Crutchley D J, Ryan U S, Ryan J W
J Clin Invest. 1980 Jul;66(1):29-35. doi: 10.1172/JCI109831.
To improve understanding of the mechanisms by which ADP is degraded during passage through the pulmonary vascular bed, we examined cultured endothelial and smooth muscle cells of bovine pulmonmary artery for their abilities to metabolize [8-14C]ADP. ADP is rapidly converted to AMP and then to adenosine, hypoxanthine, and inosine. Inosine is the major metabolite produced by endothelial cells. Radioactivity (5-10%) is accumulated intracellularly primarily as ATP. Medium containing 50 micro M ADP incubated with endothelial cells rapidly loses its ability to aggregate platelets and becomes antiaggregatory under conditions in which prostacyclin is absent. The antiaggregatory activity is probably the result of accumulated adenosine. 10 micro M dipyridamole inhibits cellular uptake of radioactivity by greater than 90%, and inosine in the medium is largely replaced by adenosine. This is accompanied by increased anti-aggregatory activity of conditioned medium, which can be matched by authentic adenosine at the same concentration. 1 mM aspirin had no effect on the metabolism of ADP by endothelial cells. Our results suggest: (a) Metabolism of ADP during passage through the lung is mainly the result of endothelial ADPase. (b) ADP released from aggregating platelets can be converted to the antiaggregatory substance, adenosine. Dipyridamole may exert some of its antithrombotic actions by preventing the intracellular uptake of adenosine, thereby increasing its concentration near the site of thrombus formation. (c) The ability of the vessel wall to degrade ADP should not be compromised by the use of aspirin as an antithrombotic drug. (d) Endothelium may retain some of its antithrombogenicity when prostacyclin generation is impaired.
为了更好地理解ADP在通过肺血管床时被降解的机制,我们检测了培养的牛肺动脉内皮细胞和平滑肌细胞代谢[8-14C]ADP的能力。ADP迅速转化为AMP,然后再转化为腺苷、次黄嘌呤和肌苷。肌苷是内皮细胞产生的主要代谢产物。放射性(5-10%)主要以ATP的形式在细胞内积累。与内皮细胞一起孵育含50微摩尔ADP的培养基,在没有前列环素的条件下,其聚集血小板的能力迅速丧失,并变得具有抗聚集作用。这种抗聚集活性可能是腺苷积累的结果。10微摩尔双嘧达莫抑制细胞对放射性的摄取超过90%,培养基中的肌苷大部分被腺苷取代。这伴随着条件培养基抗聚集活性的增加,相同浓度的 authentic腺苷可与之匹配。1毫摩尔阿司匹林对内皮细胞代谢ADP没有影响。我们的结果表明:(a)ADP在通过肺的过程中的代谢主要是内皮ADP酶作用的结果。(b)从聚集血小板释放的ADP可转化为抗聚集物质腺苷。双嘧达莫可能通过阻止腺苷的细胞内摄取,从而增加其在血栓形成部位附近的浓度,发挥其一些抗血栓作用。(c)使用阿司匹林作为抗血栓药物不应损害血管壁降解ADP的能力。(d)当前列环素生成受损时,内皮可能保留其一些抗血栓形成特性。