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Blood, 1 May 2006, Vol. 107, No. 9, pp. 3572-3574.
Prepublished online as a Blood First Edition Paper on January 5, 2006; DOI 10.1182/blood-2005-12-4811.
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Submitted December 6, 2005
Accepted December 24, 2005
Reduced thromboxane biosynthesis in carriers of toll-like receptor 4 polymorphisms in vivo
Paola Patrignani*, Concetta Di Febbo, Stefania Tacconelli, Valeria Moretta, Giovanna Baccante, Maria G Sciulli, Emanuela Ricciotti, Marta L Capone, Ivana Antonucci, Maria D Guglielmi, Liborio Stuppia, and Ettore Porreca
Departments of Medicine and Aging, G dAnnunzio University, Chieti, Italy
Biomedical Sciences, "G. d'Annunzio" University and "Gabriele d'Annunzio" University Foundation, Chieti, Italy
* Corresponding author; email: ppatrignani{at}unich.it.
The recent demonstration that platelets express a functional toll-like receptor 4(TLR4) prompted us to explore the influence of TLR4 polymorphisms(Asp299Gly alone or in combination with Thr399Ile) on thromboxane(TX)A2 biosynthesis in vivo. In 17 subjects with TLR4 polymorphisms versus 17 wild-type (untreated with aspirin, matched for age, sex and cardiovascular risk factors) intima/media thickness in the common carotid arteries was significantly lower. Average urinary excretion of 11-dehydro-TXB2, an index of systemic biosynthesis of TX, was significantly reduced by 65%. The urinary excretion of 2,3-dinor-6-keto-prostaglandin F1 , an index of systemic biosynthesis of prostacyclin, was marginally depressed but prostacyclin/TXA2 biosynthesis ratio was significantly higher than in wild-type. Selective inhibition of cyclooxygenase-2-dependent prostacyclin(by rofecoxib or etoricoxib) was associated with increased urinary excretion of 11-dehydro-TXB2 in carriers of TLR4 polymorphisms, but not in wild-type, suggesting a restrainable effect of prostacyclin on platelet function in vivo in this setting. Reduced TXA2 biosynthesis may contribute to the protective cardiovascular phenotype of TLR4 polymorphisms.

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[Abstract]
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