Document Detail

Decreased platelet nitric oxide contributes to increased circulating monocyte-platelet aggregates in hypertension.
MedLine Citation:
PMID:  19687162     Owner:  NLM     Status:  MEDLINE    
AIMS: The aim of this study was to determine the effect of blood pressure (BP) on platelet nitric oxide (NO) signalling and on formation of circulating monocyte-platelet aggregates (MPA), as well as the role of platelet NO in modulating MPA in hypertension.
METHODS AND RESULTS: We first examined platelet NO signalling in 23 untreated hypertensive (UH) and 23 normotensive (NT) subjects. Platelets from hypertensives exhibited reduced NO synthase activation by albuterol or collagen, as well as suppressed basal and stimulated NO-attributable cyclic guanosine-3',5'-monophosphate, compared with NT. In a second study, comprising 106 subjects with a wide BP range, circulating MPA showed a strong positive correlation with BP. On multiple regression analysis, using a model incorporating systolic BP (SBP), diastolic BP, age, lipids, gender, and smoking status, the only independent predictor of MPA was SBP. Nitric oxide synthase inhibition with N(G)-monomethyl-L-arginine increased MPA in NT but not in hypertensives, whereas the NO donor spermine NONOate (SNO) decreased MPA in NT but not in hypertensives. Platelet P-selectin expression was higher in hypertensives than in NT, and its expression was suppressed by SNO in NT only.
CONCLUSION: Platelet NO production and responsiveness are suppressed with raised BP, and this may contribute to the increase in platelet P-selectin and hence in circulating MPA in hypertension.
Eugenia Gkaliagkousi; Valerie Corrigall; Silke Becker; Patricia de Winter; Ashish Shah; Chrysanthos Zamboulis; James Ritter; Albert Ferro
Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European heart journal     Volume:  30     ISSN:  1522-9645     ISO Abbreviation:  Eur. Heart J.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  England    
Other Details:
Languages:  eng     Pagination:  3048-54     Citation Subset:  IM    
Department of Clinical Pharmacology, Cardiovascular Division, King's College London, 3.07 Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, UK.
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MeSH Terms
Arginine / analogs & derivatives,  metabolism
Blood Platelets / metabolism
Blood Pressure / physiology
Hypertension / blood*,  physiopathology
Monocytes / physiology*
Nitric Oxide / biosynthesis,  deficiency*
P-Selectin / metabolism
Platelet Aggregation / physiology*
Signal Transduction / physiology
Grant Support
//British Heart Foundation
Reg. No./Substance:
0/P-Selectin; 0/dimethylarginine; 10102-43-9/Nitric Oxide; 74-79-3/Arginine

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