Role of Phosphoinositide 3-Kinase in Platelet Responses To

Total Page:16

File Type:pdf, Size:1020Kb

Role of Phosphoinositide 3-Kinase in Platelet Responses To ROLE OF PHOSPHOINOSITIDE 3-KINASE IN PLATELET RESPONSES TO PLATELET-ACTIVATING FACTOR by RONALD WILLIAM LAUENER B.Sc, Simon Fraser University, 1985 M.Sc, The University of British Columbia, 1988 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY in THE FACULTY OF GRADUATE STUDIES (Experimental Medicine Program) We accept this thesis as conforming to the required standard THE UNIVERSITY OF BRITISH COLUMBIA 1997 © Ronald William Lauener, 1997 In presenting this thesis in partial fulfilment of the requirements for an advanced degree at the University of British Columbia, I agree that the Library shall make it freely available for reference and study. I further agree that permission for extensive copying of this thesis for scholarly purposes may be granted by the head of my department or by his or her representatives. It is understood that copying or publication of this thesis for financial gain shall not be allowed without my written permission. The University of British Columbia Vancouver, Canada DE-6 (2/88) 11 '( ABSTRACT Platelets are necessary for hemostasis but are also involved in a broad range of pathophysiologic processes such as atherosclerosis and thrombosis. Platelet activating factor (PAF), an inflammatory mediator, is an important physiological regulator of platelet function. The major objective of this work was to determine the role of phosphoinositide 3-kinase (PI 3-kinase) in platelet responses to platelet activating factor. We show, for the first time in platelets, that PAF activates PI 3-kinase over a rapid time course that correlates closely with the aggregation response. The potent PI 3-kinase inhibitors, wortmannin and 2-(4-morpholinyl)-8-phenyl-4H-l-benzopyran-4-one (LY294002) were used to probe the dependence of PAF-induced aggregation and dense granule release on PI 3-kinase. Both compounds markedly inhibited PAF-induced aggregation; however, only at low activation states giving reversible aggregation (primary phase) did this correlate with PI 3-kinase inhibition. Secretion, measured as release of 3H- hydroxytryptamine, was inhibited to a maximum of 30 % and only at low concentrations of PAF. We suggest that PI 3-kinase activation is important for reversible (primary) aggregation of platelets in response to PAF, perhaps by contributing to the 'inside-out' activation of platelet glycoprotein Ilbllla, the fibrinogen receptor. PI 3-kinase only plays a minor role in PAF induced dense granule release at low activation states. Both responses are dramatically less dependent on PI 3-kinase activity when high concentrations of PAF are used, suggesting greater contribution from other pathways. Tyrosine kinases appear to be important regulators of PI 3-kinase at high PAF levels as stimulation results in a greater than 10 fold increase in PI 3-kinase activity associated with tyrosine-phosphorylated proteins. The p85 regulatory subunit of PI 3-kinase is not tyrosine-phosphorylated. Rather, the enzyme associates rapidly with a major tyrosine- phosphorylated 115 kDa protein, a potential regulator of PI 3-kinase activation in platelets. This protein was not immunoreactive with several