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血栓素 A2 通过血小板黏附于缺血区域诱导血流恢复。

Thromboxane A2 induces blood flow recovery via platelet adhesion to ischaemic regions.

机构信息

Department of Pharmacology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa 252-0374, Japan.

Department of Surgery, Kitasato University School of Medicine, Kanagawa, Japan.

出版信息

Cardiovasc Res. 2015 Sep 1;107(4):509-21. doi: 10.1093/cvr/cvv139. Epub 2015 May 1.

DOI:10.1093/cvr/cvv139
PMID:25935870
Abstract

AIMS

Thromboxane A2 (TXA2) induces platelet adhesion through thromboxane prostanoid (TP) receptor. Platelets contain many pro-angiogenic factors and are recruited to the site of vascular injury. However, the cellular and molecular mechanisms of platelet-dependent angiogenesis, especially the involvement of TP signalling, have not been fully elucidated. The present study hypothesized that TP-dependent platelet adhesion would contribute to angiogenesis in a mouse hindlimb ischaemic model.

METHODS AND RESULTS

Blood flow recovery was suppressed by the TXA2 receptor antagonist (S-1452) and the TXA2 synthase inhibitor (OKY-046) compared with control mice. TP knockout mice (TP(-/-)) showed delayed blood flow recovery from ischaemia and impaired angiogenesis compared with wild-type (WT) mice and prostacyclin receptor knockout mice (IP(-/-)). Selective platelet adhesion to ischaemic endothelial cells (ECs) via P-selectin was identified in WT and IP(-/-), but not in TP(-/-), via in vivo microscopy. IF analysis showed that P-selectin glycoprotein ligand-1 (PSGL-1) co-localized with endothelial CD31 in ischaemic muscle in WT and IP(-/-) but not diminished in TP(-/-). Platelet-rich plasma levels of stromal cell-derived factor-1 and VEGF were increased after ischaemia in WT, and suppressed by antibody against P-selectin in WT but not in TP(-/-). Furthermore, the blood flow recovery was suppressed by neutralizing antibodies against VEGF or C-X-C chemokine receptor type 4 in WT and IP(-/-) but not in TP(-/-).

CONCLUSION

These results indicated that TP signalling facilitates ischaemia-induced angiogenesis via P-selectin-mediated platelet adhesion to PSGL-1 on the ECs at ischaemic sites and the supply of pro-angiogenic factors by the adherent platelets.

摘要

目的

血栓烷 A2(TXA2)通过血栓烷前列腺素(TP)受体诱导血小板黏附。血小板含有许多促血管生成因子,并被募集到血管损伤部位。然而,血小板依赖性血管生成的细胞和分子机制,特别是 TP 信号的参与,尚未完全阐明。本研究假设 TP 依赖性血小板黏附将有助于小鼠后肢缺血模型中的血管生成。

方法和结果

与对照组小鼠相比,TXA2 受体拮抗剂(S-1452)和 TXA2 合酶抑制剂(OKY-046)抑制了血流恢复。与野生型(WT)和前列环素受体敲除(IP(-/-))小鼠相比,TP 敲除(TP(-/-))小鼠的缺血后血流恢复延迟,血管生成受损。通过体内显微镜观察到 WT 和 IP(-/-)中血小板通过 P-选择素选择性黏附于缺血内皮细胞(ECs),但在 TP(-/-)中则没有。IF 分析显示,在 WT 和 IP(-/-)中,P-选择素糖蛋白配体-1(PSGL-1)与缺血肌肉中的内皮 CD31 共定位,但在 TP(-/-)中则没有减少。WT 缺血后血小板富含血浆中的基质细胞衍生因子-1 和 VEGF 水平增加,WT 中用抗 P-选择素抗体抑制,但在 TP(-/-)中则没有抑制。此外,WT 和 IP(-/-)中的 VEGF 或 C-X-C 趋化因子受体 4 的中和抗体抑制了血流恢复,但在 TP(-/-)中则没有抑制。

结论

这些结果表明,TP 信号通过 P-选择素介导的血小板黏附到 PSGL-1 上,促进了缺血诱导的血管生成,从而促进了血小板对缺血部位 ECs 的黏附,并供应了促血管生成因子。

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