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Updated: May 28, 2025

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
Famciclovir Ameliorates Platelet Activation and Thrombosis by AhR-Regulated Autophagy
Yue Ming1, Qilong Zhou1, Guang Xin1
1Department of Rehabilitation Medicine Center, Natural and Biomimetic Medicine Research Center, Tissue-Orientated Property of Chinese Medicine Key Laboratory of Sichuan Province, West China School of Medicine, West China Hospital, Sichuan University, Keyuan Road 4 No.1, Gaopeng Avenue, Gaoxin District, Chengdu, 610041, Sichuan, China.
Insights
Famciclovir inhibits the aryl hydrocarbon receptor (AhR) to reduce platelet activation and thrombosis, offering a potential new therapy for cardiovascular diseases (CVDs). This approach mitigates side effects of current antiplatelet drugs.
Area of Science:
- Cardiovascular Science
- Pharmacology
- Molecular Biology
Background:
- Cardiovascular diseases (CVDs) present significant global health challenges.
- Current antiplatelet therapies have limitations and side effects.
- Novel therapeutic targets and drugs are needed to manage CVDs.
Purpose of the Study:
- To identify novel therapeutic targets for CVDs.
- To investigate the potential of famciclovir as an aryl hydrocarbon receptor (AhR) inhibitor for treating CVDs.
- To evaluate the efficacy of famciclovir in reducing platelet activation and thrombosis.
Main Methods:
- Screening of CVD targets using the Gene Card database.
- Computer-aided drug screening and molecular docking to identify potential inhibitors.
- In vitro experiments on thrombin-stimulated platelets to assess AhR expression, platelet activation, mitochondrial damage, and oxidative stress.
- In vivo studies using FeCl3-induced carotid arterial thrombosis and middle cerebral artery occlusion models.
Main Results:
- AhR was identified as a potential target linked to CVDs.
- Famciclovir was identified as a potential AhR inhibitor.
- Famciclovir suppressed AhR expression and platelet activation, reducing mitochondrial damage and oxidative stress.
- Oral famciclovir inhibited thrombin-induced platelet aggregation without affecting coagulation or thrombolysis.
- Famciclovir mitigated arterial and cerebral thrombosis in vivo.
Conclusions:
- Inhibiting AhR expression with famciclovir effectively reduces platelet activation and thrombosis.
- Famciclovir demonstrates promise as a potential therapeutic strategy for cardiovascular diseases.
- This study highlights a novel mechanism for managing CVDs by targeting AhR.
Abstract:
Cardiovascular diseases (CVDs) and their severe complications have posed immense challenges to global healthcare systems. A significant obstacle in this field lies in the development of innovative targets, mechanisms, and drugs to mitigate the side effects associated with current antiplatelet therapies. Through screening relevant CVD targets in the Gene Card database, we found that AhR appears to be linked to CVDs. Computer-aided drug screening and molecular docking techniques identified famciclovir as a potential AhR inhibitor. Further experiments demonstrated that famciclovir suppresses AhR expression and platelet activation in thrombin-stimulated platelets, significantly reducing mitochondrial damage and oxidative stress. Notably, oral administration of famciclovir significantly inhibits thrombin-induced platelet aggregation without affecting coagulation factors or thrombolysis systems. Moreover, famciclovir mitigates FeCl3-induced carotid arterial thrombosis and cerebral thrombosis induced by middle cerebral artery occlusion. Our study suggests that inhibiting AhR expression with famciclovir effectively reduces platelet activation and thrombosis, offering promise as a potential therapeutic strategy for improving CVDs.
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