From www.bloodjournal.org by guest on December 29, 2014. For personal use only. YC-1, a Novel Activator of Platelet Guanylate Cyclase By Feng-Nien KO, Chin-Chung Wu, Sheng-Chu Kuo, Fang-Yu Lee, and Che-Ming Teng YC-1 [3-~5’-hydroxymethyl-2’-furyl)-l-benzylindazolel inhibited theaggregation of and ATP release from washed rabbit platelets induced by arachidonic acid(AA), collagen, U46619, platelet-activating factor (PAF), and thrombin in a concentration-dependent manner. YC-1 also disaggregated the clumped platelets caused by these inducers. The thromboxane formation caused by collagen,PAF, and thrombin was inhibited by concentrations of YC-1 that did not affect formation of thromboxane B2 and prostaglandin D2 caused by AA. YC-1suppressed the increaseof intracellular Ca2+ concentration and generation of inositol 1,4,5-trisphosphate caused by these five aggregation inducers. Both the cAMP and cGMP contents of platelets were increased by YC-1 in a concentration- and time-dependent manner. Like sodium nitroprusside, YC-1 potentiated formation of cAMP caused by prostaglandin E, but not thatby 3-isobutyl-l-methylxanthine. Adenylate cyclase and cAMP phosphodiesteraseactivities were not altered by YC-1. Activity of cGMP phosphodiesterase was unaffected by YC-1. Activities of guanylate cyclase in platelet homogenate and cytosolic fraction were activated by YC-1, whereas particulate guanylate cyclase activity wasunaffected. The antiplatelet effect of sodium nitroprusside but not that of YC-1 was blocked by hemoglobin and potentiated by superoxide dismutase. After intraperitoneal administration for 30 minutes, YC-1 prolonged the tail bleeding time of conscious mice. These data indicate that YC-1 is a direct soluble guanylate cyclase activator in rabbit platelets. It may alsopossess antithrombotic potential in vivo. 0 1994 by The American Society of Hematology. P proteins mediated by either cAMP/cAMP-dependent protein kinase (PKA) or cGMP/cGMP-dependent protein kinase (PKG), respectively. The platelet pathways affected by both cAMP/PKA and cCMPPKG result in the inhibitionof platelet activation, most likelycaused by the inhibition of agonistinduced calcium mobilization. There is also evidence that cAMP and cGMP can suppress platelet reactions in vivo, indicating that an antiplatelet action may supplement their effects on vascular smooth muscle in the treatment of cardiovascular disease^.^^"' We found that YC- 1, a chemically synthetic benzylindazole compound, possessed antiplatelet activity. In the present report, we endeavored to elucidate the mechanism of its inhibitory activity on platelet aggregation and proved it to be a novel soluble guanylate cyclase activator in platelets. LATELETS AND platelet-derived vasoactive agents are important physiologic regulators of vascular tone and hemostasis. Much evidence indicates that interactions between platelet and vessel wall contribute significantly to the pathogenesis of atherosclerosis, myocardial infarction, unstable angina pectoris, and thrombosis.’-4Platelets are activated by diverse stimuli in vivo, including diseased arteries.’ Mural thrombus formation can restrict the flow of blood to vital tissues or organs leadingto peripheral, cerebral, or coronary ischemia. The developing thrombus may embolize with potentially lethal consequences. Activation of platelets may lead to not only acute vascular complications such as thrombosis but also, perhaps due to the release of growth factors, to enduring effects such as smooth muscle proliferation, one of the hallmarks of ather~sclerosis.’,~ Therefore, inhibition of platelet function may be a promising approach to prevent and to treat diseases in which a pathophysiologic participation of activated platelets appears likely. Agents that elevate concentrations of either platelet cAMP or cGMP are powerful inhibitors of platelet activation.‘.’ Two physiologically important cyclic nucleotide-elevating agents, prostaglandin Iz and endothelium-derived relaxing factor (EDRF), are produced by vascular endothelial cells that are important antithrombotic agents through their antiplatelet mechanism. cAMP and cGMP stimulate in platelets the stoichiometric and reversible phosphorylation of several From the Pharmacological Institute, College of Medicine, National Taiwan University, Taipei;the Graduate Institute of Pharmaceutical Chemistry, China Medical College, Taichung; and YungShin Pharmaceutical Industry CO, Ltd, Taichung, Taiwan. Submitted April 20, 1994; accepted August 26, 1994. Supported by a research grant of the National Science Council of the Republic of China (NSCS3-0412-BOO2-172). Address reprint requests to Che-Ming Teng, PhD, Pharmacological Institute, College of Medicine, National Taiwan University, No. I , Jen-Ai Rd, 1st Section, Taipei 10018, Taiwan. The publication costsof this article were defrayed in part by page charge payment. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. section 1734 solely to indicate this fact. 0 1994 by The American Society o j Hematology. 0006-4971/94/8412-0019$3.00/0 4226 MATERIALS AND METHODS Platelet aggregation und ATP release reaction. Blood was collected from the rabbit marginal ear vein and mixed with EDTA to a final concentration 6 mmol/L. It was centrifuged for 10 minutes at 90s and room temperature, and the supernatant was obtained as platelet-rich plasma (PRP). Platelet suspension was prepared from EDTA-anticoagulated PRP according towashing procedures described previously.” Platelets were counted by Hemalaser 2 (Sebia, Molineaux, France) and adjusted to a concentration 3 X IO8 platelets/ mL. Platelet pellets were finally suspended in Tyrode’s solution of the following composition in millimoles per liter: NaCl(136.8), KC1 (2.8), NaHCO, (1 1.g), MgCI2 (2.1), NaH2P0, (0.33), CaCI, (1.0). and glucose (1 I .2) containing bovine serum albumin (0.35%). Aggregation was measured at37°C by turbidimetry as described by 0’Brien.l’ ATP released from platelets was detected by the bioluminescence method of DeLuca and McElory.” Both aggregation and ATP release were simultaneously measured in a Lumi-aggregometer (Chrono-Log CO, Havertown, PA) connected to two dual-channel recorders. Platelet preparations were stirred at 1,200 rpm. To eliminate the effect of solvent on aggregation, the final concentration of dimethyl sulfoxide (DMSO) was fixed at 0.5% (vol/vol). Tromboxane BZandprostaglandin D2 assay. After 6 minutes of platelet incubation with the inducer, EDTA (2 mmoliL) and indomethacin (SO pnol/L) were added to halt thromboxane and prostaglandin Dz formation. After centrifugation in an Eppendorf microcentrifuge (Model 541SC; Eppendorf, Hamburg, Germany) for 2 minutes, thromboxane B, and prostaglandin D,in the supernatant were assayed by enzyme immunoassay. Assay of inositol 1,4,5-trisphosphate (If.,)mass content. PlateBlood, Vol 84, No 12 (December 15), 1994: pp 4226-4233 From www.bloodjournal.org by guest on December 29, 2014. For personal use only. 4227 VC-l, AN ACTIVATOR OF GUANVLATE CYCLASE lets (10’ platelets/mL, 500 pL) prepared as described above were incubated with DMSO (0.5%), YC-I, or prostaglandin E, at 37°C for 3 minutes and then stimulated with the aggregation inducers. The reactions were terminated by the addition of 100 pL of ice-cold perchloric acid (20%) followed by 20 minutes of incubation in an ice bath. After centrifugation at 2,OOOg for 15 minutes at 4°C the supernatant was recovered and its pH was adjusted to 7.5 with a 10 N KOH solution. KCIO4was precipitated for 30 minutes at 4°C and sedimented at 2,OOOg for 15 minutes at 4°C. The amount ofIP, in the resulting supernatant was determined by radioimmunoassay (RIA). Measurement of intracellular calcium in platelets. The method of Pollock and RinkI4 was followed. Platelets (3 X 10’ platelets/ mL) were incubated with fura-2IAM (5 pmoVL) at 37°C for 45 minutes and centrifuged at 500g; the resultant pellet was washed with Tyrode solution containing 1 mmol/L EDTA. After centrifugation, platelets were resuspended in the Tyrode solution containing Ca’+ (1 mmol/L). Fluorescence (Ex 339 nm, Em 500 nm) was measured with a Hitachi Fluorescence Spectrophotometer (Model F4000; Hitachi, Tokyo, Japan) at 37°C. At the end of the experiment, the cells were treated with Triton X-l00 (0.1%) followed by the addition of EGTA (1 0 mmoI/L) toobtain the maximal and minimal fluorescence, respectively. [Ca”], was calculated as described for fura-2 using Ca2+-dyedissociation constant 224 nmol/L.” Estimation of platelet cyclic nucleotides. The method of Kamiguian et all6 was used. The platelet suspension was warmed at 37°C for 1 minute in an aggregometer (Chrono-Log CO) stirred at 1,200 rpm. YC-1, prostaglandin E , , sodium nitroprusside, or 3-isobutyll-methylxanthine (IBMX) was then added with incubation for various time intervals. The reaction was stopped by adding EDTA ( I O mmol/L) followed