Key result
Endogenous platelet inhibitory mechanisms are repressed in ApoE-/- mice at 18-20 weeks of age, contributing to increased platelet reactivity in the intermediate stage of atherosclerosis.
A loss of activity of endogenous platelet inhibitory mechanisms occurs early in the intermediate stage of atherosclerosis, contributing to increased platelet reactivity.
Suggests early loss of endogenous platelet inhibition drives atherothrombotic risk; leaves open whether targeting these.
In the present study, we assessed whether the endogenous platelet inhibitory mechanisms are altered in the early to moderate stages of the atherosclerotic process. Apolipoprotein E deficient mice (ApoE−/−), a mouse model of atherosclerosis, and their wild-type (WT) counterparts were used to assess agonist-stimulated synthesis of prostacyclin (PGI 2 ), inhibition of platelet aggregation ex vivo, and intra-platelet cAMP levels. Basal U46619 and ADP -induced platelet aggregation in vitro were increased in ApoE−/− mice at 18–20 weeks in comparison with 8–10 weeks of age. Systemically administered endothelin-1 (ET-1) or bradykinin (BK) inhibited platelet aggregation in a similar fashion in 8- to 10-week-old ApoE−/− and WT mice, but not in the ApoE−/− mice at 18–20 weeks of age, although both peptides maintained their capacity to increase plasma levels of the PGI 2 . Intravenous infusion of PGI 2 also failed to inhibit platelet aggregation ex vivo in 18- to 20-week-old ApoE−/− mice. Interestingly, both BK and PGI 2 retained their ability to increase intraplatelet cAMP in WT and ApoE−/− mice. Our results suggest that a loss of activity of endogenous inhibitorymechanisms could contribute to the increased platelet reactivity in ApoE−/− mice, and that this phenomenon occurs early in the intermediate stage of the atherosclerotic process.
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Carrier et al. (2017) studied Atherosclerosis. Apolipoprotein E deficiency vs. Wild-type (WT) mice was evaluated on Inhibition of platelet aggregation ex vivo and intra-platelet cAMP levels. Endogenous platelet inhibitory mechanisms are repressed in ApoE-/- mice at 18-20 weeks of age, contributing to increased platelet reactivity in the intermediate stage of atherosclerosis.
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