PMID- 15956282 OWN - NLM STAT- MEDLINE DCOM- 20051011 LR - 20220311 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 106 IP - 6 DP - 2005 Sep 15 TI - Tumor necrosis factor-alpha as trigger of platelet activation in patients with heart failure. PG - 1992-4 AB - The clinical history of patients with heart failure (HF) is complicated by arterial thromboembolism. Platelet activation is reported in this population, but the underlying mechanism has not been clarified. Forty-two patients with HF scored according to New York Heart Association (NYHA) classification had higher levels of collagen-induced platelet aggregation, platelet tumor necrosis factor-alpha (TNF-alpha) receptor expression, and serum thromboxane B2 and higher circulating levels of TNF-alpha than 20 healthy subjects. Coincubation of platelets from HF patients with an inhibitor of TNF-alpha receptors significantly reduced collagen-induced platelet aggregation. In vitro study demonstrated that TNF-alpha amplified the platelet response to collagen; this effect was inhibited by TNF-alpha receptor antagonist and inhibitors of arachidonic acid metabolism. This study showed that TNF-alpha behaves as a trigger of platelet activation through stimulation of the arachidonic acid pathway. FAU - Pignatelli, Pasquale AU - Pignatelli P AD - University of Rome La Sapienza, Divisione IV Clinica Medica, Policlinico Umberto I, Viale del Policlinico, 00185, Rome, Italy. FAU - De Biase, Luciano AU - De Biase L FAU - Lenti, Luisa AU - Lenti L FAU - Tocci, Giuliano AU - Tocci G FAU - Brunelli, Alessandra AU - Brunelli A FAU - Cangemi, Roberto AU - Cangemi R FAU - Riondino, Silvia AU - Riondino S FAU - Grego, Susanna AU - Grego S FAU - Volpe, Massimo AU - Volpe M FAU - Violi, Francesco AU - Violi F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050614 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Tumor Necrosis Factor-alpha) RN - 27YG812J1I (Arachidonic Acid) RN - 57576-52-0 (Thromboxane A2) RN - 9007-34-5 (Collagen) SB - IM MH - Aged MH - Arachidonic Acid/metabolism MH - Blood Platelets/cytology/physiology MH - Case-Control Studies MH - Cells, Cultured MH - Collagen/pharmacology MH - Female MH - Heart Failure/*blood/etiology MH - Humans MH - Male MH - Middle Aged MH - *Platelet Activation MH - Receptors, Tumor Necrosis Factor/antagonists & inhibitors MH - Thromboxane A2/blood MH - Tumor Necrosis Factor-alpha/*physiology EDAT- 2005/06/16 09:00 MHDA- 2005/10/12 09:00 CRDT- 2005/06/16 09:00 PHST- 2005/06/16 09:00 [pubmed] PHST- 2005/10/12 09:00 [medline] PHST- 2005/06/16 09:00 [entrez] AID - S0006-4971(20)63420-6 [pii] AID - 10.1182/blood-2005-03-1247 [doi] PST - ppublish SO - Blood. 2005 Sep 15;106(6):1992-4. doi: 10.1182/blood-2005-03-1247. Epub 2005 Jun 14.