5'-N-Ethylcarboxamidoadenosine (NECA) Is A Potent, Stereospecific Inhibitor Of Human Platelet Aggregation
Adenosine is a vasodilator, and also inhibits platelet aggregation apparently by acting at an external membrane receptor to increase levels of platelet cyclic AMP. Certain analogues of adenosine retain activity as vasodilators, and also inhibit platelet aggregation by raising levels of platelet cyclic AMP. NECA is an extraordinarily potent vasodilator, so its effects on human platelet function were tested.NECA (1 μM) inhibited human platelet aggregation induced by ADP, 5-HT, thrombin and adrenaline mere powerfully than adenosine (1 μM). NECA, even at micrcmolar concentrations, was 5 to 10 times more potent than adenosine as an inhibitor of aggregation induced by ADP (5μM or 200μM) or adrenaline (200μM). NECA (Ka = 0.95μM) caused increases in levels of platelet cyclic AMP, which could be competitively inhibited by theophylline (Ki = 8μM), an adenosine receptor antagonist. However, here NECA was only about 1.3 times more potent than adenosine (Ka = 1.2μM). The effects of NECA, like those of adenosine, were completely stereospecific, the L enantiomer of NECA being inactive. NECA (10μM) did not prevent inhibition of PGE1-stimulated adenylate cyclase by ADP (5 μM).NECA is the most potent analogue of adenosine yet tested on human platelets, and is the first example of a 5' modification to retain significant inhibitory potency.