Lu Wan-Jung, Chang Nen-Chung, Jayakumar Thanasekaran, Liao Jiun-Cheng, Lin Mei-Jiun, Wang Shwu-Huey, Chou Duen-Suey, Thomas Philip Aloysius, Sheu Joen-Rong
Department of Pharmacology and Graduate Institute of Medical Sciences, School of Medicine, Taipei Medical University, Taipei, Taiwan.
Department of Internal Medicine, School of Medicine, Taipei Medical University, Taipei, Taiwan.
Thromb Res. 2014 Dec;134(6):1301-10. doi: 10.1016/j.thromres.2014.09.023. Epub 2014 Sep 26.
CME-1, a novel water-soluble polysaccharide, was purified from the mycelia of Cordyceps sinensis, and its chemical structure was characterized to contain mannose and galactose in a ratio of 4:6 (27.6 kDa). CME-1 was originally observed to exert a potent inhibitory effect on tumor migration and a cytoprotective effect against oxidative stress. Activation of platelets caused by arterial thrombosis is relevant to various cardiovascular diseases (CVDs). However, no data are available concerning the effects of CME-1 on platelet activation. Hence, the purpose of this study was to examine the ex vivo and in vivo antithrombotic effects of CME-1 and its possible mechanisms in platelet activation.
The aggregometry, immunoblotting, flow cytometric analysis and platelet functional analysis were used in this study.
CME-1 (2.3-7.6 μM) exhibited highly potent activity in inhibiting human platelet aggregation when stimulated by collagen, thrombin, and arachidonic acid but not by U46619. CME-1 inhibited platelet activation accompanied by inhibiting Akt, mitogen-activated protein kinases (MAPKs), thromboxane B2 (TxB2) and hydroxyl radical (OH(●)) formation. However, CME-1 interrupted neither FITC-triflavin nor FITC-collagen binding to platelets. CME-1 markedly increased cyclic AMP levels, but not cyclic GMP levels, and stimulated vasodilator-stimulated phosphoprotein (VASP) phosphorylation. SQ22536, an inhibitor of adenylate cyclase, but not ODQ, an inhibitor of guanylate cyclase, obviously reversed the CME-1-mediated effects on platelet aggregation and vasodilator-stimulated phosphoprotein (VASP), Akt, p38 MAPK phosphorylation, and TxB2 formation. CME-1 substantially prolonged the closure time of whole blood and the occlusion time of platelet plug formation.
This study demonstrates for the first time that CME-1 exhibits highly potent antiplatelet activity that may initially activate adenylate cyclase/cyclic AMP and, subsequently, inhibit intracellular signals (such as Akt and MAPKs), ultimately inhibiting platelet activation. This novel role of CME-1 indicates that CME-1 exhibits high potential for application in treating and preventing CVDs.
CME - 1是一种从中华冬虫夏草菌丝体中纯化得到的新型水溶性多糖,其化学结构经表征含有甘露糖和半乳糖,比例为4:6(分子量27.6 kDa)。最初观察到CME - 1对肿瘤迁移具有强大的抑制作用,并对氧化应激具有细胞保护作用。动脉血栓形成引起的血小板活化与多种心血管疾病(CVD)相关。然而,关于CME - 1对血小板活化影响的数据尚不可得。因此,本研究的目的是研究CME - 1的体内外抗血栓作用及其在血小板活化中的可能机制。
本研究采用了血小板聚集测定、免疫印迹、流式细胞术分析和血小板功能分析。
CME - 1(2.3 - 7.6 μM)在抑制胶原、凝血酶和花生四烯酸刺激的人血小板聚集方面表现出高效活性,但对U46619刺激的血小板聚集无抑制作用。CME - 1抑制血小板活化,同时抑制Akt、丝裂原活化蛋白激酶(MAPK)、血栓素B2(TxB2)和羟自由基(OH(●))的形成。然而,CME - 1既不干扰FITC - 三黄素也不干扰FITC - 胶原与血小板的结合。CME - 1显著提高环磷酸腺苷(cAMP)水平,但不提高环磷酸鸟苷(cGMP)水平,并刺激血管舒张刺激磷蛋白(VASP)磷酸化。腺苷酸环化酶抑制剂SQ22536,但不是鸟苷酸环化酶抑制剂ODQ,明显逆转了CME - 1对血小板聚集和血管舒张刺激磷蛋白(VASP)、Akt、p38 MAPK磷酸化以及TxB2形成的介导作用。CME - 1显著延长全血的闭合时间和血小板血栓形成的闭塞时间。
本研究首次证明CME - 1具有高效的抗血小板活性,可能最初激活腺苷酸环化酶/环磷酸腺苷,随后抑制细胞内信号(如Akt和MAPK),最终抑制血小板活化。CME - 1的这一新作用表明其在治疗和预防心血管疾病方面具有很高的应用潜力。