Key result
In vitro PMN co-incubation reduces cyclic GMP by ~65% during PAF stimulation, promoting platelet adhesion.
Why the study?
The mechanism by which platelet-activating factor induces leukocyte-dependent platelet adhesion to endothelial cells and the role of platelet cyclic GMP and cyclic AMP in this process remain unclear.
The study demonstrates that PMN-dependent platelet adhesion to endothelial cells induced by PAF is partially mediated by the suppression of platelet cyclic GMP formation.
Does not yet inform clinical practice; leaves open the in vivo relevance of endothelial-platelet nucleotide interactions.
Incubation of endothelial cells with platelets in the absence or the presence of PAF (10 nM) markedly increased platelet cyclic AMP levels, which were significantly decreased by indomethacin (3 microM). Co-incubation of endothelial cells and platelets with polymorphonuclear leukocytes (PMNs) did not change the platelet cyclic AMP levels. 2. Incubation of endothelial cells with platelets in the absence of PAF increased platelet cyclic GMP levels, which were increased 3.5 fold by PAF. These cyclic GMP levels were significantly decreased by NG-nitro-L-arginine (100 microM), and completely by methylene blue (10 microM). When endothelial cells and platelets were co-incubated with PMNs, the cyclic GMP level in the cell mixture was 42.5 and 65.3% lower than that in endothelial cells and platelets without and with PAF stimulation, respectively. 3. PAF induced platelet adhesion to endothelial cells only when PMNs were present. Methylene blue dose-dependently potentiated the PMN-dependent platelet adhesion induced by PAF, although it had no effect in the absence of PMNs. 4. Sodium nitroprusside and 8-bromo cyclic GMP but not dibutyryl cyclic AMP significantly, although partially, inhibited the platelet adhesion. Inhibition of cyclic GMP-specific phosphodiesterase by zaprinast slightly inhibited the PMN-induced platelet adhesion and potentiated the inhibitory effect of 8-bromo cyclic GMP, while these drugs markedly inhibited the adhesion of platelet aggregates induced by PMN sonicates. 5. These results suggest that the impairment by activated PMNs of EDRF-induced platelet cyclic GMP formation is involved in part in the mechanism of PMN-dependent platelet adhesion to endothelial cells induced by PAF in vitro. The precise mechanism still remains to be clarified.
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Hirafuji et al. (1996) studied this question. Platelet-activating factor (PAF) vs. Absence of PAF was evaluated on Platelet cyclic GMP levels and platelet adhesion. In vitro, co-incubation of endothelial cells and platelets with PMNs reduced cyclic GMP levels by 42.5% and 65.3% without and with PAF stimulation, respectively, promoting platelet adhesion.
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