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Blood, 1 April 2004, Vol. 103, No. 7, pp. 2585-2592.
Prepublished online as a Blood First Edition Paper on November 26, 2003; DOI 10.1182/blood-2003-04-1127.

Submitted April 11, 2003
Accepted November 5, 2003
The plaque lipid lysophosphatidic acid stimulates platelet activation and platelet-monocyte aggregate formation in whole blood: involvement of P2Y1 and P2Y12 receptors
Nadine Haserueck, Wolfgang Erl, Dharmendra Pandey, Gabor Tigyi, Philippe Ohlmann, Catherine Ravanat, Christian Gachet, and Wolfgang Siess*
Institute for Prevention of Cardiovascular Diseases, University of Munich, Munich, Germany
INSERM, Unite 311, EFS-Alsace, Strasbourg, France
Department of Physiology, The University of Tennessee Health Sciences Center, Memphis, TN, USA
* Corresponding author; email: wolfgang.siess{at}klp.med.uni-muenchen.de.
Despite that lysophosphatidic acid (LPA) has been identified as a main platelet-activating lipid of mildly-oxidized LDL and human atherosclerotic lesions, it remains unknown, whether it is capable of activating platelets in blood. We found that LPA at concentrations slightly above plasma levels induces platelet shape change, aggregation and platelet-monocyte aggregate formation in blood. 1-Alkyl-LPA(16:0) was almost 20-fold more potent than 1-acyl-LPA(16:0). LPA directly induced platelet shape change in blood and platelet-rich plasma obtained from all blood donors. However, LPA-stimulated platelet aggregation in whole blood was donor-dependent. It could be completely blocked by apyrase and antagonists of the platelet ADP-receptors P2Y1 and P2Y12. These substances also inhibited LPA-induced aggregation of platelet-rich plasma, and aggregation and serotonin secretion of washed platelets. These results indicate a central role for ADP-mediated P2Y1 and P2Y12 receptor activation in supporting LPA-induced platelet aggregation. Platelet aggregation and platelet-monocyte aggregate formation stimulated by LPA was insensitive to inhibition by aspirin. We conclude that LPA at concentrations approaching those found in vivo can induce platelet shape change, aggregation and platelet-monocyte aggregate formation in whole blood and suggest that antagonists of platelet P2Y1 and P2Y12 receptors might be useful preventing LPA-elicited thrombus formation in patients with cardiovascular diseases.

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