Thrombosis |
2-Adrenergic AgonistPotentiated Platelet Activation
From the Department of Physical Therapy, Chang Gung University (J.-S.W.), and the Department of Medical Technology, Foo Yin Institute of Technology (L.-J.C.), Taiwan, ROC.
Correspondence to Assistant Professor Jong-Shyan Wang, Department of Physical Therapy, Chang Gung University, 259 Wen-Hwa 1 Rd, Kwei-Shan, Tao-Tuan, Taiwan 333, ROC. E-mail s5492{at}mail.cgu.edu.tw
AbstractVigorous exercise
transiently increases the risk of primary cardiac arrest. Strenuous,
acute exercise can also increase the release of plasma
epinephrine. Previous investigations have indicated that
epinephrine can potentiate platelet activation by
activating platelet
2-adrenoceptors. This study
investigated how strenuous, acute exercise affects
2-adrenergic agonistpotentiated platelet
activation by closely examining 15 sedentary men who exercised
strenuously on a bicycle ergometer. Before and immediately after
exercise, platelet adhesiveness on fibrinogen-coated surfaces,
[Ca2+]i in platelets, the number and
affinity of
2-adrenergic sites on the platelet
surface, and plasma catecholamine levels were determined.
The results of this study can be summarized as follows: (1) The
affinity of
2-adrenergic receptors on platelets
decreases while the maximal binding number significantly increases
after strenuous exercise, thereby correlating with the rise in plasma
catecholamine levels. (2) Basal, clonidine-treated,
ADP-treated, and clonidine plus ADPtreated adhesiveness and
[Ca2+]i in platelets increased after
strenuous exercise. (3) Strenuous exercise is associated with higher
percentages of ADP- and clonidine plus ADPenhanced platelet
adhesiveness and [Ca2+]i than at rest. (4)
The synergistic effects of clonidine on ADP-enhanced platelet
adhesiveness and [Ca2+]i after strenuous
exercise are much greater than those at rest. Therefore, we conclude
that strenuous, acute exercise enhances platelet activation,
possibly by altering the performance of platelet
2-adrenergic receptors, facilitating the ability of
ADP-activated fibrinogen receptors, and enhancing fibrinogen
binding to platelet fibrinogen receptors.
Key Words: exercise platelets adhesiveness [Ca2+]i catecholamines
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