二酰甘油克服阿司匹林对血小板的抑制作用:二酰甘油积累在血小板激活中起必要作用的证据。

Diacylglycerol overcomes aspirin inhibition of platelets: evidence for a necessary role for diacylglycerol accumulation in platelet activation.

作者信息

Werner M H, Senzel L, Bielawska A, Khan W, Hannun Y A

机构信息

Department of Medicine, Duke University, Durham, North Carolina 27710.

出版信息

Mol Pharmacol. 1991 Apr;39(4):547-56.

DOI:
PMID:2017154
Abstract

Aspirin, an inhibitor of cyclooxygenase, inhibits platelet aggregation in response to many stimuli. Previous studies suggested an important and necessary role for protein kinase C (PKC) in platelet aggregation and secretion. Therefore, the effects of aspirin on sn-1,2-diacylglycerol (DAG), the endogenous activator of PKC, were investigated. Specifically, we sought to determine whether inhibition of DAG production is critical for aspirin action on platelets. Total DAG mass was measured using the DAG kinase assay. At low doses of gamma-thrombin (4 nM), aspirin (5 mM) completely inhibited secondary aggregation; this inhibition was associated with near-complete inhibition of DAG production. Inhibition of collagen-induced aggregation by aspirin (50 microM) was also associated with complete inhibition of collagen-stimulated DAG production and secondary aggregation. Concomitantly, aspirin reduced phosphorylation of the 40-kDa protein, a specific PKC substrate strongly suggesting inhibition of PKC in response to aspirin. To determine the physiologic significance of the inhibition of DAG production by aspirin, reconstitution studies were conducted with dioctanoylglycerol (diC8), a cell-permeable DAG. Under conditions in which aspirin completely inhibited secondary aggregation induced by gamma-thrombin, collagen, or arachidonic acid, diC8 overcame aspirin inhibition of agonist action and reconstituted secondary aggregation. DiC8 exerted these effects at low concentrations (2-3 microM), which caused minimal aggregation of control platelets. Phorbol 12,13-dibutyrate, a phorbol ester that directly activates PKC, mimicked the effects of diC8 in overcoming aspirin inhibition of collagen-induced platelet activation. However, subthreshold concentrations of the calcium ionophore ionomycin, arachidonic acid, or gamma-thrombin were unable to overcome aspirin inhibition of collagen-induced platelet aggregation, suggesting that the ability to overcome aspirin inhibition is not shared by other second messengers and is not due to nonspecific synergy. These studies constitute evidence that inhibition of DAG production and subsequent PKC activation are crucial to the antiaggregatory effects of aspirin. They also support the hypothesis that DAG production and PKC activation may be the final common pathway for induction of secondary aggregation.

摘要

阿司匹林作为环氧化酶的抑制剂,可抑制多种刺激引发的血小板聚集。以往研究表明蛋白激酶C(PKC)在血小板聚集和分泌过程中发挥着重要且必要的作用。因此,研究人员探究了阿司匹林对PKC的内源性激活剂sn-1,2-二酰甘油(DAG)的影响。具体而言,他们试图确定抑制DAG生成对于阿司匹林作用于血小板是否至关重要。使用DAG激酶测定法测量总DAG量。在低剂量γ-凝血酶(4 nM)作用下,阿司匹林(5 mM)可完全抑制二次聚集;这种抑制作用与DAG生成的近乎完全抑制相关。阿司匹林(50 μM)对胶原诱导的聚集的抑制也与胶原刺激的DAG生成和二次聚集的完全抑制相关。同时,阿司匹林降低了40 kDa蛋白的磷酸化,该蛋白是一种特异性PKC底物,强烈提示阿司匹林可抑制PKC。为了确定阿司匹林抑制DAG生成的生理意义,研究人员使用二辛酰甘油(diC8,一种可透过细胞的DAG)进行了重组研究。在阿司匹林完全抑制γ-凝血酶、胶原或花生四烯酸诱导的二次聚集的条件下,diC8可克服阿司匹林对激动剂作用的抑制并恢复二次聚集。DiC8在低浓度(2 - 3 μM)时即可发挥这些作用,而该浓度对对照血小板的聚集作用极小。佛波醇12,13-二丁酸酯是一种直接激活PKC的佛波酯,其在克服阿司匹林对胶原诱导的血小板激活的抑制方面模拟了diC8的作用。然而,亚阈值浓度的钙离子载体离子霉素、花生四烯酸或γ-凝血酶无法克服阿司匹林对胶原诱导的血小板聚集的抑制作用,这表明克服阿司匹林抑制的能力并非其他第二信使所共有,也不是由于非特异性协同作用。这些研究证明,抑制DAG生成以及随后的PKC激活对于阿司匹林的抗聚集作用至关重要。它们还支持了这样一种假说,即DAG生成和PKC激活可能是诱导二次聚集的最终共同途径。

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