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Hematology/Oncology Section, Department of Medicine, Veterans Administration Medical Center and University of Minnesota, Minneapolis, Minnesota 55417
This study evaluated the mechanism of epinephrine
potentiation of platelet secretion induced by thromboxane
A2 (TXA2). Dog platelets that do not secrete in
response to TXA2 alone (TXA2
) were compared
with dog platelets that do secrete (TXA2+) and with human
platelets. TXA2
platelets had impaired TXA2
receptor (TP receptor)-G protein coupling, indicated by 1)
impaired stimulated GTPase activity, 2) elevated basal
guanosine 5'-O-(3-thiotriphosphate) binding, and
3) elevated G
q palmitate turnover that was
corrected by preexposure to epinephrine. Kinetic agonist binding
studies revealed biphasic dog and human platelet TP receptor
association and dissociation. TXA2
and TP
receptor-desensitized TXA2+ dog and human platelets had
altered ligand binding parameters compared with untreated
TXA2+ or human platelets. These parameters were reversed,
along with impaired secretion, by epinephrine. Basal phosphorylation of
TXA2
platelet TP receptors was elevated 60% and was
normalized by epinephrine. Epinephrine potentiates platelet secretion
stimulated by TXA2 by reducing basal TP receptor
phosphorylation and facilitating TP receptor-G protein coupling in
TXA2
platelets and, probably, in normal platelets as well.
G proteins; dogs; platelet activation
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