[Changes in hemostasis associated with metastatic processes].
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Biomedical subjects
Publications and source records attributed to A Ordinas.
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Low concentrations of wheat germ agglutinin (4 micrograms/ml) have been shown to act synergistically to induce platelet aggregation with epinephrine, collagen, arachidonate and ionophore A23187. Aggregation ceased on the addition of the haptenic sugar N-acetylglucosamine at any time following the onset of aggregation with these agonists and a small degree of disaggregation was observed during the reversible first wave with the biphasic aggregating agents epinephrine and ADP. Cyclooxygenase inhibitors such as indomethacin and aspirin blocked the second wave of aggregation with the biphasic aggregating agents epinephrine and ADP but a synergistic response continued to be shown with the first wave in the presence of these inhibitors. Release of [14C]serotonin and the mobilization of [3H]arachidonate by epinephrine and collagen were markedly stimulated in the presence of wheat germ agglutinin but there was no increase of either radiolabel in the case of ADP. Platelet shape change, but not aggregation, occurred with low levels of wheat germ agglutinin and the synergistic response with ADP, collagen or ionophore A23187 occurred without further shape change. Wheat germ agglutinin did not affect the basal or stimulated levels of cyclic AMP. The membrane fluidity of platelets was not affected by the lectin or by thrombin as shown by the lack of change in fluorescence polarization with diphenylhexatriene. It is suggested that the binding of wheat germ agglutinin to the platelet surface induces platelet activation by mechanisms similar to those of other agonists and that it may affect the distribution of membrane-bound Ca2+ by a reversible perturbation of the platelet membrane.
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Platelets from approximately 50% (7/16) of normal individuals have been shown to have greater sensitivity to aggregation induced by critical threshold concentrations of three human tumor cell lines. These results may have implications for the genetics and epidemiology of human neoplastic disease.
The Baumgartner perfusion apparatus has been applied to the study of the interaction of platelets and tumor cells and their attachment to subendothelial structures. Cells derived from an anaplastic murine tumor (Hut 20 line) induced platelet aggregation and were included in platelet thrombi that deposited on vascular subendothelium in perfusion experiments with heparinized human blood. In contrast, perfusion of blood samples containing cells from a line derived from a human epithelial carcinoma of the lung (A549 line), which did not interact with platelets, resulted in the deposition of platelets alone, with no tumor cells or blood cells other than platelets being observed in the thrombus. Extremely large platelet-tumor cell thrombi were found at the vascular surface in Hut 20 perfusions using vessel segments which had been treated with alpha-chymotrypsin. These large heterogeneous thrombi perturbed blood flow through the system and entrapped both erythrocytes and white cells. In order to quantitate the deposition of tumor cells, Hut 20 cells were labeled with 125I-deoxyuridine and perfused in whole blood at a concentration of 3.7x10(5)/ml. Tumor cell incorporation into platelet-tumor cell thrombi on chymotrypsinized segments yielded about 30,000 cpm/mg of vascular tissue but this value was reduced some 2 orders of magnitude by the inclusion of PGE1 (1 ng/ml of perfusing blood; 2.8 microM) in parallel samples. Aspirin at 100 microM reduced tumor cell-dependent platelet aggregation but did not decrease the platelet-dependent deposition of radiolabeled Hut 20 cells on vascular subendothelium, suggesting the release reaction may not be of major significance in this interaction. Tumor cell-induced platelet aggregation was not observed in a perfusion experiment using blood from a patient with severe von Willebrand's disease. However addition of 0.1 vol of ABO-compatible, heterologous plasma as a source of factor VIII to the von Willebrand blood sample restored the platelet-dependent deposition of radiolabeled tumor cells to control values.
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Several lectins have been studied for their effects on the interaction of thrombin with human platelets. Wheat germ agglutinin, concanavalin A and Ricinus communis lectin increased the number of high affinity sites for diisopropylphosphothrombin on washed platelets from 3000 to about 12 000 but the binding affinities were unchanged (Kd approx 4 nM). Two other lectins, Lens culinaris and Bandieria simplicifolia, were without effect. (2) Using formalinized platelets to avoid possible complications of the platelet release reaction, wheat germ agglutinin showed a marked increase (5-fold) in the binding of active thrombin, peanut agglutinin had no effect while Ricinus communis and :Bandieria simplicifolia showed marginal increases (2-fold). Thrombin binding was decreased to about one quarter with Lens culinaris, Phaseolus vulgaris and concanavalin A. (3) Wheat germ agglutinin caused a synergistic increase of platelet aggregation at low concentrations of thrombin (12.5 mU/ml) and ADP (1 microM), both in the absence and presence of added fibrinogen, but had no effect on ristocetin-induced aggregation.
Two different mechanisms of aggregation of heparinized human platelet-rich plasma have been identified with two tumor cell lines: In neither case are these mechanisms dependent on platelet-derived ADP. U87MG cells from a glioblastoma line of human origin caused a single irreversible wave of aggregation simultaneously with the onset of platelet secretion, and this was inhibited by heparin and hirudin but not by apyrase or phospholipase D. In contrast, Hut 20 cells from an undifferentiated tumor cell line of murine origin gave an initial reversible wave followed by a second irreversible wave, which then led to secretion. The first wave of platelet aggregation was unaffected by heparin or hirudin but was inhibited by apyrase, and the second wave was inhibited by phospholipase D. Citrate caused irreversible inhibition with either cell line, and aggregation did not occur with gel filtered platelets. These results suggest that platelet aggregation by the Hut 20 line is initially dependent on ADP released from the tumor cells, whereas aggregation induced by the U87MG line is dependent on a procoagulant activity of the tumor cell surface.
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