STIM1-Orai1–mediated Ca2+ entry is particularly important for platelet agonists acting via the ITAM motif and PLCγ2. All stimulatory platelet agonists elevate cytosolic Ca2+ as part of their activation mechanism. Two major routes exists: one utilizing the ITAM motif present on the FcRγ chain leading to activation of PLCγ2, the other utilized by G-protein–linked receptors activating PLCβ. Both produce inositol-1,4,5-trisphophate (IP3), which releases Ca2+ from intracellular stores via the IP3Rs. Store depletion causes Ca2+ to come off STIM1, allowing STIM1 to oligomerize and activate Orai1. Ca2+ entry via this pathway is particularly important for platelet activation during thrombus formation in vivo where ITAM engagement is necessary. For platelet activation via G-protein–linked receptors, the more rapid Ca2+ release from stores (and additionally Ca2+ entry from Orai1 and non-Orai1 channels such as TRPC6) may synergize with other messengers (such as PKC and PI-3K) to effect cell activation. Professional illustration by Kenneth X. Probst.

STIM1-Orai1–mediated Ca2+ entry is particularly important for platelet agonists acting via the ITAM motif and PLCγ2. All stimulatory platelet agonists elevate cytosolic Ca2+ as part of their activation mechanism. Two major routes exists: one utilizing the ITAM motif present on the FcRγ chain leading to activation of PLCγ2, the other utilized by G-protein–linked receptors activating PLCβ. Both produce inositol-1,4,5-trisphophate (IP3), which releases Ca2+ from intracellular stores via the IP3Rs. Store depletion causes Ca2+ to come off STIM1, allowing STIM1 to oligomerize and activate Orai1. Ca2+ entry via this pathway is particularly important for platelet activation during thrombus formation in vivo where ITAM engagement is necessary. For platelet activation via G-protein–linked receptors, the more rapid Ca2+ release from stores (and additionally Ca2+ entry from Orai1 and non-Orai1 channels such as TRPC6) may synergize with other messengers (such as PKC and PI-3K) to effect cell activation. Professional illustration by Kenneth X. Probst.

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