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Peroxynitrite--altered platelet mitochondria--a new link between inflammation and hemostasis.

Abstract
Using porcine blood, we tested the hypothesis that peroxynitrite (ONOO(-)) may affect platelet-fibrin clot formation, clot retraction rate (CRR) and fibrinolysis through the inhibition of platelet energy production. It was found that ONOO(-) reduces CRR and enlarges final clot size in platelet rich plasma (PRP) (IC(50)=100μM) and in whole blood (IC(50)=200μM) dose-dependently. In a reconstituted system (washed platelets+fibrinogen), CRR was inhibited by 5-100nM ONOO(-) (IC(50)=25nM). Concentrations of ONOO(-) reducing CRR in PRP, inhibited platelet oxygen consumption, augmented lactate production and decreased total ATP contents in clots derived from PRP. In washed platelets ONOO(-) (5-20nM) produced a drop of the mitochondrial transmembrane potential (ΔΨ(m)). Blocking of mitochondrial energy production resulted in a reduction of CRR, whereas inhibition of glycolysis failed to affect CRR. ONOO(-), up to 300μM, failed to affect coagulation in platelet free plasma. Fibrinolysis of platelet-fibrin clots was enhanced by ONOO(-) (25-300μM), cytochalasin B and following the reduction of platelet energy production. Fibrinolysis of plasma clots was resistant to ONOO(-) treatment up to a concentration of 500μM. Tromboelastometry (ROTEM) measurements performed in PRP show that inhibition of platelet energy production or treatment with ONOO(-) (100-300μM) diminishes MCF, alpha angle and MCE parameters. Blockage the platelet contractile apparatus by cytochalasin B resulted in reduction of CRR and ROTEM variables (MCF, alpha angle, MCE). We conclude that physiologically relevant ONOO(-) concentrations may inhibit clot retraction, reduce clot stability and accelerate its lysis through the inhibition of platelet mitochondrial energy production.
AuthorsTomasz Misztal, Katarzyna Przesław, Tomasz Rusak, Marian Tomasiak
JournalThrombosis research (Thromb Res) Vol. 131 Issue 1 Pg. e17-25 (Jan 2013) ISSN: 1879-2472 [Electronic] United States
PMID23200902 (Publication Type: Journal Article)
CopyrightCopyright © 2012 Elsevier Ltd. All rights reserved.
Chemical References
  • Actins
  • Platelet Aggregation Inhibitors
  • Peroxynitrous Acid
  • Lactic Acid
  • Adenosine Triphosphate
Topics
  • Actins (metabolism)
  • Adenosine Triphosphate (blood)
  • Animals
  • Blood Platelets (drug effects, immunology, metabolism)
  • Energy Metabolism (drug effects)
  • Female
  • Fibrinolysis (drug effects)
  • Inflammation (blood, immunology)
  • Kinetics
  • Lactic Acid (blood)
  • Male
  • Membrane Potential, Mitochondrial
  • Mitochondria (drug effects, immunology, metabolism)
  • Oxygen Consumption
  • Peroxynitrous Acid (blood)
  • Platelet Aggregation Inhibitors (pharmacology)
  • Polymerization
  • Sus scrofa
  • Thrombelastography

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