antibodies to proteins in this Ill molecular weight range known to be tyrosine phosphorylated and to associate with PI 3- kinase on cell activation. iv CONTENTS Page ABSTRACT ii CONTENTS iv LIST OF FIGURES ix LIST OF ABBREVIATIONS xi ACKNOWLEDGMENTS xii INTRODUCTION 1 A. Platelets 1 A.1 Platelet Physiology 1 All Thrombopoiesis-The Origin of Platelets 1 A. 1.2 Platelet Ultrastructure/Anatomy 3 A. 1.3 The Platelet in Primary Hemostasis 5 A. 1.4 Congenital Disorders of Hemostasis 8 A. 1.5 Adjunct Roles for Platelets in Other Diseases 9 A.2 Mechanisms of Stimulus-Response Coupling (Signal Transduction) 10 in Platelets A.2.1 Phospholipase C 11 2+ A.2.1.1 IP3/Ca in Platelet Function 12 A.2.1.2 Diacylglycerol/Protein kinase C in Platelet Function 13 A.2.2 Phospholipase D 14 A.2.3 Phospholipase A2 15 A.2.4 Platelet Inhibition via Activation of Adenylate Cyclase 16 V B. Platelet-activating Factor (PAF) 17 B. 1 Physiology and Metabolism of Platelet-activating factor 17 B.2 The Platelet-activating factor Receptor and Signal Transduction 19 B. 3 Physiological Responses of Platelets to Platelet-activating factor 22 C. Phosphoinositide 3-kinase 22 C. l Conventional Polyphosphoinositide Metabolism 23 C.2 Discovery of a New Phosphoinositide kinase (type I PI 3-kinase) 24 C.3 3-Phosphoinositides are Formed In vivo in Oncogene-transformed 25 and Growth-factor stimulated cells C.4 Structural and Functional Characterization of Phosphoinositide 3- 26 kinases C.4.1 The p85 Regulatory Subunit 27 C.4.2 The pi 10 Catalytic Subunit 29 C.5 Regulation of Phosphoinositide 3-kinase 30 C.5.1 Translocation 31 C. 5.2 Allosteric Regulation of PI 3 -kinase 31 C.5.3 Phosphorylation 32 C.5.4 Regulation of PI 3-kinase by G-proteins 33 C.5.4.1 Small G-proteins 33 C.5.4.2 Heterotrimeric G-proteins 34 C.6 Function of Phosphoinositide 3-kinase 34 C.6.1. Correlation of Cellular Responses with PI 3-kinase activity 35 C.6.2. Cloning of PI 3-kinase Provides New Functional Insights 36 C.6.3. Inhibitors of Phosphoinositide 3-kinase 38 vi C. 6.4. Cellular Functions of Phosphoinositide 3-kinase 39 C.6.4.1. Mitogenesis 39 C.6.4.2. Apoptosis 40 C. 6.4.3. Intracellular Vesicular/Protein Trafficking 40 C.6.4.4. Regulation of the Cytoskeleton 41 C.7. Molecular Targets of Phosphoinositide 3-kinase 41 C. 8. Metabolism of 3-phosphoinositides 42 D. Platelets and Phosphoinositide 3-kinase 43 D. 1. Activation of PI 3-kinase in Agonist-stimulated Platelets 43 D.2. Regulation of Phosphoinositide 3-kinase in Platelets 44 D.3. Function of Phosphoinositide 3-kinase in Platelets 48 E. Current Problem 51 OBJECTIVES 52 METHODS 53 A. Platelet Isolation 53 A.1 Rabbit Platelets 53 A.2. Human Platelets 53 B. Platelet Aggregation 54 C. Platelet Secretion (dense-granule release) 54 D. Measurement of PI 3-kinase Activation in Platelets 55 D. 1. Detection and Quantitation of Intracellular Phosphatidylinositol 55 (3,4,5) trisphosphate D. 1.1. Labelling of platelets with 32P-orthophosphate 55 Vll D. 1.2. Extraction of Total Cellular Lipids 55 D.1.3. TLC Analysis of Phosphatidylinositol (3,4,5) trisphosphate 56 D. 1.4. Validation of TLC Method for Measurement of 56 Phosphatidylinositol (3,4,5) trisphosphate D.2. Detection and Quantitation of Intracellular 57 Phosphatidylinositol (3,4) bisphosphate D.3. In vitro Determination of