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去甲斑蝥素通过AMPA受体增强活化血小板的止血作用。

Decichine enhances hemostasis of activated platelets via AMPA receptors.

作者信息

Huang Ling-Fang, Shi Hai-Lian, Gao Bo, Wu Hui, Yang Li, Wu Xiao-Jun, Wang Zheng-Tao

机构信息

The Ministry of Education (MOE) Key Laboratory for Standardization of Chinese Medicines, Shanghai Key Laboratory of Complex Prescription, Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, Shanghai, China; Department of Pharmacognosy, China Pharmaceutical University, Nanjing, China.

The Ministry of Education (MOE) Key Laboratory for Standardization of Chinese Medicines, Shanghai Key Laboratory of Complex Prescription, Institute of Chinese Materia Medica, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

出版信息

Thromb Res. 2014 May;133(5):848-54. doi: 10.1016/j.thromres.2014.02.009. Epub 2014 Feb 22.

Abstract

INTRODUCTION

Dencichine, one of the non-protein amino acids present in the roots of Panax notoginseng, has been found to shorten bleeding time of mice and increase the number of platelets. However, the exact underlying mechanisms have not been elucidated yet. This study was aimed to identify the hemostatic effect of dencichine and uncover its mechanisms.

MATERIALS AND METHODS

Hemostatic effect was assessed by measuring tail bleeding time and coagulation indices of rats. PT, APTT, TT and FIB concentration were measured using a Sysmex CA-1500 plasma coagulation analyzer. Platelet aggregation rate was determined by using a platelet aggregometer. Concentration of cyotosolic calcium was evaluated by Fluo-3 and levels of cyclic adenosine monophosphate (cAMP) and thromboxane A₂ (TXA₂) were measured by ELISA method.

RESULTS AND CONCLUSION

Dencichine administered orally shortened tail bleeding time, reduced APTT and TT but increased the concentration of FIB in plasma in a dose-dependent manner. When induced with trap, dencichine could elevate the cytoplasmic concentration of calcium, and secretion of TXA₂ as well as the ratio of TXA₂ to PGI₂ from platelets. Meanwhile, it decreased the level of intracellular cAMP. However, CNQX could block the enhanced hemostatic effect of dencichine. These results suggested that dencichine exerted hemostatic function via AMPA receptors on platelets, therefore, facilitated coagulation cascade in a paracrine fashion by control of platelet cytosolic calcium influx, cAMP production and TXA₂ release. Current study may contribute to its clinical use in therapy of hemorrhage.

摘要

引言

三七根中存在的非蛋白质氨基酸之一三七素,已被发现可缩短小鼠的出血时间并增加血小板数量。然而,确切的潜在机制尚未阐明。本研究旨在确定三七素的止血作用并揭示其机制。

材料与方法

通过测量大鼠的尾部出血时间和凝血指标来评估止血效果。使用Sysmex CA - 1500血浆凝血分析仪测量PT、APTT、TT和FIB浓度。使用血小板聚集仪测定血小板聚集率。用Fluo - 3评估胞质钙浓度,并用ELISA法测量环磷酸腺苷(cAMP)和血栓素A₂(TXA₂)水平。

结果与结论

口服三七素可缩短尾部出血时间,降低APTT和TT,但以剂量依赖方式增加血浆中FIB的浓度。用诱捕法诱导时,三七素可提高血小板胞质钙浓度、TXA₂分泌以及血小板中TXA₂与前列环素I₂(PGI₂)的比率。同时,它降低了细胞内cAMP水平。然而,CNQX可阻断三七素增强的止血作用。这些结果表明,三七素通过血小板上的AMPA受体发挥止血功能,因此通过控制血小板胞质钙内流、cAMP产生和TXA₂释放以旁分泌方式促进凝血级联反应。当前研究可能有助于其在出血治疗中的临床应用。

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