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Investigation of Platelet Aggregation in Atherosclerosis

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Atherosclerosis

Part of the book series: Methods in Molecular Biology ((MIMB,volume 2419))

Abstract

Platelet activation and aggregation is implicated in all stages of inflammation-related atherosclerosis from the initial steps of endothelial dysfunction and plaque formation, to plaque rupture and atherothrombotic events, such as acute coronary syndrome, myocardial infarction, and ischemic incidences. Platelet aggregometry assays are the mainstream for evaluating and monitoring platelet reactivity in such conditions and for the investigation of prophylactic and therapeutic approaches. The most established methodology is light transmittance aggregometry (LTA). Here we describe the appropriate preparation of platelet suspensions from human blood and the methodology of LTA-based assays that is used for basic and clinical research for monitoring and evaluating the activities of several thrombotic mediators, as well as determining the dose efficacy and safety of several pharmaceutical and nutraceutical compounds intended for therapeutic and prophylactic interventions for atherosclerosis.

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References

  1. Stoke KY, Granger DN (2012) Platelets: a critical link between inflammation and microvascular dysfunction. J Physiol 590:1023–1034. https://doi.org/10.1113/jphysiol.2011.225417

    Article  CAS  Google Scholar 

  2. Lordan R, Tsoupras A, Zabetakis I (2020) Platelet activation and prothrombotic mediators at the nexus of inflammation and atherosclerosis: potential role of antiplatelet agents. Blood Rev 21:100694. https://doi.org/10.1016/j.blre.2020.100694

    Article  CAS  Google Scholar 

  3. Zabetakis I, Lordan R, Tsoupras A (eds) (2019) The impact of nutrition and statins on cardiovascular diseases. Elsevier, London

    Google Scholar 

  4. van der Meijden PEJ, Heemskerk JWM (2019) Platelet biology and functions: new concepts and clinical perspectives. Nat Rev Cardiol 16:166–179. https://doi.org/10.1038/s41569-018-0110-0

    Article  CAS  PubMed  Google Scholar 

  5. Paniccia R, Priora R, Alessandrello Liotta A et al (2018) Platelet function tests: a comparative review. Vasc Health Risk Manag 11:133–148. https://doi.org/10.2147/VHRM.S44469

    Article  Google Scholar 

  6. Tsoupras A, Lordan R, Zabetakis I (2018) Inflammation, not cholesterol, is a cause of chronic disease. Nutrients 10:604. https://doi.org/10.3390/nu10050604

    Article  CAS  PubMed Central  Google Scholar 

  7. Badimon L, Vilahur G (2014) Thrombosis formation on atherosclerotic lesions and plaque rupture. J Intern Med 276:618–632. https://doi.org/10.1111/joim.12296

    Article  CAS  PubMed  Google Scholar 

  8. Kaplan ZS, Jackson SP (2011) The role of platelets in atherothrombosis. Hematol Am Soc Educ Program Book 2011(2011):51–61. https://doi.org/10.1182/asheducation-2011.1.51

    Article  Google Scholar 

  9. Kaplan RC, Frishman WH (2001) Systemic inflammation as a cardiovascular disease risk factor and as a potential target for drug therapy. Heart Dis 3:326–332. https://doi.org/10.1097/00132580-200109000-00009

    Article  CAS  PubMed  Google Scholar 

  10. Li Z, Delaney MK, O'Brien KA et al (2010) Signaling during platelet adhesion and activation. Arterioscler Thromb Vasc Biol 30:2341–2349. https://doi.org/10.1161/ATVBAHA.110.207522

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Tsoupras A, Lordan R, Zabetakis I (2019) Inflammation and cardiovascular diseases. In: Zabetakis I, Lordan R, Tsoupras A (eds) The impact of nutrition and statins on cardiovascular diseases. Elsevier, London

    Google Scholar 

  12. Olas B (2018) Dietary supplements with antiplatelet activity: a solution for everyone? Adv Nutr 9:51–57. https://doi.org/10.1093/advances/nmx014

    Article  PubMed  PubMed Central  Google Scholar 

  13. Olas B (2020) Biochemistry of blood platelet activation and the beneficial role of plant oils in cardiovascular diseases. In: Makowski GS (ed) Advances in clinical chemistry. Elsevier, Cambridge, MA

    Google Scholar 

  14. Choleva M, Boulougouri V, Panara A et al (2019) Evaluation of anti-platelet activity of grape pomace extracts. Food Funct 10:8069–8080. https://doi.org/10.1039/C9FO02138H

    Article  CAS  PubMed  Google Scholar 

  15. Ngo T, Kim K, Bian Y et al (2019) Cyclocurcumin from curcuma longa selectively inhibits shear stress-induced platelet aggregation. J Funct Foods 61:103462. https://doi.org/10.1016/j.jff.2019.103462

    Article  CAS  Google Scholar 

  16. Born GVR (1962) Aggregation of blood platelets by adenosine diphosphate and its reversal. Nature 194:927–929. https://doi.org/10.1038/194927b0

    Article  CAS  PubMed  Google Scholar 

  17. O'Brien JR (1961) The adhesiveness of native platelets and its prevention. J Clin Pathol 14:140–149. https://doi.org/10.1136/jcp.14.2.140

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Tsoupras A, Zabetakis I, Lordan R (2019) Platelet aggregometry assay for evaluating the effects of platelet agonists and antiplatelet compounds on platelet function in vitro. MethodsX 6:63–70. https://doi.org/10.1016/j.mex.2018.12.012