Phosphatidylinositol 3-kinase activity 58 D.3.1 Preparation of Platelet Lysates and Immunoprecipitation 58 D.3.2 Kinase Reaction 58 D.3.3 Thin-layer Chromatography 59 E. Immunoblotting of Platelet Lysates and anti-PI 3-kinase 59 Immunoprecipitates RESULTS 61 A. Activation of PI 3-kinase in PAF-stimulated platelets 61 A. 1 Analysis of 3-phosphoinositide Formation in PAF-stimulated 61 platelets A. 2 PI 3-kinase Activity Associated with Tyrosine-phosphorylated 66 proteins B. Role of PI 3-kinase in PAF-stimulated Platelets 69 B. 1. Correlation of PI 3-kinase Activation with Platelet Functional 69 Responses. B.2. Effect of Selective Inhibition of PI 3-kinase on Platelet Functional 73 Responses B.2.1. Validation of Wortmannin and LY294002 as Inhibitors of 73 PI 3-kinase in Platelets B.2.2. Correlation of PI 3-kinase Inhibition with Inhibition of Platelet 87 Functional Responses viii B.2.2.1 Aggregation 87 B.2.2.2 Secretion 90 C. Co-immunoprecipitation of PI 3-kinase with Tyrosine-phosphorylated 94 Proteins in PAF-stimulated Platelets DISCUSSION 104 A. Activation of PI 3-kinase in PAF-stimulated Platelets 104 A. 1. Direct Measurement of 3-phosphoinositides 104 A. 2. PI 3-kinase Activity Associated with Tyrosine-phosphorylated 106 Proteins B. Effect of PI 3-kinase Inhibitors on Platelet Responses to PAF 109 B. 1. Validation of Wortmannin and LY294002 as Inhibitors of Platelet 110 PI 3-kinase B.2. Aggregation 112 B.3. Secretion 115 C. Co-immunoprecipitation of PI 3-kinase with Tyrosine-phosphorylated 116 Proteins in Activated Platelets D. Mechanisms leading to Activation of Platelet PI 3-kinase following 120 Ligation of the PAF Receptor E. A Model for the Involvement of PI 3-kinase in Platelet Activation 122 Leading to Reversible Aggregation F. Recommendations for Future Work 123 CONCLUSIONS 126 REFERENCES 129 ix LIST OF FIGURES Page Figure 1. PIP3 is elevated in PAF-stimulated platelets. 62 Figure 2. PAF induces a concentration-dependent increase in PIP3 in platelets. 64 Figure 3. Identification of PIP3 in PAF-stimulated platelets. 67 Figure 4. PI 3,4P2 formation is induced in PAF-stimulated platelets. 68 Figure 5. PI 3-kinase activity associated with tyrosine-phosphorylated 70 proteins is increased in PAF-stimulated platelets Figure 6. Aggregation and activation of PI 3-kinase are tightly linked 72 events in PAF-stimulated platelets. Figure 7. Attainment of irreversible aggregation is correlated with a 74 large increase in PI 3-kinase activity associated with tyrosine- phosphorylated proteins. Figure 8. Wortmannin and LY294002 are potent inhibitors of rabbit 78 platelet PI 3-kinase in vitro. Figure 9. Wortmannin inhibition of PI 3-kinase is retained after detergent- 79 lysis of platelets, immunoprecipitation and numerous washings. Figure 10. Wortmannin rapidly permeates rabbit platelets. 81 Figure 11. Concentration-dependence for wortmannin inhibition of 83 PI 3-kinase activity in anti-p85 immunoprecipitates without removal of wortmannin from the medium before platelet lysis. Figure 12. Wortmannin and LY294002 potently inhibit PAF-induced 84 formation of PIP3 in platelets. Figure 13. Wortmannin is unstable in nutrient cell-culture medium at 86 physiological pH. Figure 14. Inhibition of aggregation by wortmannin depends on the 88 activation state of the platelets Figure 15.
