasis and thrombosis in vivo. RhoG activity was enhanced in ELMO1²/2 murine platelets compared with WT littermate controls in response to GPVI agonist. Together, these data suggest that ELMO1 negatively regulates GPVI-mediated thrombus formation via RhoG.