The Sachais Lab

602/605A Stellar-Chance

University of Pennsylvania

Bruce Sachais, MD, PhD

Assistant Professor

Director of Transfusion Services, HUP

Pathology and Laboratory Medicine

University of Pennsylvania

605A Stellar Chance

422 Curie Bvd.

Philadelphia, PA 19104

Office:  215-898-0568

Lab:      215-898-0569

Fax:      215-573-0252

sachais@mail.med.upenn.edu

My laboratory is primarily interested in the biology and structure of platelet factor 4 (PF4).  PF4 is a cationic protein found in the a-granules of platelets and is released upon platelet activation.   It binds avidly to glycosaminoglycans on the surface of endothelial cells and is known to inhibit anti-thrombin III, resulting in increased clotting. 

We are interested in the role of PF4 in several diseases, specifically atherosclerosis and heparin induced thrombocytopenia (HIT).  We have found that PF4 is localized in atherosclerotic lesions and that the presence of PF4 correlated with pathological and clinical disease progression.  Further, we have found that in vitro PF4 inhibits endocytosis of the LDL receptor, resulting in decreased LDL degradation and retention of LDL on the cell surface.  Current studies are underway to further understand the cellular and molecular mechanisms responsible for this phenomenon and to examine the effects of PF4 on other lipoproteins and lipoprotein receptors.  In vivo experiments are currently underway to further our understanding of these phenomena. 

Another project in the lab is examining the molecular mechanisms of HIT.  This rare but serious complication of heparin therapy is known to involve the recognition of PF4:heparin complexes by pathogenic auto-antibodies.  It is also known that altering the ratio of heparin to PF4 alters the recognition of the complexes.  Our working hypothesis is that the structure of the complexes formed at different heparin:PF4 ratios differs and that the structural changes are important for the expression of disease.  We are investigating these structural changes and how these changes effect pathogenesis of HIT.  Both in vitro and in vivo systems are being employed.