Recommended publications
  • Cox Inhibitors and Thromboregulation
    CLINICAL IMPLICATIONS OF BASIC RESEARCH Clinical Implications shown the importance of eicosanoids in preserving of Basic Research the dynamic balance among thrombosis, hemostasis, and the fluidity of blood. Recently, Cheng et al.1 presented compelling evi- dence that cell–cell interactions, principally between platelets and endothelial cells, that are mediated by ei- COX INHIBITORS cosanoids have a role in thrombosis. Using genetical- AND THROMBOREGULATION ly engineered mice that either overexpressed or lacked essential components of the eicosanoid pathway — ROM a historical perspective, there is perhaps no namely, receptors for prostacyclin (a platelet inhibitor Fmore interesting therapeutic saga than that of as- and vasodilator) or thromboxane A2 (a platelet agonist pirin, which began as a folk remedy, distilled from wil- and vasoconstrictor) — they found that the response low bark, and became a lifesaving preventive treatment of the intima of carotid vessels to mechanical injury is for ischemic cardiovascular disease. Aspirin primarily exuberant and leads to obstruction in mice lacking the inhibits the cyclooxygenase (COX)-dependent synthe- prostacyclin receptor. However, this response is muted sis of eicosanoids, which are the end products of me- in mice lacking the thromboxane A2 receptor or both tabolism of essential fatty acids and include prosta- receptors. In mice lacking the prostacyclin receptor cyclin and thromboxane A2. Numerous studies have (a defect that mimics the effects of COX-2–selective Endothelial cell Resting platelet Thromboxane A2 Soluble Stimulation CD39 Arachidonic acid Stimulated platelet COX inhibitor ATP and ADP Prostacyclin Nitric oxide AMP Carbon monoxide CD39 Resting platelet Figure 1. Effect on Platelet Reactivity of the Eicosanoids Thromboxane A2 and Prostacyclin, the Biologic Gases Nitric Oxide and Carbon Monoxide, and the Ectonucleotidase CD39.
    [Show full text]
  • Platelets and Anti-Platelet Therapy
    J Pharmacol Sci 93, 381 – 396 (2003) Journal of Pharmacological Sciences ©2003 The Japanese Pharmacological Society Critical Review Platelets and Anti-platelet Therapy Archibald McNicol1,2,* and Sara J. Israels3,4 Departments of 1Oral Biology, 2Pharmacology & Therapeutics, 3Pediatrics & Child Health and 4The Manitoba Institute of Cell Biology, University of Manitoba, Winnipeg, Manitoba, R3E OW2, Canada Received September 21, 2003 Abstract. Platelets play a central role in the hemostatic process and consequently are similarly involved in the pathological counterpart, thrombosis. They adhere to various subendothelial proteins, exposed either by injury or disease, and subsequently become activated by the thrombo- genic surface or locally produced agonists. These activated platelets aggregate to form a platelet plug, release agonists which recruit more platelets to the growing thrombus, and provide a catalytic surface for thrombin generation and fibrin formation. These platelet-rich thrombi are responsible for the acute occlusion of stenotic vessels and ischemic injury to heart and brain. A range of anti-platelet drugs are currently used, both prophylactically and therapeutically, in regimens to manage thrombo-embolic disorders. These include inhibitors of the generation, or effects, of locally produced agonists; several large clinical trials have supported roles for cyclooxygenase inhibitors, which prevent thromboxane generation, and thienopyridine deriva- tives, which antagonize ADP receptors. Similarly intravenous IIb3 antagonists have been shown to be effective anti-thrombotics, albeit in highly selective situations; in contrast, to date studies with their oral counterparts have been disappointing. Recent advances in understanding of platelet physiology have suggested several novel, if yet untested, targets for anti-platelet therapy. These include the thrombin receptor, the serotonin handling system, and the leptin receptor.
    [Show full text]
  • Cell-Cell Interactions in Thrombosis: Modulation of Platelet Function and Possibilities of Pharmacological Control with Aspirin
    Cell-Cell Interactions in Thrombosis: Modulation of Platelet Function and Possibilities of Pharmacological Control with Aspirin Ma Teresa SANTOS, Juana VALLÉS, Justo AZNAR Department of Clinical Pathology and Research Center, La Fe University Hospital, Valencia, SPAIN Turk J Haematol 2002;19(2):103-111 Thrombosis is a complex and dynamic phenome- bus growth[3-5]. To study these processes, we have de- non, involving interaction of endothelial and blood veloped an experimental procedure that allows activa- cells, plasma clotting, fibrinolysis and hemorrheologic tion and platelet recruitment to be assessed separa- factors. Platelets play an essential role in the process of tely[4-6]. thrombosis[1]. Interaction of platelets with collagen and/or thrombin initiates a complex biochemical sequ- Platelets, leukocytes and erythrocytes appear in the [7] ence of signal transmission resulting in a functional thrombus . This might indicate that the interaction of cell response. platelets with other blood cells is important in regulati- on of the process of thrombosis. Platelet–leukocyte in- There are several signal mechanisms involved in teraction inhibits platelet reactivity, whereas erythrocy- platelet activation, including specific receptors, G pro- te–platelet interaction enhances it[3-6]. It has also been teins, phosphatidyl inositol metabolism, synthesis of shown that this cell interaction alters the antithrom- thromboxane A2 (TXA2) and other eicosanoids, chan- bocytic effect of aspirin and dipyridamole[4-15]. ges in cytosolic calcium, and protein phosphorylation, in serine/threonine and tyrosine residues[2]. These sig- A well-documented example of this intercellular nal mechanisms result in a conformational change in interaction is the transcellular metabolism of eicosano- the GP IIb IIIa receptor, platelet secretion, platelet–pla- ids, which occurs among different blood cells, and bet- telet aggregation, exposure to procoagulant phospholi- ween blood and endothelial cells[16,17].