immediately by boiling for 5 minutes. Upon cooling to 4”C, precipitated protein was sedimented by centrifugation in an Eppendorf microcentrifuge (Model 5415 C). The supernatant was used toassay for cyclic AMP and cyclic GMP by enzyme immunoassay kit. Phosphodiesterase assay. The method of Moore et all’ was used. Washed rabbit platelets prepared as described above were resuspended in 50 mmoVL Tris-HCI (pH 7.4, containing 5 mmoVL MgCI’). Platelets were disrupted by sonication at 4°C (4 to 6 X I O seconds; setting 5; Vibra cell; Sonics and Materials Inc, Danbury, CT). The lysate was centrifuged at 39,OOOg for 20 minutes (4°C). The supernatant contained greater than 95% cyclic nucleotide phosphodiesterase activity. The crude cytosolic enzyme (1 mg/mL; 0.1 mL) was incubated with Tris-HCI (0.2 mL) at 37°C for 5 minutes; 0.1 mL cAMP (final concentration, 0.25 pmoVL containing 0.1 pCi [’HICAMP) or cGMP (final concentration, 0.25 pmol/L containing 0.1 pCi [,H]cGMP) was then added. After 30 minutes at 37°C the samples were heated to 100°C for 1 minute before cooling. Ophiophagus hannah snake venom ( I mg/mL; 0.1 mL) was then added and incubated at 25°C for 30 minutes to convert the 5’-AMP or 5’-GMP to the uncharged nucleosides, adenosine, or guanosine. An ion-exchange resin slurry (1.0 mL; Dowex-l; Sigma Chemical CO, St Louis, MO) was added tobind all unconverted cAMP and cGMP. After centrifuging, an aliquot (0.5 mL) of the supernatant was removed for determination in a liquid scintillation counter. Guanylate cyclase assay. Washed rabbit platelets were prepared as above but resuspended in Tris-HCI buffer (50 mmoVL; pH 7.4). Platelets were disrupted by sonication as described above and the lysate was centrifuged at 39,OOOg at 4°C for 20 minutes. The supernatant fluid was used as a source of soluble guanylate cyclase. The pellet was washed twice in the original amount of Tris-HC1 buffer and used as membrane guanylate cyclase. Protein content was determined witha protein assay kit (BioRad, Richmond, CA) and adjusted to a concentration 1 mg/mL. Fig 1. Chemical structure of YC-1. Guanylate cyclase activity was determined as previously described.” Enzyme preparation (50 pL) was incubated in a final volume (200 pL) with other reactants as follows: GTP (0.2 mmoVL containing 1 X IO6 cpm [cY-~’P]GTF’),MgCI2(5 mmoVL), cGMP (2.5 mmol/L), creatine phosphate (15 mmol/L), creatine phosphokinase (30 pg) without or with sodium nitroprusside, or YC-1 in TrisHCI buffer (50 mmoVL), pH 7.4. The reaction was initiated by adding the enzyme preparation and, after incubation at 30°C for 10 minutes, was terminated by adding HCI (0.5 N, 200 pL). The reaction mixture was then heated to 100°C for 6 minutes and cooled in an ice bath. To each tube was added imidazole (1 mmol/L, 200 pL). GTP and cGMP were separated on neutral alumina as described by White and Zenser” andthe radioactivity ([”PIcGMP) was determined in a liquid scintillation counter. Adenylate cyclase assay. Rabbit platelet membrane prepared as described above wasfinally resuspended in Tris-HCI buffer (50 mmoVL, pH 7.4) containing EDTA (5 mmoVL). Adenylate cyclase activity was measured as described by Insel et al.’’ Membranes (20 pL) were incubated in a final volume (60 pL) with other reactants as follows (final concentrations): Tris-HCI, 50 mmoVL (pH 7.4); EDTA,2.6 mmoVL; MgClz, 13 mmoVL; creatine phosphate, 25 mmoVL; creatine phosphokinase, 1 mg/mL; CAMP, 1 mmol/L; ATP, 0.5 mmoVL containing 1 X lo6 cpm [cY-”P]ATP;and other additions as indicated in the text. The reaction was initiated by adding platelet protein and was performed at 30°C for 20 minutes. The reaction was terminated by adding HCI (0.5 N.0.2 mL) and boiling the sample for 6 minutes. After cooling in an ice bath, imidazole (1 mmoVL, 200 pL) was added. ATP and cAMP were separated on neutral alumina as previously described” and [32P]cAMPwas determined with a liquid scintillation counter. Tail bleeding time in conscious mice. Thirty minutes after the intraperitoneal administration of DMSO (2.5 pWg), YC-I, or indomethacin, male mice (18 to 22 g) were placed in a tube holder with the tail allowed to protrude. The tail was transected at 2 mm from the tip and 1.5 cm of the distal portion was vertically immersed into saline at 37°C. The bleeding time was then measured as described by Hornstra et al.” Materials. YC-I [3-(5’-hydroxymethyl-2’-furyl)-l-benzylindazole; Fig l ] was chemically synthesized as described previously.’’ Bovine thrombin (Parke Davis CO, Detroit, MI) was dissolved in glycerol (50% vol/vol) for a stock solution of 100 NIH U/mL. Collagen (type I, bovine Achilles tendon; Sigma) was homogenized in acetic acid (25 mmol/L) and stored (1 mg/mL) at -70°C. Plateletactivating factor (PAR I-O-alkyl-2-acetyl-sn-glycero-3-phosphocholine; Sigma) was dissolved in chloroform and diluted into 0.1% bovine serum albumin (BSA)-saline solution immediately before use. Arachidonic acid (AA), BSA, indomethacin, EDTA, luciferase- From www.bloodjournal.org by guest on December 29, 2014. For personal use only. 4228 KO ET AL R YC-l (PM) Fig 2. Inhibitoryeffect of YC-l on platelet aggregation inducedby thrombin-induced platelet aggregation from 0.10 f 0.02 and 0.28 t 0.04 minutes to 0.25 ? 0.02 and 0.55 ? 0.04 minutes (n = 6), respectively. It also induced a more rapid recovery of PAF- and thrombin-induced aggregation (data not shown). YC- 1, PGE, , and sodium nitroprusside, at concentrations that maximally inhibited platelet aggregation, also markedly disaggregated platelets that had been previously aggregated with these five inducers. Again, sodium nitroprusside was less potent than YC-1 and PGE, in disaggregating platelets (see Fig 3 for PAF-induced platelet aggregation). YC-I (1 .S to 1.50pmoVL), PGE, (1 pmol/L), and sodium nitroprusside (10 pmol/L) also inhibited, in a concentrationdependent manner, the ATP release caused by these five inducers. Inhibition of ATP release was parallel to inhibition of platelet aggregation (data not shown). However, YC-I (1.50 pmol/L), PGE, (1 and 10 pmoVL), and sodium nitroprusside (1 mmoVL) did not affect the platelet shape change U46619 (1 pmol/L, D), collagen (10 pg/mL, A), AA l100 pmol/L, A), PAF (3.6 nmol/L, e), and thrombin (0.1 UlmL, 0). Washedrabbit platelets were preincubated with DMSO 10.5%. control) or various concentrations of YC-1 at 37°C for 3 minutes. The inducerwas then added to trigger the aggregation. Percentages ofinhibition are presented as means f SEM (n = 5). DMSO luciferin, Dowex-l (100 to 200 mesh: X8, chloride)resin,fura-2acetoxymethyl ester, trichloroacetic acid(TCA), U46619, imidazole, ethyleneglycol-bis-(~-aminoethylether) N,N,N’,N’-tetraacetic acid (EGTA), prostaglandin E, (PGE,), 3-isobutyl-l-methylxanthine (IBMX), creatine phosphate, creatine phosphokinase, Tris(hydroxymethyl) aminomethane, adenosine S’-trisphosphate (ATP), adenosine 3’,S’-cyclic monophosphate (CAMP), guanosine5‘-trisphosphate (GTP), guanosine 3’,S‘-cyclic monophosphate (cGMP), Ophiophagus hannah snake venom, sodiumnitroprusside, forskolin, and myo-inositol were purchased from Sigma. My0-[2-~H]inositol, [a-”P]ATP, [W~~PIGTP, [’HICAMP,[3H]cGMP,andIP,radioimmunoassay kit were purchased from Amersham (Amersham, UK). Thromboxane B2, prostaglandin D*, CAMP,and cGMP enzyme immunoassay kits were from Cayman Chemical CO (AM Arbor, MI). Protein assay kit and neutral alumina were obtained from BioRad. RESULTS Effects of YC-l on aggregation and ATP release of washed rabbit platelets. In washed rabbit platelets, U46619 (1 pmoVL), collagen (10 pg/mL), AA (100 pmoVL), PAF (3.6 nmoVL), and thrombin (0.1 U/mL) all caused approximately 90% aggregation.YC-1inhibitedU46619-,collagen-, AA-, PAF-, and thrombin-induced platelet aggregation in a concentration-dependent manner with IC,, values of 10.1 ? 1.7, 14.6 ? 1.4, 20.5 ? 2.8, 41.1 i. 2.9, and 57.3 IT 10.2 pmol/ L, respectively (Fig 2). PGE, (1 pmoVL) also inhibited completely platelet aggregation caused by these aggregation inducers. In contrast, sodium nitroprusside (10 pmol/L) inhibited U46619-, AA-, and collagen-induced platelet aggregation by 100.0% f O.O%, 45.1 t- 4.0%, and 46.9% ? 5.4% (n = 6), but did not significantly affect PAF- and thrombininduced maximal platelet aggregation even when the concentration 1 mmol/L was used (6.7% 2 1.4% and 7.4% ? 