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.

Cardiovascular Toxicology
|February 10, 2025
PubMed

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.

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