Skip to main content

Prostacyclin in the Treatment of Atherosclerosis Obliterans and Other Vascular Diseases

  • Chapter
Thrombosis and Cardiovascular Disease

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 164))

Abstract

Prostacyclin is the main arachidonic acid metabolite produced by the arterial walls (2,3,7) and released into circulation (1,4). In man, prostacyclin acts as a powerful vasodilator and anti-platelet agent (13). Resistance vessels are most susceptible for prostacyclin vasodilatory action, while capacitance vessels show little, if any change, even during administration of high doses of prostacyclin (18). The profound anti-platelet effects induced by prostacyclin can be devided into anti-aggregatory and disaggregatory (5,12,13). The former are reflected by a marked inhibition of ADP — or collagen — induced platelet aggregation, the latter by dispersion of both circulating platelet aggregates and platelet thrombi formed on the collagen surface.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. R.J. Gryglewski, Prostacyclin as a circulating hormone. Biochem. Pharmacol. 28: 3161 (1979).

    Article  PubMed  CAS  Google Scholar 

  2. R.J. Gryglewski, Prostaglandins, platelets, and atherosclerosis. CRC series in Biochemistry 7: 291 (1980).

    Article  CAS  Google Scholar 

  3. R.J. Gryglewski, S. Bunting, S. Moncada, R.J. Flower, J.R. Vane, Arterial walls are protected against deposition of platelet thrombi by a substance (Prostaglandin X) which they make from prostaglandin endoperoxides. Prostaglandins 12: 685 (1976).

    Article  PubMed  CAS  Google Scholar 

  4. R.J. Gryglewski, R. Korbut, A. Ocetkiewicz, Generation of prostacyclin by lungs in vivo and its release into arterial circulation. Nature 273: 765 (1978).

    Article  PubMed  CAS  Google Scholar 

  5. R.J. Gryglewski, A. Szczeklik, R. Nizankowski, Antiplatelet action of intravenous prostacyclin in man. Thrombos. Res. 13:152 (1978).

    Article  Google Scholar 

  6. R.J. Gryglewski, A. Szczeklik, H. Zygulska-Mach, E. Kostaka-Trabka, Prostacyclin and vascular disease. Symposium A. Einstein Coll. of Med., 28–30 October 1980. Raven Press, New York — in press.

    Google Scholar 

  7. S. Moncada, R.J. Gryglewski, S. Bunting, J.R. Vane, A lipid peroxide inhibits the enzyme that generates from prostaglandin endoperoxides the substance (prostaglandin X) which prevents platelets from aggregation. Prostaglandins 12: 715 (1976).

    Article  PubMed  CAS  Google Scholar 

  8. A. Szczeklik, Prostacyclin and atherosclerosis. Triangle 19: 61 (1980).

    PubMed  CAS  Google Scholar 

  9. A. Szczeklik, Cardiovascular actions of prostacyclin in man. International conference on prostaglandins, New york, April 1980, in press.

    Google Scholar 

  10. A. Szczeklik, R.J. Gryglewski, Treatment of vascular disease with prostacyclin. In Clinical pharmacology of prostacyclin, ed. by P. Lewis and J. O’Grady, in press.

    Google Scholar 

  11. A. Szczeklik, R.J. Gryglewski, Prostaglandins as therapeutical agents in cardiovascular disease. Proceedings of the meeting “Prostaglandins and the cardiovascular system”, Wilrijk (Belgium) 1–3 December 1980, in press (Raven Press).

    Google Scholar 

  12. A. Szczeklik, R.J. Gryglewski, E. Nizankowska, R. Nizankowski, J. Musial, Pulmonary and anti-platelet effects of intravenous and inhaled prostacyclin in man. Prostaglandins 16: 651 (1978).

    Article  CAS  Google Scholar 

  13. A. Szczeklik, R.J. Gryglewski, R. Nizankowski, J. Musial, R. Pieton, J. Murk, Circulatory and anti-platelet effects of intravenous prostacyclin in healthy men. Pharmacol. Res. Commun. 10: 545 (1978).

    Article  PubMed  CAS  Google Scholar 

  14. A. Szczeklik, R.J. Gryglewski, R. Nizankowski, S. Skawinski, P. Gluszko, Prostacyclin therapy of peripheral vascular disease. Thrombos. Res. 19: 191 (1980).

    Article  CAS  Google Scholar 

  15. A. Szczeklik, R. Nizankowski, S. Skawinski, J. Szczeklik, P. Gluszko, R.J. Gryglewski, Successful therapy of advanced arteriosclerosis obliterans with prostacyclin. Lancet 1: 1111 (1979).

    Article  PubMed  CAS  Google Scholar 

  16. A. Szczeklik, J. Szczeklik, R. Nizankowski, P. Gluszco, Prostacyclin for unstable angina. N. Engl. J. Med. 303: 881 (1980).

    PubMed  CAS  Google Scholar 

  17. A. Szczeklik, J. Szczeklik, R. Nizankowski, P. Gluszko, Prostacyclin for acute coronary insufficiency. Artery — in press.

    Google Scholar 

  18. J. Szczeklik, A. Szczeklik, R. Nizankowski, Haemodynamic changes induced by prostacyclin in man. Br. Heart J. 44: 254 (1980).

    Article  PubMed  CAS  Google Scholar 

  19. J. Szczeklik, A. Szczeklik, R. Nizankowski, Prostacyclin for pulmonary hypertension. Lancet 2: 1076 (1980).

    Article  PubMed  CAS  Google Scholar 

  20. W.D. Watkins, M.P. Peterson, R.K. Brone, D.C. Shannon, L. Levine, Prostacyclin and prostaglandin E. for severe pulmonary artery hypertension. Lancet 1: 1083 (1980).

    Article  PubMed  CAS  Google Scholar 

  21. H. Zygulska-Mach, E. Kostka-Trabka, A. Niton, R.J. Gryglewski, Prostacyclin in central retinal vein occlusion. Lancet 2: 1075 (1980).

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1984 Plenum Press, New York

About this chapter

Cite this chapter

Gryglewski, R.J., Szczeklik, A. (1984). Prostacyclin in the Treatment of Atherosclerosis Obliterans and Other Vascular Diseases. In: Strano, A. (eds) Thrombosis and Cardiovascular Disease. Advances in Experimental Medicine and Biology, vol 164. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-8616-2_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-4684-8616-2_21

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-8618-6

  • Online ISBN: 978-1-4684-8616-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics