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bioRxiv · 10.1101/2023.12.05.570278

Packaging of supplemented urokinase into naked alpha-granules of in vitro-grown megakaryocytes for targeted therapeutic delivery

Poncz, M.·Zaitsev, S. V.·Ahn, H.·Kowalska, M. A.·Bdeir, K.·Camire, R. M.·Cines, D. B.·Stepanova, V.

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Abstract

Our prior finding that uPA endogenously expressed and stored in the platelets of transgenic mice prevented thrombus formation without causing bleeding, prompted us to develop a potentially clinically relevant means of generating anti-thrombotic human platelets in vitro from CD34+ hematopoietic cell-derived megakaryocytes. CD34+-megakaryocytes internalize and store in -granules single-chain uPA (scuPA) and a uPA variant modified to be plasmin-resistant, but thrombin-activatable, (uPAT). Both uPAs co-localized with internalized factor V (FV), fibrinogen and plasminogen, low-density lipoprotein receptor-related protein 1 (LRP1), and interferon-induced transmembrane protein 3 (IFITM3), but not with endogenous von Willebrand factor (VWF). Endocytosis of uPA by CD34+-\megakaryocytes was mediated in part via LRP1 and IIb{beta}3. scuPA-containing megakaryocytes degraded endocytosed intragranular FV, but not endogenous VWF, in the presence of internalized plasminogen, whereas uPAT-megakaryocytes did not significantly degrade either protein. We used a carotid-artery injury model in NOD-scid IL2r{gamma}null (NSG) mice homozygous for VWFR1326H (a mutation switching binding VWF specificity from mouse to human glycoprotein IbmlIX) to test whether platelets derived from scuPA-MKs or uPAT-Mks would prevent thrombus formation. NSG/VWFR1326H mice exhibited a lower thrombotic burden after carotid artery injury compared to NSG mice unless infused with human platelets or MKs, whereas intravenous injection of either uPA-containing megakaryocytes into NSG/VWFR1326H generated sufficient uPA-containing human platelets to lyse nascent thrombi. These studies suggest the potential to deliver uPA or potentially other ectopic proteins within platelet -granules from in vitro-generated megakaryocytes. Key pointsO_LIUnlike platelets, in vitro-grown megakaryocytes can store exogenous uPA in its -granules. C_LIO_LIuPA uptake involves LRP1 and IIb{beta}3 receptors and is functionally available from activated platelets. C_LI

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Poncz, M., Zaitsev, S. V., Ahn, H., Kowalska, M. A., Bdeir, K., Camire, R. M., Cines, D. B., Stepanova, V.. 2023-12-05. Packaging of supplemented urokinase into naked alpha-granules of in vitro-grown megakaryocytes for targeted therapeutic delivery. https://doi.org/10.1101/2023.12.05.570278

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