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Blood, 15 September 2000, Vol. 96, No. 6, pp. 2157-2162
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Contribution of ecto-5'-nucleotidase to the inhibition of
platelet aggregation by human endothelial cells
Yasuko Kawashima,
Toshiro Nagasawa, and
Haruhiko Ninomiya
From the Division of Hematology, the Institute of
Clinical Medicine, and the College of Medical Technology, University of
Tsukuba, Tsukuba, Ibaraki, Japan.
We studied the role of adenosine (Ado), which is generated from
adenine nucleotides via the activity of ecto-5'-nucleotidase (ecto-5'-NT), in the inhibition of platelet aggregation by
endothelial cells (ECs). The enzymatic activity of nucleotidases on
human umbilical vein endothelial cells (HUVECs) was examined with
regard to (1) the inhibition of adenosine diphosphate (ADP)-induced
platelet aggregation and (2) the liberation of inorganic phosphate from adenine nucleotides. Adenosine 5'-monophosphate (AMP) preincubated with HUVECs significantly inhibited ADP-induced platelet aggregation. This was completely blocked by the treatment of HUVECs with a specific
inhibitor of ecto-5'-NT, 5'-[ -methylene] diphosphate (APCP), or by the addition of an A2a receptor
antagonist. Neither nitric oxide nor prostacyclin was involved in this
inhibitory activity, suggesting that Ado generated in the incubation
medium by the activity of 5'-NT on HUVECs inhibited platelet
aggregation. When ADP was incubated on HUVECs, it lost most of its
agonistic activity for platelets. Pretreatment of HUVECs with
APCP at a concentration that abolished ecto-5'-NT activity partially
restored ADP-induced platelet aggregation. Ecto-5'-NT contributes to EC function by inhibiting platelet aggregation in cooperation with ATP
diphosphohydrolase, which degrades ADP to AMP.

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