AMPK inhibition protects against arterial thrombosis while sparing hemostasis through differential modulation of

Paresh P Kulkarni1, Vijay K Sonkar2, Deepa Gautam1

  • 1Centre for Advanced Research on Platelet Signaling and Thrombosis Biology (ICMR), Department of Biochemistry, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Thrombosis Research
|September 5, 2020
PubMed

Insights

Pharmacological inhibition of AMP-activated protein kinase (AMPK) with compound C reduced arterial thrombosis in mice without impacting hemostasis. This suggests AMPK is a potential therapeutic target for antithrombotic drugs.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Cardiovascular Research

Background:

  • AMP-activated protein kinase (AMPK) is a key metabolic regulator implicated in various pathologies, including cardiovascular disorders.
  • AMPK-α2 knockout mice show compromised thrombus stability, indicating a role in thrombosis.

Purpose of the Study:

  • To investigate if pharmacological inhibition of AMPK using compound C could offer protection against arterial thrombosis.
  • To determine if AMPK inhibition affects hemostasis, the process that stops bleeding.

Main Methods:

  • Mice were pre-treated with compound C or a vehicle control.
  • Mesenteric arteriolar thrombosis and tail bleeding times were assessed.
  • Platelet aggregation, clot retraction, integrin activation, and spreading were analyzed in vitro.
  • Phosphorylation of myosin light chain (MLC) and MYPT1, and RhoA-GTP levels in platelets were measured.

Main Results:

  • Compound C significantly reduced mesenteric arteriolar thrombosis but did not alter tail bleeding time.
  • Compound C inhibited thrombin- and collagen-induced platelet aggregation, clot retraction, and integrin activation.
  • Platelet spreading was impaired by compound C, but phosphatidylserine exposure remained unaffected.
  • Compound C decreased thrombin-induced MLC and MYPT1 phosphorylation and reduced RhoA-GTP levels in platelets.

Conclusions:

  • AMPK inhibition via compound C demonstrates potential as an antithrombotic strategy.
  • The antithrombotic effects are partly mediated by modulating RhoA-MYPT1-MLC signaling pathways involved in cytoskeletal changes.
  • Targeting AMPK may offer a way to develop antithrombotic drugs that spare hemostasis.

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