In vivo blockade of platelet ADP receptor P2Y(12) reduces embolus and thrombus formation but not thrombus stability

M.A. Gestel, van, J.W.M. Heemskerk, D.W. Slaaf, V.V.T. Heijnen, R.S. Reneman, M.G.A. Oude Egbrink

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    74 Citations (Scopus)

    Abstract

    Objective— ADP is a key platelet agonist in thromboembolism. One of the receptors involved in ADP-induced platelet activation is the P2Y12 receptor, which is a target for antithrombotic drugs. Methods and Results— Here, we present first evidence for a differential role of this receptor in thrombus and embolus formation in vivo. Anesthetized rabbits were treated with the selective P2Y12 antagonists AR-C69931 MX (3 µg · kg · min-1 IV) or clopidogrel (25 mg/kg orally). Efficacy of these treatments was monitored by aggregation and thrombin generation measurements in blood samples ex vivo. Mesenteric arterioles were mechanically injured; thrombus growth and subsequent embolus formation were visualized by real-time intravital microscopy. AR-C69931 MX and clopidogrel significantly (P
    Original languageEnglish
    Pages (from-to)518-523
    JournalArteriosclerosis, Thrombosis, and Vascular Biology
    Volume23
    Issue number3
    DOIs
    Publication statusPublished - 2003

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