Sodium fluoride mimics effects of both agonists and antagonists on intact
human platelets by simultaneous modulation of phospholipase C and adenylate
cyclase activity
J Kienast, J Arnout, G Pfliegler, H Deckmyn, B Hoet and J Vermylen
Using intact human platelets, we studied the effect of sodium fluoride
(NaF) on platelet aggregation and release reaction and correlated the
functional changes to intracellular events specific for either agonist-
induced or antagonist-induced platelet responses. At lower concentrations,
with a peak activity between 30 and 40 mmol/L, NaF induced aggregation and
release of adenosine 5'-triphosphate (ATP) that was associated with
increased formation of inositol phosphates, a rise in cytosolic free Ca2+,
and phosphorylation of 20-kd and 40-kd proteins. At NaF concentrations
greater than 40 mmol/L, aggregation and ATP release decreased
dose-dependently in parallel with a decrease in Ca2+ mobilization, whereas
neither inositol phosphate formation nor 40- kd protein phosphorylation was
reduced. At these concentrations, NaF caused a dose-dependent transient
rise in platelet cyclic adenosine 3',5'-monophosphate (cAMP) levels that
was sufficient to account for the observed reduction in Ca2+ mobilization,
aggregation, and ATP release. Stimulated cAMP levels started declining
rapidly within 30 seconds of addition of NaF, however. Similarly,
prostacyclin (PGI2)- induced cAMP accumulation was temporarily enhanced but
subsequently suppressed by NaF, suggesting either stimulation of a cAMP
phosphodiesterase or delayed inhibition of adenylate cyclase. Evidence for
the latter was provided by the finding that NaF pretreatment of platelets
resulted in partial inhibition of PGI2-stimulated cAMP formation in the
presence of the cAMP phosphodiesterase inhibitor 3-
isobutyl-1-methyl-xanthine (MIX). We conclude that NaF exerts a dual
(stimulatory and inhibitory) effect on adenylate cyclase in intact
platelets that is accompanied by simultaneous activation of a
phosphoinositide-specific phospholipase C; in addition, a cAMP
phosphodiesterase may be activated.
Volume 69,
Issue 3,
pp. 859-866,
03/01/1987
Copyright © 1987 by The American Society of Hematology