Indobufen activity on intraplatelet arachidonic acid metabolism

Indobufen activity on intraplatelet arachidonic acid metabolism

144 THROMBOSIS RESEARCH 1986 Suppl. VI, 285 INCKXWEN ACTIVITYON INTRAPLATELET ARACHICDJIC ACIDMETAEUI9l AbbateR.,FavillaS., PanettaA., Pinto S., G...

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144

THROMBOSIS RESEARCH

1986

Suppl. VI,

285 INCKXWEN ACTIVITYON INTRAPLATELET ARACHICDJIC ACIDMETAEUI9l AbbateR.,FavillaS., PanettaA., Pinto S., GensiniG.F. and Neri SerneriG.G. ClinicaMica

I, Universityof Florence,Florence,Italy.

The effects of 8 concentrations (fron5 ng/ml to 20 ug/ml) of indcbufen on intraplatelet arachidonic acid (AA)metabolismwere investigated in vitro.The experimentswere carriedout on washed platelets, fran 9 healthyyoung subjects.The platelet llets~t-e incubatedwith indobufenor dilutionfluid for 5 min. at 37" C, labeledwith 1-l$ C AA (1~4) and stinulated with thrarbin(5 NIH U/ml). The AA metaboliteswere separatedand identifiedby HPLC. Five ng/ml concentration induceda 7.5t3.2%inhibitionof TxE$ production, the I.C.50 was 0.250 pg/ml and an inhibitoryeffectof-k% was found alreadyat 2.5yg/ml. The ccnpleteinhibition of cyclooxygenase(CO) was obtained at 10 bg /ml concentrationof indcbufen. The relationshipbe-n TxB2 inhibitionand log drug concentrationwas linear (r-=0.97,pc 0.001). The metabolizaticn of AA throughlipoxygenase (LO1 increased after incubationwith indcbufen, with an increaseof 50 % at 250 pg/ml and of 83 % at 2@g/ml concentration. The % of the increasewas linearlyrelatedwith the log drug concentration(r= 0.56, p C 0.01). These findingsshm that even at very 1~ concentrations indcbufeninducesa decreaseof COP activity with a parallelincreaseof LOP. At drug concentrations of the same order of magnitudeof those reportedafterdrug acininistration in vivo, a ccnpleteinhibitionof TxA2 prod&ion occurred.

286 PCR

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A

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good.

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extent.

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is

biological

tolerance.

administration

gation

compared

steady-state, compared

to

For

dose,

baseline

significant placebo

in

Bleeding-time

increases

control

for

values

any 8,

55

%

aggregation

of

dose

+2

and

65

and

8

24th

2,

+5

hours.

with

inhibition

and

bleeding-time

requires

uM)

ADP

200,

doses

and

7

days

after

and

5

platelet

to

aggregation. treatment

also

7

aggre-

respectively. is

a 1,

placebo-

clinical after

intergroup

platelet

0.5, to

(Simplate

good

induced

mg

aggre-

0.2,

inhibited

reached

aggregation

of

(0.1,

double-blind

5uM

300

single,

platelet

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is

200, noted

administered.

are

confirmed

interindividual

important

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of

150, were

Higher

then

Collagen

steady-state

100,

177).

were

5,

hour.

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parallel

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(100,

tolerance

aggregation

the

inhibition the

Service

International.

doses

mg)

administrations

to of

(1,

levels.

mM)-induced at

days)

corresponding

spite

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1985, 1000

900,

pharmacological

inhibition

in

at 15

ascending biological

Haemostas.

all

observed

prolonged over

at

0.70,

is

mg

35

of

hours

(0.30,

not 300

with to

5

activity

200,

(100,

days

acid

Residual

controlled

and

Chigot,

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Scotland.

and

800,

C.

France.

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single

clinical

600,

PHARMACOLOGICAL

lnveresk

Dundee,

(Thromb.

OF

Recherche,

(5)

Paris.

400,

AND

Bouloux, C. Jacob,

C.

Sanofi

studies,

inhibition

2

(g),

Roncucci,

Good

(200,

Significant

TOLERANCE

Hospital,

activity

doses

between

OF McGraw

controlled

administered.

rising

observed

R.

Ninewells

pharmacological

controlled,

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Cognacq-Jay,

placebo

were

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HBpital

I

EVALUATION

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J.P.

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significant

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placebo

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with

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observed

variability. Return is

to

stopped.