Skip to main content

Evaluation of Platelet Antagonists in In Vitro Flow Models of Thrombosis

  • Protocol
Anticoagulants, Antiplatelets, and Thrombolytics

Part of the book series: Methods In Molecular Medicine™ ((MIMM,volume 93))

  • 558 Accesses

Abstract

Intravascular thrombosis is one of the most frequent pathological events that affects mankind, and a major cause of morbidity and mortality in developed countries. There is abundant evidence suggesting that platelets play a pivotal role in the pathogenesis of arterial thrombotic disorders, including unstable angina (UA), myocardial infarction (MI), and stroke (13). The underlying pathophysiological mechanism of these processes has been recognized as the disruption or erosion of a vulnerable atherosclerotic plaque, leading to local platelet adhesion and subsequent formation of partially or completely occlusive platelet thrombi.

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

Access this chapter

Protocol
USD 49.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Antiplatelet Trialist Collaboration. (1994) Collaborative overview of randomized trials of antiplatelet therapy-I: prevention of death myocardial infarction and stroke by prolonged antiplatelet therapy in various categories of patients. Br. Med. J. 308, 81–106.

    Article  Google Scholar 

  2. Fitzgerald, D. J., Roy, L., Catella, F., and Fitzgerald, G. A. (1986) Platelet activation in unstable coronary disease. N. Eng. J. Med. 315, 983–989.

    Article  CAS  Google Scholar 

  3. Fuster, V. (1994) Mechanisms leading to myocardial infarction: insights from studies of vascular biology. Circulation 90, 2126–2146.

    PubMed  CAS  Google Scholar 

  4. Konstantopoulos, K., Kukreti, S., and McIntire, L. V. (1998) Biomechanics of cell interactions in shear fields. Adv. Drug Delivery Rev. 33, 141–164.

    Article  CAS  Google Scholar 

  5. Alevriadou, B. R., Moake, J. L., Turner, N. A., Ruggeri, Z. M., Folie, B. J., Phillips, M. D., et al. (1993) Real-time analysis of shear dependent thrombus formation and its blockade by inhibitors of von Willebrand factor binding to platelets. Blood 81, 1263–1276.

    PubMed  CAS  Google Scholar 

  6. Turitto, V. T. (1982) Blood viscosity, mass transport, and thrombogenesis. Prog. Hemostasis Thromb. 6, 139–177.

    CAS  Google Scholar 

  7. The EPIC Investigators (1994) Use of a monoclonal antibody directed against the glycoprotein IIb/IIIa receptor in high-risk coronary angioplasty. N. Engl. J. Med. 330, 956–961.

    Article  Google Scholar 

  8. Konstantopoulos, K. and Mousa, S. A. (2001) Antiplatelet therapies: platelet GPIIb/IIIa antagonists and beyond. Current Opinion in Investigational Drugs 2, 1086–1092.

    PubMed  CAS  Google Scholar 

  9. Mousa, S. A. (1999) Antiplatelet therapies: recent advances in the development of platelet GPIIb/IIIa antagonists, in Current Interventional Cardiology Reports, Vol. 1. (Holmes, D. R., ed.), Current Science, Philadelphia, PA, pp. 243–252.

    Google Scholar 

  10. Peter, K., Schwarz, M., Ylanne, J., Kohler, B., Moser, M., Nordt, T, et al. (1998) Induction of fibrinogen binding and platelet aggregation as a potential intrinsic property of various glycoprotein IIb/IIIa inhibitors. Blood 92, 3240–3249.

    PubMed  CAS  Google Scholar 

  11. Holmes, M. B., Sobel, B. E., Cannon, C. P., and Schneider, D. J. (2000) Increased platelet reactivity in patients given orbofiban after an acute coronary syndrome. An OPUS-TIMI 16 substudy. Am. J. Cardiol. 85, 491–493.

    Article  PubMed  CAS  Google Scholar 

  12. Gear, A. R. L. and Lambrecht, J. K. (1981) Reduction in single platelets during primary and secondary aggregation. Thromb. Haemostasis 45, 298.

    CAS  Google Scholar 

  13. Peterson, D. M., Stathopoulos, N. A., Giorgio, T. D, Hellums, J. D., and Moake, J. L. (1987) Shear-induced platelet aggregation requires von Willebrand factor and platelet membrane glycoproteins Ib and IIb–IIIa. Blood 69, 625–628.

