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K Poelstra, JF Baller, MJ Hardonk and WW Bakker
Department of Pathology, University of Groningen, The Netherlands.
We have demonstrated that reduced glomerular adenosine diphosphatase
(ADPase) activity within the rat kidney is associated with an increased
thrombotic tendency. To establish a possible causal relationship between
these intraglomerular events, experiments were conducted to inhibit
adenosine diphosphate (ADP) degradation without influencing other
glomerular prothrombotic or antithrombotic mechanisms. Concurrently, we
studied intraglomerular platelet aggregation. Two ways of selective
inhibition of glomerular ADPase activity were applied: (1) by competitive
substrates (ie, uridine diphosphate [UDP]), and (2) by the nondegradable
ADP analogue ADP-beta-S. Both strategies were used during ex vivo alternate
perfusion of kidneys with platelets and ADP (to test intraglomerular
thrombotic tendency). Each group (n = 6) received different substrates or a
combination of substrates. A significant increase in platelet aggregation
was observed in kidneys after perfusion with platelets and ADP together
with the competitive substrate UDP as compared to perfusions with platelets
and ADP alone (78.5% +/- 9.8% v 27.9% +/- 11.4% glomeruli staining positive
for platelets, P less than .005). In contrast, UDP alone had no effect on
platelet aggregation. Other nucleoside polyphosphates (guanosine
diphosphate and inosine triphosphate) were also effective as competitive
substrates in the ex vivo perfusion model (n = 4). None of these substrates
was capable of increasing ADP-induced aggregation when studied in vitro. In
addition, ADP- beta-S also increased platelet aggregation in the perfusion
model as compared with native ADP (P less than .005). These results show
that selective reduction of ADP degradation in intact kidneys strongly
promotes the intraglomerular proaggregatory condition. It can be concluded
that glomerular ADPase exerts potent antithrombotic activity within the
normal rat kidney.
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| Copyright © 1991 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||