Karmohapatra Soumendra K, Chakraborty Kushal, Kahn Nighat N, Sinha Asru K
Department of Thrombosis Research, Sinha Institute of Medical Science and Technology, Calcutta 700084, West Bengal, India.
Am J Hematol. 2007 Nov;82(11):986-95. doi: 10.1002/ajh.20955.
Aspirin, a well-known inhibitor of platelet aggregation, is extensively used for the prevention/treatment of coronary artery disease. The beneficial and antithrombotic effects of the compound are related to the inhibition of platelet cyclooxygenase. It is currently believed that aspirin has no effect on the formed thrombus, which results in coronary artery disease. It was found that the exposure of platelets to 4.0 microM aspirin either in vitro or in vivo resulted in fibrinolysis of the formed "clot" produced by the recalcification of platelet-rich plasma due to the production of NO in these cells by the compound. The lysis of clot in the presence of aspirin was found to be related to the fibrinolysis with simultaneous appearance of fibrin degradation products due to the generation of serine proteinase activity by NO in the assay mixture. The aspirin activated nitric oxide synthase that catalyzed the synthesis of NO in platelets was solubilized by Triton X-100 treatment and purified to homogeneity by chromatography on DEAE cellulose and Sephadex G-50 columns. The enzyme was found to be a single chain polypeptide with M.W. 19 kDa. The treatment of human plasminogen with NO was found to directly activate the zymogen to plasmin with the production of preactivation peptide in the absence of cofactors, or cells without the formation of cyclic GMP in the assay mixture.
阿司匹林是一种著名的血小板聚集抑制剂,广泛用于预防/治疗冠状动脉疾病。该化合物的有益和抗血栓作用与血小板环氧化酶的抑制有关。目前认为阿司匹林对已形成的导致冠状动脉疾病的血栓没有作用。研究发现,血小板在体外或体内暴露于4.0微摩尔的阿司匹林时,由于该化合物在这些细胞中产生一氧化氮,会导致富含血小板血浆再钙化产生的已形成“凝块”发生纤维蛋白溶解。发现在阿司匹林存在下凝块的溶解与纤维蛋白溶解有关,由于测定混合物中一氧化氮产生丝氨酸蛋白酶活性,同时出现纤维蛋白降解产物。经曲拉通X-100处理可溶解阿司匹林激活的催化血小板中一氧化氮合成的一氧化氮合酶,并通过DEAE纤维素和葡聚糖G-50柱层析纯化至同质。该酶被发现是一种分子量为19 kDa的单链多肽。研究发现,在测定混合物中,用一氧化氮处理人纤溶酶原可在没有辅因子或细胞的情况下直接将酶原激活为纤溶酶,并产生预激活肽,且不形成环磷酸鸟苷。