    [Show full text]
  • N-3 Fatty Acids Cyclo-Oxygenase-1 Pathway
    Arachidonic Acid Enhances the Tissue Factor Expression of Mononuclear Cells by the Cyclo-Oxygenase-1 Pathway: Beneficial Effect of n-3 Fatty Acids This information is current as of September 27, 2021. Yves Cadroy, Dominique Dupouy and Bernard Boneu J Immunol 1998; 160:6145-6150; ; http://www.jimmunol.org/content/160/12/6145 Downloaded from References This article cites 32 articles, 14 of which you can access for free at: http://www.jimmunol.org/content/160/12/6145.full#ref-list-1 Why The JI? Submit online. http://www.jimmunol.org/ • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists • Fast Publication! 4 weeks from acceptance to publication *average by guest on September 27, 2021 Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 1998 by The American Association of Immunologists All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. Arachidonic Acid Enhances the Tissue Factor Expression of Mononuclear Cells by the Cyclo-Oxygenase-1 Pathway: Beneficial Effect of n-3 Fatty Acids1 Yves Cadroy,2 Dominique Dupouy, and Bernard Boneu Monocytes express tissue factor (TF) upon stimulation by inflammatory agents. Dietary administration of fish oil rich in eicosa- pentaenoic acid (EPA) and docosahexaenoic acid (DHA) results in an impairment of TF expression by monocytes.
    [Show full text]
  • Differential Regulation and Relocalization of the Platelet P2Y Receptors Following Activation: a Way to Avoid Loss of Hemostatic Properties ?
    Molecular Pharmacology Fast Forward. Published on December 15, 2004 as DOI: 10.1124/mol.104.004846 Molecular PharmacologyThis article Fast has not Forward. been copyedited Published and formatted. on TheDecember final version 15, may 2004 differ asfrom doi:10.1124/mol.104.004846 this version. MOLPHARM/2004/004846 Title Page Differential regulation and relocalization of the platelet P2Y receptors following activation: a way to avoid loss of hemostatic properties ? Anthony Baurand, Anita Eckly, Béatrice Hechler, Gilles Kauffenstein, Jean-Luc Galzi, Jean- Pierre Cazenave, Catherine Léon and Christian Gachet Downloaded from From the Laboratoire de Biologie et de Pharmacologie de l'Hémostase et de la Thrombose, molpharm.aspetjournals.org INSERM U.311, Etablissement Français du Sang - Alsace, 10 rue Spielmann, BP 36, 67065 Strasbourg Cedex France (AB, AE, BH, GK, CL, CG) and the Département Récepteurs et Protéines Membranaires, UPR CNRS 9050, Institut Fédératif Gilbert Laustriat, IFR 85, Ecole Supérieure de Biotechnologie de Strasbourg, Boulevard Sébastien Brandt, 67401 Illkirch, at ASPET Journals on September 25, 2021 France (J-L G). 1 Copyright 2004 by the American Society for Pharmacology and Experimental Therapeutics. Molecular Pharmacology Fast Forward. Published on December 15, 2004 as DOI: 10.1124/mol.104.004846 This article has not been copyedited and formatted. The final version may differ from this version. MOLPHARM/2004/004846 Running Title Page Running title: Regulation of the platelet P2Y receptors Correspondence to: Dr Christian
    [Show full text]
  • Dissertation