    PubMed  CAS  Google Scholar 

  14. Jen, C. J. and McIntire, L. V. (1984) Characteristics of shear-induced aggregation in whole blood. J. Lab. Clin. Med. 103, 115–124.

    PubMed  CAS  Google Scholar 

  15. Sweeney, J. D., Labuzzetta, J. W., Michielson, C. E., and Fitzpatrick, J. E. (1989) Whole blood aggregation using impedance and particle counter methods. Am. J. Clin. Pathol. 92, 794–797.

    PubMed  CAS  Google Scholar 

  16. Konstantopoulos, K., Kamat, S. G., Schafer, A. I., Bañez, E. I., Jordan, R., Kleiman, N. S., et al. (1995) Shear-Induced Platelet Aggregation is inhibited by in vivo infusion of an anti-glycoprotein IIb/IIIa antibody fragment, c7E3 Fab, in patients undergoing coronary angioplasty. Circulation 91, 1427–1431.

    PubMed  CAS  Google Scholar 

  17. Konstantopoulos, K., Grotta, J. C, Sills, C., Wu, K. K., and Hellums, J. D. (1995) Shear-induced platelet aggregation in normal subjects and stroke patients. Thromb. Haemostasis 74, 1329–1334.

    CAS  Google Scholar 

  18. Konstantopoulos, K., Wu, K. K, Udden, M. M., Bañez, E. I., Shattil, S. J., and Hellums, J. D. (1995) Flow cytometric studies of platelet responses to shear stress in whole blood. Biorheology 32, 73–93.

    PubMed  CAS  Google Scholar 

  19. Abulencia, J. P., Tien, N., McCarty, O. J. T., Plymire, D., Mousa, S. A., and Konstantopoulos, K. (2001) Comparative antiplatelet efficacy of a novel, nonpeptide GPIIb/IIIa antagonist (XV454) and Abciximab (c7E3) in Flow Models of Thrombosis. Arterioscler. Thromb. Vase. Biol. 21, 149–156.

    Article  CAS  Google Scholar 

  20. Turner, N. A., Moake, J. A., Kamat, S. G., Schafer, A. I., Kleiman, N. S., and McIntire, L. V. (1995) Comparative real-time effects on platelet adhesion and aggregation under flowing conditions of in vivo aspirin, heparin, and monoclonal antibody fragment against glycoprotein IIb–IIIa. Circulation 91, 1354–1362.

    PubMed  CAS  Google Scholar 

  21. Mousa, S. A., Abulencia, J. P., McCarty, O. J. T., Turner, N. A., and Konstantopoulos, K. (2002) Comparative efficacy between the glycoprotein IIb/IIIa antagonists roxifiban and orbofiban in inhibiting platelet responses in flow models of thrombosis. J. Cardiovasc. Pharmacol. 39, 552–560.

    Article  PubMed  CAS  Google Scholar 

  22. Evangelista, V., Manarini, S., Rotondo, S., Martelli, N., Polischuk, R., McGregor, J. L., et al. (1996) Platelet/polymorphonuclear leukocyte interaction in dynamic conditions: evidence of adhesion cascade and cross talk between P-selectin and the beta 2 integrin CD11b/CD18. Blood 88, 4183–4194.

    PubMed  CAS  Google Scholar 

  23. Folie, B. J., McIntire, L. V., and Lasslo, A. (1988) Effects of a novel antiplatelet agent in mural thrombogenesis on collagen-coated glass. Blood 72, 1393–1400.

    PubMed  CAS  Google Scholar 

  24. Ross, J. M., McIntire, L. V., Moake, J. L., and Rand, J. H. (1995) Platelet adhesion and aggregation on human type VI collagen surfaces under physiological flow conditions. Blood 85, 1826–1835.

    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

© 2004 Humana Press Inc.

About this protocol

Cite this protocol

McCarty, O.J.T., Abulencia, J.P., Mousa, S.A., Konstantopoulos, K. (2004). Evaluation of Platelet Antagonists in In Vitro Flow Models of Thrombosis. In: Mousa, S.A. (eds) Anticoagulants, Antiplatelets, and Thrombolytics. Methods In Molecular Medicine™, vol 93. Springer, Totowa, NJ. https://doi.org/10.1385/1-59259-658-4:21

Download citation

  • DOI: https://doi.org/10.1385/1-59259-658-4:21

  • Publisher Name: Springer, Totowa, NJ

  • Print ISBN: 978-1-58829-083-0

  • Online ISBN: 978-1-59259-658-4

  • eBook Packages: Springer Protocols

Publish with us

Policies and ethics