    Article  PubMed  Google Scholar 

  19. Koukouraki P, Tsoupras A, Sotiroudis G et al (2020) Antithrombotic properties of spirulina extracts against platelet-activating factor and thrombin. Food Biosci 37:100686. https://doi.org/10.1016/j.fbio.2020.100686

    Article  CAS  Google Scholar 

  20. Lordan R, Walsh AM, Crispie F et al (2019) The effect of ovine milk fermentation on the antithrombotic properties of polar lipids. J Funct Foods 54:289–300. https://doi.org/10.1016/j.jff.2019.01.029

    Article  CAS  Google Scholar 

  21. Tsoupras AB, Papakonstantinou V, Stamatakis GM et al (2015) Biochemical evaluation of ruthenium-based complexes towards PAF (platelet activating factor) and thrombin. Potent anti-inflammatory agents. Sci Lett J 4:208

    Google Scholar 

  22. Sioriki E, Lordan R, Nahra F et al (2018) In vitro anti-atherogenic properties of N-heterocyclic carbene aurate(I) compounds. ChemMedChem 13:2484–2487. https://doi.org/10.1002/cmdc.201800601

    Article  CAS  PubMed  Google Scholar 

  23. Tsoupras A, Lordan R, Harrington J et al (2020) The effects of oxidation on the antithrombotic properties of tea lipids against PAF, thrombin, collagen, and ADP. Foods 9:385. https://doi.org/10.3390/foods9040385

    Article  CAS  PubMed Central  Google Scholar 

  24. Tsoupras A, O’Keeffe E, Lordan R et al (2019) Bioprospecting for antithrombotic polar lipids from salmon, herring, and boarfish by-products. Foods 8:416. https://doi.org/10.3390/foods8090416

    Article  CAS  PubMed Central  Google Scholar 

  25. EFSA Panel on Dietetic Products & Allergies (2011) Guidance on the scientific requirements for health claims related to antioxidants, oxidative damage and cardiovascular health. EFSA J 9:e05136. https://doi.org/10.2903/j.efsa.2018.5136

    Article  Google Scholar 

  26. O’Kennedy N, Raederstorff D, Duttaroy AK (2017) Fruitflow®: the first European food safety authority-approved natural cardio-protective functional ingredient. Eur J Nutr 56:461–482. https://doi.org/10.1007/s00394-016-1265-2

    Article  CAS  PubMed  Google Scholar 

  27. Uddin M, Biswas D, Ghosh A et al (2018) Consumption of fruitflow® lowers blood pressure in pre-hypertensive males: a randomised, placebo controlled, double blind, cross-over study. Int J Food Sci Nutr 69:494–502. https://doi.org/10.1080/09637486.2017.1376621

    Article  CAS  PubMed  Google Scholar 

  28. Cattaneo M, Cerletti C, Harrison P et al (2013) Recommendations for the standardization of light transmission aggregometry: a consensus of the working party from the platelet physiology sub-committee of ssc/isth. J Thromb Haemost 11:1183–1189. https://doi.org/10.1111/jth.12231

    Article  Google Scholar 

  29. Tsoupras A, Lordan R, Shiels K et al (2019) In vitro antithrombotic properties of salmon (Salmo salar) phospholipids in a novel food-grade extract. Mar Drugs 17:62. https://doi.org/10.3390/md17010062

    Article  CAS  PubMed Central  Google Scholar 

  30. Tsoupras A, Lordan R, Demuru M et al (2018) Structural elucidation of Irish organic farmed salmon (Salmo salar) polar lipids with antithrombotic activities. Mar Drugs 16:176. https://doi.org/10.3390/md16060176

    Article  CAS  PubMed Central  Google Scholar 

  31. Lordan R, Vidal NP, Huong Pham T et al (2020) Yoghurt fermentation alters the composition and antiplatelet properties of milk polar lipids. Food Chem 332:127384. https://doi.org/10.1016/j.foodchem.2020.127384f

    Article  CAS  PubMed  Google Scholar 

  32. Lordan R, O’Keeffe E, Dowling D et al (2019) The in vitro antithrombotic properties of ale, lager, and stout beers. Food Biosci 28:83–88. https://doi.org/10.1016/j.fbio.2019.01.012

    Article  CAS  Google Scholar 

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Acknowledgments

We would like to express our thanks to Prof. Sean Arkins (University of Limerick), Dr. Constantina Nasopoulou (University of the Aegean), and Dr. Eleni Sioriki (Ghent University) for their support in establishing our assay.

Author Contributions

All authors contributed equally to this work.

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Correspondence to Ioannis Zabetakis .

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This chapter is dedicated to Prof. Constantinos A. Demopoulos, Εmeritus Professor at the University of Athens, Greece, our valued teacher, colleague, and friend.

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Lordan, R., Tsoupras, A., Zabetakis, I. (2022). Investigation of Platelet Aggregation in Atherosclerosis. In: Ramji, D. (eds) Atherosclerosis. Methods in Molecular Biology, vol 2419. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-1924-7_21

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  • DOI: https://doi.org/10.1007/978-1-0716-1924-7_21

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  • Publisher Name: Humana, New York, NY

  • Print ISBN: 978-1-0716-1923-0

  • Online ISBN: 978-1-0716-1924-7

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