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
4099.
A
ACTIVITY.
NEW
J.
A.
Irvine,
de
Pharmacologic
(+)
Drug
In the 300
M.
of
PCR
Scotland,
4099
was is
ug/ml)
good.
and
arachidonic
certain
extent.
General
Diagnostics)
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
Bleeding-time
is
200, noted
administered.
are
confirmed
interindividual
important
10
Repeated
of
150, were
Higher
then
Collagen
steady-state
100,
177).
were
5,
hour.
Collagen-induced
parallel
54,
Horm
(100,
tolerance
aggregation
the
inhibition the
Service
International.
doses
mg)
administrations
to of
(1,
levels.
mM)-induced at
days)
corresponding
spite
ADP-induced
1.40
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,
(*)
Scotland.
and
800,
C.
France.
Research
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,
A.
Cognacq-Jay,
placebo
were
(+),
Maffrand,
HBpital
I
EVALUATION
McEwen
J.P.
Phase
significant
Tolerance
1
of
DRUG. J.
Clinique,
Development
placebo
gation
(*),
Kindermans,
course
mg)
with
ANTITHROMBOTIC
Thebault
At
observed
variability. Return is
to
stopped.