1.1% inhibition, respectively; n = 6). However, sodium nitroprusside (1 mmoVL) slowed the aggregation induced by PAF and thrombin. It prolonged the latent periods of PAF- and I 2 min t PAF Fig 3. Effects of Y C l , PGE,, and sodium nitroprussideon platelet disaggregation. Platelet ageregation was induced by PAF (3.6 nmoll L). Platelets were preincubated at 37°C for 3 minutes before the addition of PAF. Y C 1 ( 6 0 pmol/L), PGE, (1 pmol/L), or sodium nitroprusside (1 mmol/L) was added 5 minutes later (at 8 minutes). From www.bloodjournal.org by guest on December 29, 2014. For personal use only. VC-1, AN ACTIVATOR 4229 OF GUANYLATE CYCLASE Table l . Effects of YC-1, PGE,, Sodium Nitroprusside, Indomethacin, and imidazole on the Thromboxane B2 Formation of Washed Rabbfi Platelets Caused by AA, Collagen, PAF, Thrombin, and U46619 ( n o X 10’ platelets) Thromboxane B, Treatment Control YC-1 (pmol/L) 15 793.9 30 408.8 60 150 PGE, (1 pmol/L) Sodium nitroprusside (10 pmol/L) Indomethacin (1 pmol/L) Imidazole (1 mmol/L) M (100 prnolR) 886.3 569.9 2 161.5 101.8 2 247.2 2 158.6* Collagen PAF ( 10 pglrnLl (3.6nmol/Ll 21.3t 72.8 21.1 2 7.6 - 292.5 2 61.0* 2 32.3t 21.9 2 9.5t 861.0 67.6 t 105.6 871.0 2 110.2 264.9 5.6 2 0.9t 156.2 2 45.4* 1.8 2 1 3 - - 2 24.2t 0.71.0 2 0.1$ 2 1.2$ -t 2.9 66.8* U46619 Thrombin (0.1 U h L l ( 1 pmollLl 1.6 -+ 0.1 2 8.0 5.0 2 1.5 3.1 2 2.6 2 0.3 2 1.82 2.8 2 0.4* 1.0$ O.lt 0.1* 0.8* 1.1 2 O.lt 2 0.1 1.6 2 0.1 DMSO (0.5%. control), PGE,, sodium nitroprusside, indomethacin, imidazole, or various concentrations of YC-1 was preincubated with platelets at 37°C for 3 minutes and then the inducer was added. Aggregation and thromboxane formation were terminated by EDTA (2 mmol/L) and indomethacin (50 pnol/L) 6 minutes after the addition of the inducer. The thromboxane B2 level of resting platelets was 0.6 2 0.2 ng/3 x 10’ platelets. Values are presented as means 2 SEM (n = 4 to 7). P i .01 as compared with the control. t P < .001 as compared with the control. P < .05 as compared with the control. * caused by these five inducers even when the aggregation and ATP release were blocked completely (data not shown). Effects of YC-1 on platelet thromboxane B2 and prostaglandin D2formation. The thromboxane B2 level of resting platelets was 0.6 ? 0.2 ng/3 X lo8 platelets. AA, collagen, PAF, and thrombin markedly increased, whereas U46619 insignificantly affected, the thromboxane B2 level after incubation with platelets for 6 minutes. Although YC-1 inhibited collagen-, PAF-, and thrombin-induced thromboxane B2 formation in a concentration-dependent manner, it did notaffect AA-induced thromboxane B2 formation at a concentration (30 pmoVL) that inhibited more than 70% of the aggregation induced by AA. However, YC- 1at a concentration (60 pmoV L) that completely blocked AA-induced platelet aggregation partially suppressed AA-induced thromboxane B2 formation (Table 1). Similarly, PGE, and sodium nitroprusside markedly suppressed collagen-, PAF-, and thrombin-induced thromboxane B2 formation without affecting that formation caused by AA (Table 1). In contrast, indomethacin (1 pmoV L) and imidazole (1 mmol/L) markedly inhibited AA-induced thromboxane B2 formation (Table 1). The prostaglandin D2 level of resting platelets (0.07 t 0.01 ng/3 X lo8 platelets) was increased in the presence of AA (100 pmol/L) to 1.32 t 0.20 ng/3 X lo8 platelets. This prostaglandin D2 formation was inhibited by indomethacin, but was enhanced markedly by imidazole. YC-l (60 pmoVL) did not inhibit this AA-induced prostaglandin D2 formation (Table 2). Effects of YC-1 on IP3formation. Resting platelets containing 0.9 t 0.1 pmol of IPJ109 cells. AA (100 pmol/L), U46619 (1 pmoVL), PAF (3.6 nmol/L), and thrombin (0.1 U/mL) induced a rapid and transient formation of IP3, reaching its peak within 5 seconds. Collagen (10 pg/mL) also caused IP3 formation of platelets with a slower rate, reaching its peak within 30 seconds. The maximum production of IP3 at 5 seconds after AA, U46619, PAF, and thrombin stimulation was 3.4 2 0.3, 3.4 t 0.4, 3.8 2 0.3, and 4.1 5 0.7 pmoVlO’ platelets, respectively, whereas the maximum production of IP3 at 30 seconds after collagen stimulation was 3.9 -+ 0.5 pmoVlO’ platelets. YC-1 (60 or 300 pmol/L) and PGE, (1 pmol/L) at concentrations that markedly inhibited platelet aggregation also suppressed the IP3 formation caused by these five inducers (Fig 4). Effects of YC-I on the intracellular calcium of platelets. In fura-2-loaded platelets, AA, U46619, collagen, PAF, and thrombin caused an increase of intracellular free calcium. As shown in Fig 5 , this increase caused by these five inducers was almost completely inhibited by YC-1 (60 pmol/L). Effects of YC-I on the platelet CAMP and cGMP levels. The CAMPand cGMP levels of resting platelets were 2.1 2 0.3 and 1.2 2 0.1 pmoVlO’ platelets, respectively. YC-l (15 to 300 pmoVL) increased both levels in a concentrationand time-dependent manner (Fig 6). After incubation with platelets for 45 seconds, YC-1 (300 pmoVL) increased the Table 2. Effect of YC-1, Indomethacin, and Imidazole on the Prostaglandin D2 Formation of Washed Rabbk Platelets Caused by AA Treatment Resting Control ( A A 100 pmol/L) YC-1 (60 pmol/L) Indomethacin (1 pmol/L) Imidazole (1 mmol/L) Prostaglandin D, (ngD x 10’ platelets) 0.07 5 1.32 5 1.20 2 0.10 5 49.60 5 0.01 0.20 0.40 0.101 6.90* DMSO (0.5%. resting and control), YC-1, indomethacin, or imidazole was preincubated with platelets at 37°C for 3 minutes and then AA was added. Aggregation and prostaglandin D2formation were terminated by EDTA (2 mmol/L) and indomethacin (50 pmol/Lj 6 minutes after the addition of AA. Values are presented as means 2 SEM (n = 5 to 7). x P < .001 as compared with the control. From www.bloodjournal.org by guest on December 29, 2014. For personal use only. KO ET AL AA platelet cAMP levels. Such an increase byYC-1wasnot potentiated by IBMX. However, IBMX and YC-1 markedly potentiated formation of cAMP caused by PGE,. Sodium nitroprusside at a concentration 10 pmol/L also potentiated formation of cAMP by PGE, with smaller potency (Table 3). Effects of YC-1 on platelet phosphodiesterase. As shown in Table 4, IBMX inhibited platelet cAMP and cGMP phosphodiesterases in a concentration-dependent manner. Inhibition of cAMP phosphodiesterase was more pronounced than inhibition of cGMP phosphodiesterase. YC-l (30 to 300 pmol/L,) did not inhibit activities of cAMP and cGMP phosphodiesterase in platelets. Effects of YC-I on platelet adenylate cyclase and guanylate cyclase activities. Adenylate cyclase activity of resting platelets was 5.1 t 0.9 pmol cAMP formedmg proteidmin. PGE, ( 1 pmoVL) and forskolin (10 pmoVL) increased this basal activity to 47.1 t 4.0 and 72.3 t 8.1pmol cAMP formed/mg proteidmin, respectively. However, YC-l (60 to 300 pmoVL) did not affect the platelet adenylate cyclase activity (Table 5 ) . Guanylate cyclase activities of platelet lysate and the soluble fraction were28.2 2 6.3 and15.1 t 3.3 pmol cGMP formedhg proteidmin. YC-1 (6 to 150 pmoUL)and sodium nitroprusside (10 and 100 pmol/L.) increased the activities of guanylate cyclase of platelet lysate and soluble fraction in a concentration-dependent manner (Table 5). However, YC-1 (150 pmol/L) and sodium nitroprusside (10 and 100 pmol/L) did not increase the platelet particulate guanylate cyclase activity (data not shown). Effects of methemoglobin and superoxide dismutase on the antiplutelet activity of YC-I. YC-l (60 pmol/L) and sodium nitroprusside (10 pmolk) inhibited collagen (10 pgl PAF Thrombin U46619 Collagen Fig 4. Inhibition of YC-1 and PGEl on the formation of IP3 in washed rabbit platelets caused bysome aggregation inducers. Platelets werepreincubated with DMSO (0.5%, control [Dl), YC-1 (60 pmolfL for AA, U46619, and collagen, and 300 pmollL for PAF and or PGEl (1 pmollL [HI) at 37°C for 3 minutes. AA 1100 thrombin [HI), pmol/L), U46619 (1 pmol/L), PAF (3.6nmollLI, or thrombin (0.1 U/ mL) was then added for another 5 seconds, whereas collagen (10 pg/mL) was added for another 30 seconds. Increases in IP3 are presented asmeans f SEM (n = 4 or 5). **P < .01; ***P < ,001 as compared with the respective control. cAMP and cGMP levels to 40.2 t 10.5 and 117.2 t 44.8 pmol/109 platelets, respectively. The cGMP levelwas increased rapidly and reached a maximum at 15 seconds that was maintained for 2 minutes after incubation of YC-l with platelets. In contrast, YC-1 increased the cAMP level much more slowly than it increased the cGMP level and attained no maximal level within 2 minutes (Fig 6). IBMX, sodium nitroprusside, and PGE, increased the Control 1 i 1 YC- 1 W h "l< 4 Thrombin TI"---- "Ir"--- A A PAF Collagen "l Fig 5. Effectsof YC-1 on the increase of intracellular calcium concentration of platelets cauaed by some aggregation inducers.Fura-2-loaded platelets were preincubated with DMSO (0.5%, control) or YC-l (60pmoll L) at 37°C for 3 minutes. Thrombin (0.1 UlmL), PAF (3.6nmoll L), collagen (10 pglmLI, AA (100 pmol/L), or U46619 (l pmol/L) was then added (arrows). Indomethacin (10 pmol/LI was pres" l 7 ent in each medium except A thosechallenged with AA and U46619 collagen. " l r A AA From www.bloodjournal.org by guest on December 29, 2014. For personal use only. 423 1 YC-1, AN ACTIVATOR OF GUANYLATECYCLASE A Table 3. Interactions of YC-1, IBMX, Sodium Nitroprusside, and Prostaglandin E, on the cAMP Level of Washed Rebbii Platelets 1401 Treatment Resting IBMX (300 pmol/L) Sodium nitroprusside (10 pmol/L) YC-1 300 pmol/L 300 pmol/L IBMX 300 prnol/L PGE, + 1 pmol/L 1 pmol/L 1 pmol/L 1 pmol/L + IBMX 300 pmol/L + sodium nitroprusside 10 pmol/L + YC-1 300 pmol/L CAMP Ipmol/W platelets) 2.1 2 0.3 (6) 18.9 i 4.4 (6) 11.9 t 4.6 (4) 37.0 2 4.5 (6) 52.7 i 13.7 (6) 127.3 3,063.1 331.9 2,031.0 i 26.7 (6) 2 841.8 (4) i 39.6 (4) t 310.3 (4) Washed rabbit platelets (1 x lo9 platelets) were incubated for 45 seconds at 37°C with the additions indicated. Incubation was terminated by addition of EDTA (10 mmol/L), followed by immediate boiling for 5 minutes. cAMP content of platelets was determined by enzyme immunoassay and is expressed as means t SEM h ) . 300 1 164.0 t 49.0, 214.2 2 25.7, and 251.0 2 49.0 seconds, respectively (n = 8 to 10). l004 I DISCUSSION Incubation Period (min) Fig 6. Concentration- and time-dependent increase of platelet cAMP (01 and cGMP (01 levels caused by YC-1. Washed rabbRplatelets were preincubated at 37°C for 1 minute; various concentrations of YC-l were then added for 45 seconds (A) or YC-l (300 pmollLI was added for various periods (B). The reactions were terminated by adding EDTA (10 mmoliL) followed by immediate boiling for 5 minutes. The cAMP and cGMP contents were determined by enzyme immunoassay. Values are presented as means ? SEM (n = 4 to 6). The present work shows that YC-1 inhibits platelet aggregation, ATP release, phosphoinositide breakdown, and increase of intracellular free calcium caused by various inducers. Its mechanisms of action include direct activation of platelet soluble guanylate cyclase and indirect elevation of platelet cAMP level. Thromboxane A2 is an important mediator of release reaction and aggregation in latel let.'^ Formation of thromboxane B*, a stable metabolite of thromboxane Az, induced by collagen, PM, and thrombin was inhibited by YC-l in a complete Table 4. Effects of YC-1 and IBMX on Platelet cAMP and cGMP mL)-induced platelet aggregation 87.4% 2 1.8%and 46.9% Phosphodiusterase Activities 2 5.4% (n = 5), respectively. Hemoglobin (5 pmol/L) did cGMP cAMP not affect this aggregation by itself. However, it reversed Phosphodiesterase Phosphodiesterase Treatment Activity (cpm) Activity (cpm) the antiplatelet activity of sodium nitroprusside (5.9% 2 1.0% inhibition, n = 5) without affecting that of YC-1 None (basal) 10,178 i 396 10,058 -C 291 YC-1 (pmol/L) (87.4% 2 2.1% inhibition, n = 5). 10,196 t 120 30 10,692 t 701 YC-1 (6 pmol/L) and sodium nitroprusside (1 pmoVL) 10,385 i 111 60 10,227 2 507 inhibited collagen (10 pg/mL)-induced platelet aggregation i 686 9,952 i 118 13.7% 2 2.4% and 17.8% 2 2.8% (n = 3 , respectively.10,452 150 10,123 t 130 300 10,463 i 568 Superoxide dismutase (20 U/mL) did not affect this aggregaIBMX (pmol/L) tion, but it potentiated the antiplatelet activity of sodium 50 7,835 i 514* nitroprusside (66.4% 2 1.3% inhibition, n = 5) without 5,941 100 i 415t 9,952 i 118 affecting that of YC-l (18.9% % 3.9% inhibition, n = 5 ) . 300 2,829 i 89t 9,412 C 420 Effects of YC-I on tail bleeding time of mice. Tail bleed500 1,692 i 132t 8,867 i 294$ ing time of untreated mice was 66.3 % 3.5 seconds (n = 8). 7,181 i 281t 1,000 DMSO (2.5 p u g ) alone had no effect on (78.1 ? 5.5 secPhosphodiesterase activity was measured as described in Materials onds, n = lo), whereas indomethacin (3 mgkg) markedly and Methods. Values are presented as means I SEM (n = 4). prolonged, the tail bleeding time of mice (499.0 2 53.4 * P < .01 as compared with the basal activity. seconds, n = 10). YC-1 (3, 10, and 30 mg/kg) also markedly t P < ,001 as compared with the basal activity. and significantly prolonged the tail bleeding time of mice to P < .05 as compared with thebasal activity. * From www.bloodjournal.org by guest on December 29, 2014. For personal use only. KO ET AL 4232 sodilators, such as sodium nitroprusside and nitroglycerin, are believed to exert their effects via the release of nitric oxide, which stimulates the formation of cGMP by soluble guanylate ~yc1ase.z~ In biologic systems, superoxide dismuGuanylate Cyclase Activity Adenylate Cyclase Activity (pmol cGMPlmg proteinlmin) tase extends the half-life of nitric oxide; therefore, superox(pmol cAMPIrng ide dismutase may promote the effectiveness of nitric oxide Fraction Soluble Lysate proteinlmin) Treatment ____~ by bringing it to its active biologic form.” In contrast. meth28.2 2 6.3 15.1 t 3.3 5.1 t 0.9 None (basal) of soluble guanylate cyclase ylene blue inhibits activation 47.1 2 4.0* PGE, (1pmol/L) by nitric oxide and hemoglobin chelates nitric oxide.x The Forskolin (10 pmol/L) 72.3 2 8.1* antiplateletactivity of sodium nitroprussidewasinhibited Sodium by hemoglobinand potentiated by superoxidedismutase, nitroprusside respectively. However, the antiplatelet activity of YC- 1 was (gmol/L) 38.2 5 4.2* 10 affected by neitherhemoglobinnor superoxide dismutase. 