Platelet-associated and secreted PAF-acetylhydrolase activity in patients with stable angina: sequential changes of the enzyme activity after angioplasty
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Goudevenos, J.
Tselepis, A. D.
Vini, M. P.
Michalis, L.
Tsoukatos, D. C.
Elisaf, M.
Ninio, E.
Sideris, D. A.
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peer reviewed
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Eur J Clin Invest
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Background Platelet-activating factor (PAF), the lipid mediator of inflammation and potent platelet agonist, can be hydrolysed and inactivated by PAF-acetylhydrolase (PAF-AH). We investigated the PAF-AH activity in relation to PAF formation in platelets from patients with stable angina undergoing elective percutaneous transluminal coronary angioplasty (PTCA). Design Twenty-seven patients with stable angina, undergoing PTCA, and 30 age- and sex-matched controls were studied. The platelet-associated and secreted PAF-AH activity was measured, before PTCA, as well as at 4 h, 48 h and 6 months afterwards. PAF formation by thrombin-stimulated platelets and the platelet aggregation responses to PAF and ADP were also determined. Results The PAF-AH activity secreted by thrombin-stimulated platelets before PTCA (in pmol/10(9) cells/h) was significantly higher compared to controls (892 +/- 222 vs. 624 +/- 144, P < 0.001). The enzyme activity was not altered at 4 h after PTCA, but was significantly increased at 48 h (1284 +/- 312, P < 0.005) to return to the levels observed in the control group 6 months afterwards. Detectable levels of PAF in thrombin-stimulated platelets were found only at 6 months after PTCA. Furthermore, the cell-associated enzyme activity in resting platelets before PTCA was significantly lower compared with controls. Unlike in controls, the platelet-associated enzyme activity in the patient group was not increased after stimulation with thrombin and it was associated by a platelet hyperaggregability to PAF. Both the intact cell-associated activity and the platelet hyper-reactivity to PAF were restored at 6 months after PTCA. Conclusions Alterations in the platelet PAF-AH activity, which affect the PAF formation in thrombin-stimulated platelets and are associated by an increased aggregatory response to PAF, are observed in patients with stable angina and are completely restored after PTCA.
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angina, angioplasty, platelet-activating factor, paf-acetylhydrolase, platelets, activating-factor acetylhydrolase, coronary-artery disease, myocardial-ischemia, human-plasma, heart-disease, neutrophil, reperfusion, adhesion, injury, pathogenesis
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<Go to ISI>://000166660200005
http://onlinelibrary.wiley.com/store/10.1046/j.1365-2362.2001.00782.x/asset/j.1365-2362.2001.00782.x.pdf?v=1&t=h0f942dg&s=463a0f7601231b752345a78922e8e135b86424ca
http://onlinelibrary.wiley.com/store/10.1046/j.1365-2362.2001.00782.x/asset/j.1365-2362.2001.00782.x.pdf?v=1&t=h0f942dg&s=463a0f7601231b752345a78922e8e135b86424ca
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en
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Πανεπιστήμιο Ιωαννίνων. Σχολή Θετικών Επιστημών. Τμήμα Χημείας