Droller M J, Wolfe S M
J Clin Invest. 1972 Dec;51(12):3094-103. doi: 10.1172/JCI107136.
The present data disagree with earlier suggestions that thrombin's effect on platelets is to cause a decrease in intracellular cyclic 3',5'-adenosine monophosphate. Washed human platelets or platelet-rich plasma were incubated at 37 degrees C with human thrombin. After centrifugation, the supernates were assayed for nucleotides and calcium released. The platelet pellets, and in some experiments the supernates as well, were assayed by radioimmunoassay for intracellular cyclic AMP. In the washed platelet system, increasing doses of thrombin to 0.5 U/cc induced increasing release of nucleotides and calcium. This was accompanied by an average twofold increase in intracellular cyclic AMP levels. Prostaglandin E(1), which inhibited 30-50% of release, induced a four- to fivefold increase in cyclic AMP levels that was additive to the cyclic AMP-stimulatory effect of thrombin. Theophylline, which inhibited only 20-40% of nucleotide release, was synergistic with thrombin in the intracellular accumulation of cyclic AMP. The time-course of cyclic AMP accumulation in response to thrombin was slower than thrombin-induced nucleotide release. Similar findings were made in the platelet-rich plasma system where thrombin stimulation of nucleotide release also resulted in a marked accumulation of intracellular cyclic AMP. Thrombin did not appear to stimulate the release of intracellular cyclic AMP. The mechanism underlying these observations was not apparent. The thrombin had no measurable inhibitory effect on platelet phosphodiesterase activity in either intact washed cells or the platelet homogenate supernates. Furthermore, thrombin inhibited, rather than stimulated, platelet adenyl cyclase activity in both intact washed cells and washed platelet particulate fractions. Of note, however, was the finding that thrombin did not completely inhibit the adenyl cyclase activity of prostaglandin-stimulated cells. Further work is needed to clarify the significance of this observation.Nonetheless, the accumulation of intracellular cyclic AMP in response to thrombin observed in the present study suggests that the antagonistic actions of various agents on the platelet release reaction, thought to underlie platelet function, may depend upon a mechanism more intricate than a straightforward mediation through directly opposite effects on platelet cyclic AMP.
目前的数据与早期观点不一致,早期观点认为凝血酶对血小板的作用是导致细胞内3',5'-环磷酸腺苷减少。将洗涤后的人血小板或富含血小板的血浆与人类凝血酶在37℃下孵育。离心后,检测上清液中释放的核苷酸和钙。通过放射免疫分析法检测血小板沉淀,在某些实验中也检测上清液中的细胞内环磷酸腺苷。在洗涤后的血小板系统中,凝血酶剂量增加至0.5 U/cc会导致核苷酸和钙的释放增加。与此同时,细胞内环磷酸腺苷水平平均增加了两倍。前列腺素E(1)抑制了30%-50%的释放,导致环磷酸腺苷水平增加了四到五倍,这与凝血酶对环磷酸腺苷的刺激作用相加。氨茶碱仅抑制20%-40%的核苷酸释放,在细胞内环磷酸腺苷的积累中与凝血酶具有协同作用。凝血酶刺激后环磷酸腺苷积累的时间进程比凝血酶诱导的核苷酸释放要慢。在富含血小板的血浆系统中也有类似的发现,凝血酶刺激核苷酸释放也导致细胞内环磷酸腺苷显著积累。凝血酶似乎并未刺激细胞内环磷酸腺苷的释放。这些观察结果背后的机制尚不清楚。在完整的洗涤细胞或血小板匀浆上清液中,凝血酶对血小板磷酸二酯酶活性没有可测量的抑制作用。此外,在完整的洗涤细胞和洗涤后的血小板颗粒组分中,凝血酶抑制而非刺激血小板腺苷酸环化酶活性。然而,值得注意的是,凝血酶并未完全抑制前列腺素刺激细胞的腺苷酸环化酶活性。需要进一步的研究来阐明这一观察结果的意义。尽管如此,本研究中观察到的凝血酶刺激后细胞内环磷酸腺苷的积累表明,各种药物对血小板释放反应的拮抗作用(被认为是血小板功能的基础)可能取决于一种比直接通过对血小板环磷酸腺苷产生相反作用进行简单介导更为复杂的机制。