There are few findings indicating that
nicotinamide may potentially influence intravascular
thrombosis. Interestingly,
N-methylnicotinamide, one of the metabolites of
nicotinamide - could be more potent than its parent compound. In the present study we have investigated the influence of
N-methylnicotinamide on arterial
thrombosis in normotensive and renovascular hypertensive rats. The contribution of platelets, coagulation and fibrinolytic systems in the mode of
N-methylnicotinamide action was also determined. Furthermore, we examined the role of
nitric oxide/
prostacyclin in the mechanisms of
N-methylnicotinamide action.
N-methylnicotinamide, but not
nicotinamide, administered intravenously into renovascular hypertensive rats developing electrically induced arterial
thrombosis caused dose-dependent decrease of
thrombus weight,
collagen-induced platelet aggregation and plasma
antigen/activity of
plasminogen activator inhibitor - 1, without changing of occlusion time, routine coagulation parameters and plasma activity of
tissue plasminogen activator.
Indomethacin - an inhibitor of
prostacyclin synthesis, completely abolished the antithrombotic and antiplatelet effect of
N-methylnicotinamide, and the plasma level of 6-keto-PGF(1alpha) ,
prostacyclin metabolite, increased simultaneously with the inhibition of
thrombus formation. Our study shows that
N-methylnicotinamide via production/release of
prostacyclin inhibits arterial
thrombosis development. The antithrombotic effect of
N-methylnicotinamide is accompanied by platelet inhibition and enhanced fibrinolysis, due to the decrease production of
plasminogen activator inhibitor - 1.