抗血小板药物对血小板-血管相互作用的影响

Gundu H.R. Pao
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引用次数: 11

摘要

用正常对照供体的柠檬酸人血研究了抗血小板药物对血小板体外处理对这些细胞与内皮下层相互作用的影响。药物治疗后的重建血液在一个特殊的腔室中循环,该腔室装有脱除脂肪的兔主动脉段。在这些研究中使用的墙体剪切速率为800秒- 1。对上皮下血小板的表面覆盖度进行形态学评价。阿司匹林、布洛芬、前列腺素El和13阿扎前列酸可显著降低暴露于sab内皮的血小板血栓。钙拮抗剂Quin 2和地尔硫卓具有相似的抑制作用,而维拉帕米是一个较差的抑制剂。阿司匹林治疗可显著增强血小板对暴露血管表面的粘附。水杨酸和水杨胺对血小板无促进作用。只有阿司匹林能促进放射性标记花生四烯酸脂多糖酶代谢物的形成。结果表明,抑制血小板聚集和颗粒蚂蚁分离的药物可减少血小板血栓的形成。然而,这些药物可能会或可能不会对血小板与上皮下的相互作用产生类似的影响,从而导致血小板的扩散、粘附或聚集体的形成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of anti-platelet drugs on platelet-vessel waif interacticnks

The influence of in vitro treatment of platelets with antiplatelet drugs on the interaction of these cells with the subendothelium was studied using citrated human blood obtained from normal control donors. Reconstituted blood following drug treatment was circulated thwaigh a special chamber which housed averted segments of de-ardothelialized rabbit aorta. The wall shear rate used in these studies was 800 sec−l. Surface coverage of platelets on the subsndothelium were morptrically evaluated. Aspirin, Ibuprofen, Prostaglandin El and 13 Azaprostanoic acid significantly reduced platelet thrombi an exposed sabendothelium. The calcium antagonists, Quin 2 and Diltiazem, exerted similar inhibitory effects, whereas Verapamil was a poor inhibitor. Aspirin treatment significantly enhanced platelet adhesion to the exposed vascular surface. Salicylate and Salicylamide did not enhance platelet. Only Aspirin enhanced the formation of lipcaygonase metabolites of radiolabeled arachidonate.Results suggest that drugs which inhibit platelet aggregation and seerertion of granule cot*Ants reduce formation of platelet thrombi. However, these drugs may or may not have a similar influence on platelet interaction with the subendathelium leading to spreading, adherence or formation of aggregates.

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