Dipyridamole (D) Reduces the Effectiveness of Prostaglandin (PG) I2. PGD2 and PGE1 as Inhibitors of Platelet Aggregation in Human Platelet-Rich Plasma (PRP)
The effectiveness and the mechanism of action of D as an anti-thrombotic agent has been controversial. It has been proposed that D works by potentiating the inhibitory activity of "circulating" PGE2 on platelet aggregation by inhibiting platelet phosphodiesterase activity. To determine whether such potentiation exists in normal humans we studied inhibition of aggregation by the PGs in PRP before and 90 mln after the ingestion of D (100 mg). As expected, we found that the threshold aggregating concentrations of ADP, collagen and arachidonic acid (AA) were unchanged after the ingestion of D. Unexpectedly, the threshold inhibitory concentration of each PG was greater after ingestion of D than before. The mean elevations for PGI2 were 8.8 nM (p<0.05) vs ADP; 9.1 nM(p<0 01) ys collagen; 9.2 nM (p<0.001) vs AA; for FCD2 14.5 nM (p<0.05) vs AA; for PGE, 69 0 nM (p<0.05) vs collagen and 25.9 nM (p<0.05) vs AA. The elevations for PGD2 vs ADP and collagen and for PGE1 vs ADP were not significant. These data do not support the hypothesis that D aces as an anti-thrombotic agent by potentiating the inhibition of platelet aggregation by “circulating” PGIZ. The findings show that ingestion of D Interferes with the inhibitory effect of the PGs and suggest that other mechanisms of action ot D should be investigated.(Supported by the Italian CNR and NIH).