Platelet-Mediated Vasoconstriction: Evidence in Vivo
Serotonin, PG-endoperoxides and thromboxane A2 - released from platelets by collagen for example - contract vascular smooth muscle in vitro. Platelets adhering to subendothelium in vivo undergo the release reaction. Platelet adhesion to subendothelium and concomitant vasoconstriction were therefore measured morphometrically in cross sections of rabbit iliac arteries which had been fixed by perfusion of glutaraldehyde at 110 mm Hg: (l) At 1.25, 2.5, 5, 10 and 20 min after complete denudation of endothelium by balloon catheter injury; (2)l0 min after partial denudation; (3)l0 min after complete denudation in rabbits made thrombocytopenic by injection of a heterologous antibody against platelets. The non-ballooned iliac artery served as control. In sham operated rabbits the vessel diameter (D) as derived from the length of the internal elastic lamina in cross sections was similar for both iliac arteries. (l)l0 min after denudation - when surface coverage with platelets approached 100 % and aggregation was maximal - D was reduced by 28+2% (mean ± SE, η = 20, 2p < 0.001). At 1.25 or 20 min - when few platelets or only degranulated platelets, respectively, adhered - D of ballooned and control arteries were again similar. (2) Localized platelet adhesion caused localized vasoconstriction. The extent of platelet adhesion and vasoconstriction correlated (r = 0.64, n = 44, 2p < 0.001). (5) In thrombocytopenic rabbits surface coverage with 22±7% platelets was associated with reduction of D by only 10+3%.Thus platelets freshly adhering to subendothelium in vivo appear to induce a transient contraction of medial smooth muscle cells during a few minutes.