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ADP受体诱导大鼠血小板膜中鸟嘌呤核苷酸结合蛋白的激活——噻吩并吡啶类药物氯吡格雷可选择性阻断此效应。

ADP receptor induced activation of guanine nucleotide binding proteins in rat platelet membranes--an effect selectively blocked by the thienopyridine clopidogrel.

作者信息

Gachet C, Savi P, Ohlmann P, Maffrand J P, Jakobs K H, Cazenave J P

机构信息

INSERM U.311, Centre Régional de Transfusion Sanguine, Strasbourg, France.

出版信息

Thromb Haemost. 1992 Jul 6;68(1):79-83.

PMID:1514178
Abstract

The thienopyridine clopidogrel, a potent analog of ticlopidine, is a powerful inhibitor of ADP induced platelet aggregation and ADP induced inhibition of cyclic AMP accumulation in intact platelets but not of ADP induced shape change. We have recently demonstrated that ADP stimulates the binding of GTP gamma S to GTP binding proteins (G proteins) in human platelet membranes. We now studied the effects of clopidogrel, a specific inhibitor of ADP induced platelet aggregation on the stimulation of GTP gamma S binding to rat platelet membranes by ADP. Using the non hydrolyzable stable analog of ADP, 2MeSADP, we demonstrate that 2MeSADP stimulates the binding of [35S]GTP gamma S to rat platelet membranes in a concentration dependent manner, that this effect is inhibited by the specific ADP receptor antagonist Sp-ATP alpha S and that clopidogrel completely and selectively blocks the stimulation by 2MeSADP of [35S]GTP gamma S binding to platelet membranes of treated rats. We conclude that: i) rat platelet membranes possess an ADP receptor coupled to unidentified G protein(s) and ii) the thienopyridine clopidogrel impairs the interaction of the ADP receptor with its G protein by an irreversible modification the ADP receptor itself or its putative G protein.

摘要

噻吩并吡啶类药物氯吡格雷是噻氯匹定的有效类似物,它是二磷酸腺苷(ADP)诱导的完整血小板聚集以及ADP诱导的环磷酸腺苷(cAMP)积累抑制的强力抑制剂,但对ADP诱导的血小板形状改变无抑制作用。我们最近证实,ADP能刺激人血小板膜中GTPγS与GTP结合蛋白(G蛋白)的结合。我们现在研究了氯吡格雷(一种ADP诱导的血小板聚集的特异性抑制剂)对ADP刺激大鼠血小板膜中GTPγS结合的影响。使用ADP的不可水解稳定类似物2MeSADP,我们证明2MeSADP以浓度依赖的方式刺激[35S]GTPγS与大鼠血小板膜的结合,这种作用被特异性ADP受体拮抗剂Sp-ATPαS抑制,并且氯吡格雷完全且选择性地阻断了2MeSADP对经处理大鼠血小板膜中[35S]GTPγS结合的刺激作用。我们得出以下结论:i)大鼠血小板膜具有与未鉴定的G蛋白偶联的ADP受体;ii)噻吩并吡啶类药物氯吡格雷通过对ADP受体本身或其假定的G蛋白进行不可逆修饰,损害了ADP受体与其G蛋白的相互作用。

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