97.8 t 26.0t 100 Thus, YC-l may directly activate platelet soluble guanylate YC-l (pmol/L) cyclase without causing release of nitric oxide. 75.0 I 7 . 2 t 35.6 2 9.6 6 YC-I andsodiumnitroprussidealsoelevatedplatelet 104.0 2 9.3* 51.3 t 9.3t 15 cAMP level. However, YC-I neither activated platelet ade133.9 f 11.4’ 56.2 ? 8.0* 30 nylate cyclase nor inhibited platelet CAMP-phosphodiester190.0 t 21.0* 77.8 t 11.1* 60 5.5 t 2.1 ase activities. It has been reported by Maurice and Haslam’y 271.0 2 20.9* 85.3 -t 8.7* 5.7 t 0.4 150 that cGMPexertsimportant functional effects througha 4.5 t 1.2 300 cGMP-inhibited low Km cAMP phosphodiesterase, an enAdenylate cyclase and guanylate cyclase activitieswere determined zyme known to bepresent in many cells, including platelets. as outlined in Materials andMethods. Values are presented a s means The nitrovasodilator sodium nitroprusside causes small int SEM ( n = 4). creases in cAMP in rabbit platelets, in addition to the ex* P < ,001 as compared with the basal activity. pectedlargeincreases in &MP. In our results,platelet t P < .01 as compared with the basal activity. cAMP levelsincreased by YC-1 and sodiumnitroprusside were not potentiated by IBMX, a nonselective phosphodiesterase inhibitor. In addition, YC- I , sodium nitroprusside, and and concentration-dependent manner. However, YC-1 at a IBMX potentiated cAMP formation causedby PGE, . Thus, concentration 30 pmoVL inhibited more than 70% platelet elevation of platelet cAMP level by YC-l may be mediated aggregation induced by AA but did not affect AA-induced by inhibition of cGMP-inhibited low Km cAMP phosphodithromboxane BZformation. Additionally, YC-1 also did not esterase. inhibit AA-induced prostaglandin D, formation. Thus, In conclusion, YC-l is a direct activator of platelet soluble YC- 1 inhibits collagen-, PAF-, and thrombin-induced thromguanylate cyclase. It may also possess antithrombotic potenboxane B2 formation viaa step beforecyclooxygenase. Phostial in vivo because the tail bleeding times of conscious mice phoinositide breakdown is an important pathway in signal transduction of agonist-induced platelet a c t i ~ a t i o n .This ~ ~ . ~ ~ were prolonged. However, furtherinvestigation of its in vivo antithrombogenic activity is warranted. processgeneratestwoactive products,diacylglycerol and inositol trisphosphate. The latter triggers calcium mobilizaREFERENCES tion from intracellular compartments.26The increaseof intra1, Ross R: The pathogenesis of atherosclerosis-an update. N Engl cellular Ca2’ is very important for both the release reaction J Med 314:488, 1986 and activation of phospholipase Az,which is a rate-limiting 2. 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Berridge MJ: Inositol trisphosphate, diacylglycerol as second messenger. Biochem J 220345, 1984 25. Nishizuka Y: Turnover of inositol phospholipids and signal transduction. Science 225: 1365, 1984 26. Majerus PW, Wilson DB, Connolly TM, Bross TE, Neufeld EJ: Phosphoinositide turnover provides a link in stimulus-response coupling. Trends Biochem Sci 10:168, 1985 27. Waldman SA, Murad F: Cyclic GMP synthesis and function. Pharmacol Rev 39:163, 1987 28. Murphy ME, Sies H: Reversible conversion of nitroxyl anion to nitric oxide by superoxide dismutase. Proc Natl Acad Sci USA 88: 10860, 199I 29. Maurice DH, Haslam RJ: Molecular basis of the synergistic inhibition of platelet function by nitrovasodilators and activators of adenylate cyclase: Inhibition of cyclic AMP breakdown by cyclic GMP. Mol Pharmacol 37:671, 1990 From www.bloodjournal.org by guest on December 29, 2014. For personal use only. 1994 84: 4226-4233 YC-1, a novel activator of platelet guanylate cyclase FN Ko, CC Wu, SC Kuo, FY Lee and CM Teng Updated information and services can be found at: http://www.bloodjournal.org/content/84/12/4226.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. Copyright 2011 by The American Society of Hematology; all rights reserved.
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