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Platelet Adhesion and Aggregation Under Flow using Microfluidic Flow Cells
Published on: October 27, 2009
Anti-aggregation effect on platelets of Indiplon a hypnotic sedative non-benzodiazepine drug
C F Burgos1, C Sanchéz2, C Sepúlveda3
1Department of Physiology, Faculty of Biological Sciences, Universidad de Concepción, Chile.
Insights
Indiplon, an insomnia drug, acts as an adenosine A2A receptor agonist. It inhibits platelet aggregation and activation, suggesting a potential role in cardiovascular protection.
Area of Science:
- Pharmacology
- Cardiovascular Research
- Platelet Biology
Background:
- Cardiovascular diseases are a major public health concern.
- Platelet activity alterations are central to many cardiovascular disease pathologies.
- Platelet activation is regulated by intracellular calcium (Ca2+) and cyclic adenosine monophosphate (cAMP).
Purpose of the Study:
- To investigate the potential of Indiplon, an insomnia medication, to activate adenosine A2A receptors.
- To analyze the effects of Indiplon on platelet activity in vitro.
- To explore Indiplon's potential cardiovascular protective role through platelet modulation.
Main Methods:
- In silico molecular docking to assess Indiplon's binding affinity to the adenosine A2A receptor.
- In vitro functional assays using platelet-rich plasma (PRP) to measure platelet aggregation.
- Assessment of P-selectin expression on platelet membranes.
Main Results:
- Indiplon demonstrated significant binding to the adenosine A2A receptor in silico (ΔGbind of -73.321 kcal/mol).
- Indiplon (500 μM) inhibited ADP-induced platelet aggregation by 70% in PRP.
- A2A receptor antagonists (ZM241385, MSX-2) partially blocked Indiplon's inhibitory effect on platelet aggregation.
- Indiplon reduced P-selectin expression, indicating decreased platelet activation.
Conclusions:
- Indiplon functions as an adenosine A2A receptor agonist.
- Activation of A2A receptors by Indiplon inhibits platelet aggregation and activation.
- Indiplon exhibits potential cardiovascular protective effects mediated by platelet modulation.
Abstract:
Cardiovascular diseases are one of the main public health problems, and many of them, their pathophysiology involves alterations in platelet activity. Platelet activation is an essential event that is regulated by the intracellular concentrations of Ca2+ and cAMP. Interestingly, it has been shown that the activation of adenosine A2A receptors increases cAMP levels and produces the inhibition of platelet aggregation, which appears as a potential target for regulation of platelet activity. Therefore, we tried to activate A2A receptors using Indiplon, a drug developed for the treatment of insomnia, and analyze its effect on platelet activity in vitro. Our results indicate that Indiplon is able to interact in silico with the adenosine A2A receptor (ΔGbind of -73.321 kcal/mol, similar to that obtained with adenosine), which is involved in the regulation of platelet cAMP levels. In functional studies using PRP, a reduction in platelet aggregation induced by ADP was observed in the presence of Indiplon at 500 μM with a percentage of inhibition 70%, where the use of specific inhibitors (ZM241385 and MSX-2) of the A2A receptor also blocked these effects reducing the percentage of inhibition to 41% and 34.1%, respectively. Also, the use of Indiplon produced a decrease in the expression in the membrane of P-selectin. Thus, Indiplon acts as an A2A receptor agonist and whose activation results in inhibition of platelet aggregation and activation, showing a possible cardiovascular protective role.
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