Brammer J P, Maguire M H
Br J Pharmacol. 1984 May;82(1):61-72. doi: 10.1111/j.1476-5381.1984.tb16442.x.
Palmitaldehyde acetal phosphatidic acid ( PGAP ) caused dose-dependent aggregation of human platelets resuspended in modified Tyrode medium, with a threshold concentration of 0.5-1 microM and an EC50 of 4 microM. Concentrations of PGAP which elicited biphasic irreversible aggregation concomitantly induced formation of 1.02 +/- 0.029 nmol (mean +/- s.e. mean) of malondialdehyde (MDA) per 10(9) platelets and caused release of 58 +/- 2.8% of platelet [14C]-5-hydroxytryptamine ([14C]-5-HT) from prelabelled platelets; no MDA formation or [14C]-5-HT release occurred at lower doses of PGAP which elicited only monophasic reversible aggregation. Adenosine 5'-pyrophosphate (ADP)-induced platelet activation resulted in formation of 0.344 +/- 0.004 nmol of MDA per 10(9) platelets in association with irreversible aggregation and 49.1 +/- 1% release of [14C]-5-HT. Mepacrine, a phospholipase A2 inhibitor, at 2.5 microM reduced PGAP -induced MDA formation and [14C]-5-HT release by the resuspended platelets without affecting irreversible aggregation; higher concentrations of mepacrine abolished all three responses. Chlorpromazine, a calmodulin antagonist, similarly inhibited PGAP -induced MDA formation and irreversible aggregation, and at 100 microM abolished monophasic aggregation. The cyclo-oxygenase inhibitor indomethacin caused a concentration-dependent reduction of PGAP -induced MDA formation by resuspended human platelets without significantly inhibiting [14C]-5-HT release or irreversible aggregation; concentrations (greater than or equal to 1.75 microM) which inhibited MDA formation by more than 94% abolished [14C]-5-HT release, and converted second phase irreversible aggregation to an extensive reversible response. 2-Methylthioadenosine 5'-phosphate (2 methylthio-AMP), an ADP antagonist, inhibited PGAP -induced MDA formation, [14C]-5-HT release and second phase aggregation in the human platelet suspensions in a parallel, concentration-dependent manner; at 9.4 microM 2-methylthio-AMP, both MDA formation and [14C]-5-HT release were abolished and monophasic, reversible aggregation remained. Albumin was required for aggregation of washed human platelets to PGAP . Irreversible PGAP -induced aggregation of washed [14C]-arachidonate-labelled platelets was accompanied by a low net loss of 14C from platelet phospholipids, an equivalent increase in 14C in free fatty acids, and the appearance of 14C in thromboxane (Tx)B2; mepacrine reduced the loss in 14C from phospholipids and inhibited aggregation and formation of [14C]-TxA2. Thrombin-induced aggregation was accompanied by substantial loss of 14C from phospholipids and equivalent gains of 14C in free fatty acids and TxB2; mepacrine pretreatment caused partial inhibition of thrombin-induced aggregation, halved the net 14C loss from phospholipids, but had little effect on the appearance of 14C in TxB2. 6 It is concluded that in human platelets PGAP-induced dense granule release and irreversible aggregation are dependent on the liberation of arachidonate and its metabolism via prostaglandin endoperoxides to thromboxane, that PGAP and thrombin elicit mobilization of arachidonate from different pools of membrane phospholipids, and that the mechanism of PGAP-activation of human platelets differs from those of thrombin- and ADP-activation.
棕榈醛缩醛磷脂酸(PGAP)可使悬浮于改良台氏液中的人血小板发生剂量依赖性聚集,阈值浓度为0.5 - 1微摩尔/升,半数有效浓度(EC50)为4微摩尔/升。引发双相不可逆聚集的PGAP浓度,可同时诱导每10⁹个血小板形成1.02±0.029纳摩尔(平均值±标准误)的丙二醛(MDA),并使预先标记的血小板释放58±2.8%的血小板[¹⁴C] - 5 - 羟色胺([¹⁴C] - 5 - HT);较低剂量的PGAP仅引发单相可逆聚集,未出现MDA形成或[¹⁴C] - 5 - HT释放。5'-二磷酸腺苷(ADP)诱导的血小板活化,导致每10⁹个血小板形成0.344±0.004纳摩尔的MDA,伴有不可逆聚集以及49.1±1%的[¹⁴C] - 5 - HT释放。磷脂酶A2抑制剂米帕林,在浓度为2.5微摩尔/升时,可减少PGAP诱导的悬浮血小板MDA形成及[¹⁴C] - 5 - HT释放,但不影响不可逆聚集;更高浓度的米帕林可消除所有这三种反应。钙调蛋白拮抗剂氯丙嗪同样抑制PGAP诱导的MDA形成及不可逆聚集,在浓度为100微摩尔/升时可消除单相聚集。环氧化酶抑制剂吲哚美辛可使悬浮的人血小板PGAP诱导的MDA形成呈浓度依赖性降低,但对[¹⁴C] - 5 - HT释放或不可逆聚集无明显抑制作用;抑制MDA形成超过94%的浓度(大于或等于1.75微摩尔/升)可消除[¹⁴C] - 5 - HT释放,并将第二相不可逆聚集转变为广泛的可逆反应。ADP拮抗剂2 - 甲硫腺苷5'-磷酸(2 - 甲硫基 - AMP),以平行的浓度依赖性方式抑制人血小板悬液中PGAP诱导的MDA形成、[¹⁴C] - 5 - HT释放及第二相聚集;在浓度为9.4微摩尔/升时,2 - 甲硫基 - AMP可消除MDA形成及[¹⁴C] - 5 - HT释放,仅保留单相可逆聚集。洗涤后的人血小板对PGAP聚集需要白蛋白。PGAP诱导的洗涤后[¹⁴C] - 花生四烯酸标记血小板的不可逆聚集,伴随着血小板磷脂中¹⁴C的少量净损失、游离脂肪酸中¹⁴C的等量增加以及血栓素(Tx)B2中¹⁴C的出现;米帕林减少磷脂中¹⁴C的损失,并抑制聚集及[¹⁴C] - TxA2的形成。凝血酶诱导的聚集伴随着磷脂中¹⁴C的大量损失以及游离脂肪酸和TxB2中¹⁴C的等量增加;米帕林预处理可部分抑制凝血酶诱导的聚集,使磷脂中¹⁴C的净损失减半,但对TxB2中¹⁴C的出现影响较小。6 结论为,在人血小板中,PGAP诱导的致密颗粒释放及不可逆聚集依赖于花生四烯酸的释放及其通过前列腺素内过氧化物代谢为血栓素,PGAP和凝血酶从不同的膜磷脂池引发花生四烯酸的动员,且PGAP激活人血小板的机制不同于凝血酶和ADP激活的机制。