    Aus der Klinik für Neonatologie der Medizinischen Fakultät Charité der Humboldt-Universität zu Berlin DISSERTATION Die Proteinkinase A-vermittelte Ekto-Phosphorylierung des Membranproteins FAT/CD36 hemmt die Aufnahme freier Palmitinsäure durch humane Thrombozyten Zur Erlangung des akademischen Grades Doctor medicinae (Dr. med.) vorgelegt der Medizinischen Fakultät Charité der Humboldt-Universität zu Berlin von Philipp Henning Mähl aus Hamburg Dekan: Prof. Dr. Joachim W. Dudenhausen Gutachter: 1. Prof. Dr. Bernd Rüstow 2. Prof. Dr. rer. nat. Jürgen Kroll 3. Prof. Dr. Ingolf Schimke Datum der Promotion: 13. Oktober 2003 Meinen Eltern Prof. Dr. Bernd Rüstow und Dr. Florian Guthmann gilt mein besonderer Dank. Sie haben mein Interesse an der experimentellen Arbeit geweckt und mich jederzeit tatkräftig unterstützt. Ruth Herrmann danke ich stellvertretend für alle Mitarbeiter im Lipidlabor der Klinik für Neonatologie der Charité, Campus Mitte für die gute Zusammenarbeit. Meine Dissertation wurde von der Medizinischen Fakultät Charité der Humboldt-Universität Berlin im Rahmen der Studentischen Forschungsförderung durch ein Forschungsstipendium unterstützt. Inhaltsverzeichnis 1 Einleitung 8 1.1 Bedeutung langkettiger Fettsäuren im Stoffwechsel von Zellen 8 1.2 Transport langkettiger Fettsäuren durch die Zellmembran 8 1.2.1 Notwendigkeit des Transmembran-Transports langkettiger Fettsäuren 8 1.2.2 Flip-Flop-Modell der Transmembran-Diffusion langkettiger Fettsäuren 9 1.2.3 Proteinvermittelter Transmembran-Transport langkettiger Fettsäuren 10 1.2.4
    [Show full text]
  • Late Signaling in the Activated Platelets Upregulates
    CORE Metadata, citation and similar papers at core.ac.uk Provided by Elsevier - Publisher Connector Biochimica et Biophysica Acta 1773 (2007) 131–140 www.elsevier.com/locate/bbamcr Late signaling in the activated platelets upregulates tyrosine phosphatase SHP1 and impairs platelet adhesive functions: Regulation by calcium and Src kinase ⁎ Ramkrishna Gupta, Partha Chakrabarti, Madhu Dikshit 1, Debabrata Dash Department of Biochemistry, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India Received 9 March 2006; received in revised form 28 August 2006; accepted 30 August 2006 Available online 15 September 2006 Abstract Sustained stimulation of platelets with protease-activated receptor agonists in presence of extracellular calcium was associated with tyrosine dephosphorylation of specific proteins of relative mobilities 35, 67, and 75 kDa. From phosphatase assays and inhibitor studies SHP1, a Src homology 2 (SH2) domain-containing tyrosine phosphatase expressed abundantly in hemopoietic cells, was found to be upregulated in platelets between 25 and 30 min following thrombin stimulation. Concomitantly, SHP1 was tyrosine phosphorylated by, and coprecipitated with, Src tyrosine kinase. SHP1 activation, association with Src and dephosphorylation of specific proteins were dependent on extracellular calcium and maintenance of a higher cytosolic calcium plateau. There was progressive impairment of platelet functions like aggregability and clot retraction, associated with downregulation of fibrinogen-binding affinity of integrin αIIbβ3, in the platelets exposed to thrombin for 45 min. This could reflect the late physiological changes in platelets when the cells are consistently exposed to stimulatory signals under thrombogenic environment in vivo. © 2006 Elsevier B.V. All rights reserved. Keywords: Platelet activation; Intracellular calcium; Protein tyrosine phosphatase; Src tyrosine kinase; SHP1; Thrombin 1.
