High-Dose Epinephrine Enhances Platelet Aggregation at the Expense of Procoagulant Activity.

Details

Serval ID
serval:BIB_902F0DD80C35
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
High-Dose Epinephrine Enhances Platelet Aggregation at the Expense of Procoagulant Activity.
Journal
Thrombosis and haemostasis
Author(s)
Aliotta A., Bertaggia Calderara D., Zermatten M.G., Alberio L.
ISSN
2567-689X (Electronic)
ISSN-L
0340-6245
Publication state
Published
Issued date
10/2021
Peer-reviewed
Oui
Volume
121
Number
10
Pages
1337-1344
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Platelet activation is characterized by shape change, granule secretion, activation of fibrinogen receptor (glycoprotein IIb/IIIa) sustaining platelet aggregation, and externalization of negatively charged aminophospholipids contributing to platelet procoagulant activity. Epinephrine (EPI) alone is a weak platelet activator. However, it is able to potentiate platelet activation initiated by other agonists. In this work, we investigated the role of EPI in the generation of procoagulant platelets. Human platelets were activated with convulxin (CVX), thrombin (THR) or protease-activated receptor (PAR) agonists, EPI, and combination thereof. Platelet aggregation was assessed by light transmission aggregometry or with PAC-1 binding by flow cytometry. Procoagulant collagen-and-THR (COAT) platelets, induced by combined activation with CVX-and-THR, were visualized by flow cytometry as Annexin-V-positive and PAC-1-negative platelets. Cytosolic calcium fluxes were monitored by flow cytometry using Fluo-3 indicator. EPI increased platelet aggregation induced by all agonist combinations tested. On the other hand, EPI dose-dependently reduced the formation of procoagulant COAT platelets generated by combined CVX-and-THR activation. We observed a decreased Annexin-V-positivity and increased binding of PAC-1 with the triple activation (CVX + THR + EPI) compared with CVX + THR. Calcium mobilization with triple activation was decreased with the higher EPI dose (1,000 µM) compared with CVX + THR calcium kinetics. In conclusion, when platelets are activated with CVX-and-THR, the addition of increasing concentrations of EPI (triple stimulation) modulates platelet response reducing cytosolic calcium mobilization, decreasing procoagulant activity, and enhancing platelet aggregation.
Pubmed
Web of science
Create date
15/03/2021 13:33
Last modification date
05/01/2022 6:36
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