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Decreased platelet nitric oxide contributes to increased circulating monocyte-platelet aggregates in hypertension

Authors :
Chrysanthos Zamboulis
Eugenia Gkaliagkousi
Ashish H. Shah
James M. Ritter
Patricia de Winter
Albert Ferro
Silke Becker
Valerie Corrigall
Source :
European Heart Journal. 30:3048-3054
Publication Year :
2009
Publisher :
Oxford University Press (OUP), 2009.

Abstract

Aims The aim of this study was to determine the effect of blood pressure (BP) on platelet nitric oxide (NO) signalling and on formation of circulating monocyte-platelet aggregates (MPA), as well as the role of platelet NO in modulating MPA in hypertension. Methods and results We first examined platelet NO signalling in 23 untreated hypertensive (UH) and 23 normotensive (NT) subjects. Platelets from hypertensives exhibited reduced NO synthase activation by albuterol or collagen, as well as suppressed basal and stimulated NO-attributable cyclic guanosine-3′,5′-monophosphate, compared with NT. In a second study, comprising 106 subjects with a wide BP range, circulating MPA showed a strong positive correlation with BP. On multiple regression analysis, using a model incorporating systolic BP (SBP), diastolic BP, age, lipids, gender, and smoking status, the only independent predictor of MPA was SBP. Nitric oxide synthase inhibition with N G-monomethyl-l-arginine increased MPA in NT but not in hypertensives, whereas the NO donor spermine NONOate (SNO) decreased MPA in NT but not in hypertensives. Platelet P-selectin expression was higher in hypertensives than in NT, and its expression was suppressed by SNO in NT only. Conclusion Platelet NO production and responsiveness are suppressed with raised BP, and this may contribute to the increase in platelet P-selectin and hence in circulating MPA in hypertension.

Details

ISSN :
15229645 and 0195668X
Volume :
30
Database :
OpenAIRE
Journal :
European Heart Journal
Accession number :
edsair.doi.dedup.....60cd73348da5e74a43bada6717684c4b
Full Text :
https://doi.org/10.1093/eurheartj/ehp330