在剪切诱导的血小板聚合中,P-选择素的新作用
M Merten1, T Chow, J D Hellums
1Divisions of Cardiology, Department of Internal Medicine, University of Texas Houston Medical School, Houston, USA.
Circulation
|October 25, 2000
概括
脉动切割应力在体温下显著增加血小板聚合,而P-选择素扮演着与GP IIb/IIIa不同的关键角色. 这一发现对于理解狭窄动脉的血栓形成至关重要.
科学领域:
- 心血管生物学 心血管生物学
- 血液学 血液学 血液学
- 生物物理学的生物物理.
背景情况:
- 皮选择素调解了血小板在内皮细胞上的滚动.
- 对于P-选择素在剪切诱导的血小板聚合中的作用尚不清楚.
研究的目的:
- 在模仿狭窄动脉的条件下调查P-选择素在剪切诱导的血小板聚合中的作用.
- 为了比较脉动切割应力与单相切割应力的对血小板聚合的影响.
主要方法:
- 血小板在37°C时受到脉冲性高和低剪压.
- 单克隆抗P-选择因抗体和abciximab (抗糖蛋白IIb/IIIa抗体) 用于评估抑制.
- 在22°C和37°C进行了实验,以评估温度依赖的效应.
主要成果:
- 与单独的低或高剪切应力相比,脉动剪切应力显著增加了血小板聚合.
- 抗P-选择因抗体在37°C时约70%抑制了剪切诱导的血小板聚合,与abciximab有添加作用.
- 剪切诱导的P-选择素表达和聚合是温度依赖的 (37°C与22°C),与abciximab的影响不同.
结论:
- 脉动切割应力,模仿狭窄动脉状况,在37°C时诱导更大的血小板聚合.
- 在剪切诱导的血小板聚合中,P-选择素具有与GP IIb/IIIa不同的新作用.
- 这些发现对于了解动脉样硬化病变中血栓形成的开始具有重要意义.
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