Inhibition And Recovery Of Prostacycun And Thromboxane A After Low-Dose Aspirin
We have compared the inhibitory effects of low-dose aspirin (ASA) on prostaglandin synthesis by vessel walls and platelets. Two groups of volunteers have been studied. Vein biopsies were obtained from five subjects before and at various intervals after 300 or 150 mg ASA. A further group of volunteers received aspirin 40 mg daily. In this group the second vein biopsy was taken three days after commencement of the drug. Prostacyclin synthesis was assessed by a radioimmunoassay (RIA) for 6-keto PGF1α. Platelet thromboxane A2 production was examined by RIA for thromboxane B2 (TXB2) 81-100 per cent inhibition of PgI2 synthesis was apparent 2 hours after 300 or 150 mg ASA. 86 per cent inhibition was still evident at 8 hrs. Simultaneously complete inhibition of platelet TXA2 production persisted more than 24 hrs. At this dose of ASA there is no difference in the initial inhibitory effect of aspirin on platelet and vessel wall cyclooxygenase. Also, in males the prolongation of the bleeding times following ASA does not appear to be the consequence of selective inhibition of TXA2. ASA 40 mg daily produced a cumulative inhibitory effect on TXA2 synthesis. Its effect PgI2 synthesis will be compared with that obtained after a single 300 mg dose ASA.