    [Show full text]
  • The Novel Aspirin As Breakthrough Drug for COVID-19: a Narrative Review
    IBEROAMERICAN JOURNAL OF MEDICINE 04 (2020) 335-350 Journal homepage: www.iberoamericanjm.tk Review The Novel Aspirin as Breakthrough Drug for COVID-19: A Narrative Review Bamidele Johnson Alegbeleyea,* , Oke-Oghene Philomena Akpovesob, Adewale James Alegbeleyec, Rana Kadhim Mohammedd, Eduardo Esteban-Zuberoe aDepartment of Surgery, St Elizabeth Catholic General Hospital, Shisong, Northwestern Region, Cameroon bDepartment of Pharmacology, American International University West Africa, Kainifing, Gambia cDepartment of Geriantology, Basildon & Thurrock University Hospitals NHS Foundation Trust Nethermayne-Basildon, United Kingdom dDepartment of Biotechnology, College of Science, University of Baghdad, Iraq eEmergency Department, Hospital San Pedro, Logroño, Spain ARTICLE INFO ABSTRACT Article history: Introduction: Aspirin has justifiably been called the first miracle drug. In this article, we highlight the Received 30 June history of Aspirin, a novel mechanism of action, and its use in cardiovascular and other diseases. Also 2020 included is a brief statement of emerging new applications. Received in revised Objective: We highlight principal mechanisms by which Aspirin inhibits acute inflammation and alters platelet-biology; therefore, hypothesized that Aspirin might prove highly beneficial as a novel form 26 July 2020 therapeutic drug for combating severe acute inflammation and thrombosis associated with the Accepted 28 July cytokine storm in COVID -19 patients. The communiqué also suggests possible strategies for 2020 maximizing the gain of Aspirin as a wonder-drug of the future. Discussion: Interestingly, some fascinating studies demonstrated Aspirin's superior benefits with Keywords: dangerous side effects. Aspirin inhibits COX-1 (cyclooxygenase-1). Its impact on COX-2 is more Aspirin delicate because it “turns off” COX-2's production of prostaglandins but “switches on” the enzymatic COVID-19 ability to produce novel protective lipid mediators.
    [Show full text]
  • Platelet Activation and Atherothrombosis
    T h e new england journal o f medicine review article Mechanisms of Disease Platelet Activation and Atherothrombosis Giovanni Davì, M.D., and Carlo Patrono, M.D. From the Center of Excellence on Aging, latelets are essential for primary hemostasis and repair of the G. d’Annunzio University Foundation, Chi- endothelium, but they also play a key role in the development of acute coro- eti (G.D.), and the Department of Pharma- cology, Catholic University School of Medi- nary syndromes and contribute to cerebrovascular events. In addition, they cine, Rome (C.P.) — both in Italy. Address P participate in the process of forming and extending atherosclerotic plaques. Athero- reprint requests to Dr. Patrono at Univer- sclerosis is a chronic inflammatory process,1 and inflammation is an important sità Cattolica del S. Cuore, Largo F. Vito 1, 2 00168 Rome, Italy, or at carlo.patrono@ component of acute coronary syndromes. The relation between chronic and acute rm.unicatt.it. vascular inflammation is unclear, but platelets are a source of inflammatory me- diators,3 and the activation of platelets by inflammatory triggers may be a critical N Engl J Med 2007;357:2482-94. 4 Copyright © 2007 Massachusetts Medical Society. component of atherothrombosis. This review article describes the role of platelets in atherothrombosis by integrating our knowledge of basic mechanisms with the results of mechanistic studies in humans and clinical trials of inhibitors of platelet function. Platelets in Primary Hemostasis Platelets are produced by megakaryocytes as anucleate cells that lack genomic DNA5 but contain megakaryocyte-derived messenger RNA (mRNA) and the translational machinery needed for protein synthesis.6 Pre-mRNA splicing, a typical nuclear function, has been detected in the cytoplasm of platelets,7 and the platelet tran- scriptome contains approximately 3000 to 6000 transcripts.
