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Peer-reviewedCC BY 4.0Platelets

Developmental differences in platelet P-selectin expression modulate neonatal monocyte inflammatory responses

  1. 1Boston Children’s Hospital, Division of Newborn Medicine, Boston, MA, USA
  2. 2Department of Pediatrics, Harvard Medical School, Boston, MA, USA
  3. 3Biostatistics and Research Design Center, Boston Children’s Hospital, Boston, MA, USA

Abstract

Neonatal and adult platelets are functionally different, with neonatal platelets being comparatively hypo-reactive to multiple platelet agonists. When transfused, neonates receive platelets from adult donors, resulting in a cellular developmental mismatch. Platelets are key regulators of the monocyte inflammatory response, yet how the developmental stage of the platelet affects this response is unknown. In this study, we modeled this developmental mismatch in vitro to investigate the neonatal (cord blood) monocyte inflammatory response and migratory phenotype after exposure to either neonatal (cord blood) or adult platelets. Adult platelets expressed more P-selectin on the surface and released more beta-2-microglobulin (B2M) after activation compared to neonatal platelets. While exposure to platelets of either developmental stage increased the release of IL-8 and MCP-1 from neonatal monocytes to a similar degree, exposure to adult platelets induced significantly greater monocyte CCR2 and CCR5 surface expression, consistent with a pro-migratory monocyte phenotype. Blocking P-selectin/PSGL-1 interactions had no effect on platelet induced monocyte cytokine release but completely abrogated monocyte CCR2 and CCR5 surface upregulation. These findings suggest that the monocyte pro-migratory phenotype is regulated by P-selectin exposure, which is influenced by the platelet developmental stage, while monocyte cytokine release is independent of platelet P-selectin expression or developmental stage.

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BibTeX
@article{soulealbridge2026developmental,
  title = {{Developmental differences in platelet P-selectin expression modulate neonatal monocyte inflammatory responses}},
  author = {Erin Soule-Albridge and Emily Flahardy and Henry A. Feldman and Natalie Kane and Kimberley Banfield and Amalia El Nems and Jesselin Romero Escobar and Martha Sola-Visner and Patricia Davenport},
  journal = {Platelets},
  year = {2026},
  month = sep,
  doi = {10.1080/09537104.2026.2726287},
  url = {https://doi.org/10.1080/09537104.2026.2726287},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Developmental differences in platelet P-selectin expression modulate neonatal monocyte inflammatory responses
AU  - Erin Soule-Albridge
AU  - Emily Flahardy
AU  - Henry A. Feldman
AU  - Natalie Kane
AU  - Kimberley Banfield
AU  - Amalia El Nems
AU  - Jesselin Romero Escobar
AU  - Martha Sola-Visner
AU  - Patricia Davenport
PY  - 2026
DA  - 2026/09/22
JO  - Platelets
DO  - 10.1080/09537104.2026.2726287
UR  - https://doi.org/10.1080/09537104.2026.2726287
AB  - Neonatal and adult platelets are functionally different, with neonatal platelets being comparatively hypo-reactive to multiple platelet agonists. When transfused, neonates receive platelets from adult donors, resulting in a cellular developmental mismatch. Platelets are key regulators of the monocyte inflammatory response, yet how the developmental stage of the platelet affects this response is unknown. In this study, we modeled this developmental mismatch in vitro to investigate the neonatal (cord blood) monocyte inflammatory response and migratory phenotype after exposure to either neonatal (cord blood) or adult platelets. Adult platelets expressed more P-selectin on the surface and released more beta-2-microglobulin (B2M) after activation compared to neonatal platelets. While exposure to platelets of either developmental stage increased the release of IL-8 and MCP-1 from neonatal monocytes to a similar degree, exposure to adult platelets induced significantly greater monocyte CCR2 and CCR5 surface expression, consistent with a pro-migratory monocyte phenotype. Blocking P-selectin/PSGL-1 interactions had no effect on platelet induced monocyte cytokine release but completely abrogated monocyte CCR2 and CCR5 surface upregulation. These findings suggest that the monocyte pro-migratory phenotype is regulated by P-selectin exposure, which is influenced by the platelet developmental stage, while monocyte cytokine release is independent of platelet P-selectin expression or developmental stage.
SN  - 0953-7104
SN  - 1369-1635
ER  -