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Microfluidics in Assessing Platelet Function
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Ticagrelor: Effects Beyond the P2Y12 Receptor.

Wael Sumaya1, Robert F Storey1

  • 1Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK.

Interventional Cardiology Clinics
|November 26, 2016
PubMed
Summary

Ticagrelor, a P2Y12 inhibitor, shows potential "off-target" effects beyond platelet inhibition. This review explores these pleiotropic effects and their underlying mechanisms in cardiovascular treatment.

Keywords:
Acute coronary syndromeAdenosineInflammationP2Y(12) antagonistTicagrelor

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Area of Science:

  • Cardiology
  • Pharmacology

Background:

  • Platelet P2Y12 receptor inhibitors are vital for acute coronary syndrome and percutaneous coronary intervention.
  • Ticagrelor is a potent, reversible oral P2Y12 inhibitor with additional weak inhibition of equilibrative nucleoside transporter-1.

Purpose of the Study:

  • To review the pleiotropic effects of ticagrelor.
  • To explore potential "off-target" mechanisms of ticagrelor beyond P2Y12 inhibition.

Main Methods:

  • Literature review of studies on ticagrelor's pharmacological actions.
  • Analysis of proposed mechanisms for "off-target" effects.

Main Results:

  • Ticagrelor exhibits effects independent of platelet aggregation and thrombosis.
  • Potential mechanisms involve interactions with cellular adenosine uptake pathways.

Conclusions:

  • Ticagrelor may possess clinically relevant "off-target" effects.
  • Further research is needed to fully elucidate these pleiotropic actions and their clinical implications.