    [Show full text]
  • University of Groningen Studies on the Role of Dopamine and Serotonin In
    University of Groningen Studies on the role of dopamine and serotonin in tumors and their microenvironment Peters, Marloes A.M. DOI: 10.33612/diss.135597229 IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document version below. Document Version Publisher's PDF, also known as Version of record Publication date: 2020 Link to publication in University of Groningen/UMCG research database Citation for published version (APA): Peters, M. A. M. (2020). Studies on the role of dopamine and serotonin in tumors and their microenvironment. University of Groningen. https://doi.org/10.33612/diss.135597229 Copyright Other than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons). The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license. More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne- amendment. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum.
    [Show full text]
  • Studies on Interfaces Between Primary and Secondary Hemostasis
    Linköping University medical dissertations No. 1544 Studies on interfaces between primary and secondary hemostasis Niklas Boknäs Department of Clinical and Experimental Medicine © Niklas Boknäs 2016 ISBN: 978-91-7685-663-5 ISSN: 0345-0082 Printed in Sweden by LiU-Tryck. Linköping 2016 Till Ellen, Elis och Martha Abstract Our conceptual understanding of hemostasis is still heavily influenced by outdated experimental models wherein the hemostatic activity of platelets and coagulation factors are understood and studied in isolation. Although perhaps convenient for researchers and clinicians, this reductionist view is negated by an ever increasing body of evidence pointing towards an inti- mate relationship between the two phases of hemostasis, marked by strong interdependence. In this thesis, I have focused on factual and proposed interfaces between primary and secondary hemostasis, and on how these interfaces can be studied. In my first project, we zoomed in on the mechanisms behind the well- known phenomenon of thrombin-induced platelet activation, an important event linking secondary to primary hemostasis. In our study, we examined how thrombin makes use of certain domains for high-affinity binding to substrates, called exosite I and II, to activate platelets via PAR4. We show that thrombin-induced platelet activation via PAR4 is critically dependent on exosite II, and that blockage of exosite II with different substances vir- tually eliminates PAR4 activation. Apart from providing new insights into the mechanisms by which thrombin activates PAR4, these results expand our knowledge of the antithrombotic actions of various endogenous pro- teins such as members of the serpin superfamily, which inhibit interactions with exosite II.
    [Show full text]
  • Thrombo-Inflammation: a Focus on Ntpdase1/CD39
    cells Review Thrombo-Inflammation: A Focus on NTPDase1/CD39 Silvana Morello 1, Elisabetta Caiazzo 2,† , Roberta Turiello 1,3 and Carla Cicala 2,* 1 Department of Pharmacy, University of Salerno, 84084 Fisciano, Italy; [email protected] (S.M.); [email protected] (R.T.) 2 Department of Pharmacy, School of Medicine and Surgery, University of Naples Federico II, 80131 Naples, Italy; [email protected] 3 PhD Program in Drug Discovery and Development, University of Salerno, 84084 Fisciano, Italy * Correspondence: [email protected]; Tel.: +39-081-678-455 † Current affiliation: Centre for Immunobiology, Institute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8TA, UK. Abstract: There is increasing evidence for a link between inflammation and thrombosis. Following tissue injury, vascular endothelium becomes activated, losing its antithrombotic properties whereas inflammatory mediators build up a prothrombotic environment. Platelets are the first elements to be activated following endothelial damage; they participate in physiological haemostasis, but also in inflammatory and thrombotic events occurring in an injured tissue. While physiological haemostasis develops rapidly to prevent excessive blood loss in the endothelium activated by inflammation, hypoxia or by altered blood flow, thrombosis develops slowly. Activated platelets release the content of their granules, including ATP and ADP released from their dense granules. Ectonucleoside triphosphate diphosphohydrolase-1 (NTPDase1)/CD39 dephosphorylates ATP to ADP and to AMP, 0 which in turn, is hydrolysed to adenosine by ecto-5 -nucleotidase (CD73). NTPDase1/CD39 has emerged has an important molecule in the vasculature and on platelet surfaces; it limits thrombotic Citation: Morello, S.; Caiazzo, E.; events and contributes to maintain the antithrombotic properties of endothelium.
    [Show full text]