1. The PI3Kδ Inhibitor Idelalisib Diminishes Platelet Function and Shows Antithrombotic Potential
- Author
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Constantino Martínez, María N. Barrachina, José Rivera, Ángel García, Eduardo Domínguez, María Isabel Loza, Nuria García-Barberá, Sara Troitiño, Irene Izquierdo, Amparo Pérez, Lidia Hermida-Nogueira, Luis A. Morán, Rocío González-Conejero, Johannes A. Eble, and Ana B. Arroyo
- Subjects
Male ,0301 basic medicine ,030204 cardiovascular system & hematology ,Pharmacology ,lcsh:Chemistry ,Mice ,0302 clinical medicine ,Antithrombotic ,Platelet ,lcsh:QH301-705.5 ,Cells, Cultured ,Spectroscopy ,medicine.diagnostic_test ,Biological activity ,General Medicine ,3. Good health ,Computer Science Applications ,platelets ,Female ,GPVI ,Idelalisib ,Blood Platelets ,Class I Phosphatidylinositol 3-Kinases ,Article ,Catalysis ,Inorganic Chemistry ,03 medical and health sciences ,Platelet Adhesiveness ,Fibrinolytic Agents ,Bleeding time ,In vivo ,medicine ,Animals ,Humans ,Physical and Theoretical Chemistry ,Protein Kinase Inhibitors ,Molecular Biology ,Quinazolinones ,business.industry ,Organic Chemistry ,Thrombosis ,PI3K inhibitors ,Mice, Inbred C57BL ,030104 developmental biology ,lcsh:Biology (General) ,lcsh:QD1-999 ,Purines ,P110δ ,Calcium ,business - Abstract
Background: Clinical management of ischemic events and prevention of vascular disease is based on antiplatelet drugs. Given the relevance of phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K) as a candidate target in thrombosis, the main goal of the present study was to identify novel antiplatelet agents within the existing inhibitors blocking PI3K isoforms. Methods: We performed a biological evaluation of the pharmacological activity of PI3K inhibitors in platelets. The effect of the inhibitors was evaluated in intracellular calcium release and platelet functional assays, the latter including aggregation, adhesion, and viability assays. The in vivo drug antithrombotic potential was assessed in mice undergoing chemically induced arterial occlusion, and the associated hemorrhagic risk evaluated by measuring the tail bleeding time. Results: We show that PI3K Class IA inhibitors potently block calcium mobilization in human platelets. The PI3K p110δ inhibitor Idelalisib inhibits platelet aggregation mediated by ITAM receptors GPVI and CLEC-2, preferentially by the former. Moreover, Idelalisib also inhibits platelet adhesion and aggregation under shear and adhesion to collagen. Interestingly, an antithrombotic effect was observed in mice treated with Idelalisib, with mild bleeding effects at high doses of the drug. Conclusion: Idelalisib may have antiplatelet effects with minor bleeding effects, which provides a rationale to evaluate its antithrombotic efficacy in humans.
- Published
- 2021
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