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Arteriosclerosis, Thrombosis, and Vascular Biology. 2000;20:1724-1728

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2000;20:1724.)
© 2000 American Heart Association, Inc.


Vascular Biology

The Thromboxane Receptor Antagonist S18886 but Not Aspirin Inhibits Atherogenesis in Apo E–Deficient Mice

Evidence That Eicosanoids Other Than Thromboxane Contribute to Atherosclerosis

Antonio J. Cayatte; Yue Du; Jennifer Oliver-Krasinski; Gilbert Lavielle; Tony J. Verbeuren; Richard A. Cohen

From the Vascular Biology Unit (A.J.C., Y.D., J.O.-K., R.A.C.), Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Mass, and Institut de Recherche Servier (G.L., T.J.V.), Suresnes, France.

Correspondence to Richard A. Cohen, MD, Vascular Biology Unit R408, Boston University Medical Center, 80 E Concord St, Boston, MA 02118. E-mail racohen{at}med-med1.bu.edu

Abstract—Atherosclerosis involves a complex array of factors, including leukocyte adhesion and platelet vasoactive factors. Aspirin, which is used to prevent secondary complications of atherosclerosis, inhibits platelet production of thromboxane (Tx) A2. The actions of TxA2 as well as of other arachidonic acid products, such as prostaglandin (PG) H2, PGF2{alpha}, hydroxyeicosatetraenoic acids, and isoprostanes, can be effectively antagonized by blocking thromboxane (TP) receptors. The purpose of this study was to determine the role of platelet-derived TxA2 in atherosclerotic lesion development by comparing the effects of aspirin and the TP receptor antagonist S18886. The effect of 11 weeks of treatment with aspirin (30 mg · kg-1 · d-1) or S18886 (5 mg · kg-1 · d-1) on aortic root atherosclerotic lesions, serum levels of intercellular adhesion molecule-1 (ICAM-1), and the TxA2 metabolite TxB2 was determined in apolipoprotein E–deficient mice at 21 weeks of age. Both treatments did not affect body or heart weight or serum cholesterol levels. Aspirin, to a greater extent than S18886, significantly decreased serum TxB2 levels, indicating the greater efficacy of aspirin in preventing platelet synthesis of TxA2. S18886, but not aspirin, significantly decreased aortic root lesions as well as serum ICAM-1 levels. S18886 also prevented the increased expression of ICAM-1 in cultured human endothelial cells stimulated by the TP receptor agonist U46619. These results indicate that inhibition of platelet TxA2 synthesis with aspirin has no significant effect on atherogenesis or adhesion molecule levels. The effects of S18886 suggest that blockade of TP receptors inhibits atherosclerosis by a mechanism independent of platelet-derived TxA2, perhaps by preventing the expression of adhesion molecules whose expression is stimulated by eicosanoids other than TxA2.


Key Words: thromboxane receptor • atherosclerosis • aspirin • adhesion • thromboxane




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