PMID- 15951297 OWN - NLM STAT- MEDLINE DCOM- 20060810 LR - 20171116 IS - 1592-8721 (Electronic) IS - 0390-6078 (Linking) VI - 90 IP - 6 DP - 2005 Jun TI - Prevention of platelet-polymorphonuclear leukocyte interactions: new clues to the antithrombotic properties of parnaparin, a low molecular weight heparin. PG - 833-9 AB - BACKGROUND AND OBJECTIVES: Heparin might possess anti-thrombotic properties other than anticoagulation. The aim of the present study was to test the effects of a low-molecular weight heparin, parnaparin, on adhesive molecule-mediated platelet-polymorphonuclear (PMN) leukocyte interactions and on PMN function. DESIGN AND METHODS: Platelets and PMN were isolated from citrated blood from healthy subjects. Pre-activated platelets incubated with PMN under dynamic conditions formed mixed cell aggregates. In previous experiments PMN were stimulated in vitro by purified P-selectin or formyl-methionyl-leucyl-phenylalanine (fMLP). Dual color flow cytometry was used to detect the formation of platelet-PMN mixed cell aggregates, and PMN activation was tested for by measuring L-selectin shedding, tissue factor expression and PMN degranulation. The effect of parnaparin was compared to that of unfractionated heparin. RESULTS: Parnaparin, at a concentration of 0.3-0.8 IUaXa/mL, inhibited the formation of mixed cell aggregates (48.8+/-9.7% of total PMN population) by up to 60% in a concentration-dependent manner, while heparin inhibited aggregation up to 40%. Parnaparin, (0.3-0.8 IUaXa/mL), prevented L-selectin shedding from PMN, which was induced by purified P-selectin (5 mg/mL) or fMLP (0.5 mmol/L) by 65% and 67%, respectively. Inhibition was independent of incubation time (5-20 min). Parnaparin (0.8 IUaXa/mL) also inhibited tissue factor expression on PMN (% of positive cells), which was induced by P-selectin or fMLP (185+/-10 and 241+/-80% of basal value, respectively). Parnaparin protected PMN from degranulation after challenge with either stimulus (>95% inhibition). All the effects of parnaparin were observed with heparin at similar concentrations, although to a lesser extent and were often not significantly different from events in controls. INTERPRETATION AND CONCLUSIONS: In conclusion, the process of depolymerization of heparin to obtain low molecular weight parnaparin resulted in an increased, anticoagulant-independent effect on PMN function. Thus, the overall anti-thrombotic properties of parnaparin may be partly due to a leukocyte-mediated anti-inflammatory effect. FAU - Maugeri, Norma AU - Maugeri N AD - Research Laboratories, Center for High Technology Research and Education in Biomedical Sciences, Catholic University, Campobasso, Italy. normamaugeri2003@yahoo.it FAU - de Gaetano, Giovanni AU - de Gaetano G FAU - Barbanti, Miriam AU - Barbanti M FAU - Donati, Maria Benedetta AU - Donati MB FAU - Cerletti, Chiara AU - Cerletti C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Italy TA - Haematologica JT - Haematologica JID - 0417435 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Fibrinolytic Agents) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (P-Selectin) RN - 126880-86-2 (L-Selectin) RN - 59880-97-6 (N-Formylmethionine Leucyl-Phenylalanine) RN - 9005-49-6 (Heparin) RN - M316WT19D8 (parnaparin) SB - IM MH - Anti-Inflammatory Agents/pharmacology MH - Blood Platelets/*cytology MH - Cell Adhesion MH - Fibrinolytic Agents/*pharmacology MH - Flow Cytometry MH - Heparin/chemistry MH - Heparin, Low-Molecular-Weight/*pharmacology MH - Humans MH - L-Selectin/metabolism MH - N-Formylmethionine Leucyl-Phenylalanine/pharmacology MH - Neutrophils/*cytology MH - P-Selectin/metabolism MH - Platelet Activation MH - Time Factors EDAT- 2005/06/14 09:00 MHDA- 2006/08/11 09:00 CRDT- 2005/06/14 09:00 PHST- 2005/06/14 09:00 [pubmed] PHST- 2006/08/11 09:00 [medline] PHST- 2005/06/14 09:00 [entrez] PST - ppublish SO - Haematologica. 2005 Jun;90(6):833-9.