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Certain analogues of adenosine have been shown to inhibit ADP-induced platelet aggregation. We therefore studied the in vitro effect of 3′5′ADP and coenzyme A on human platelet aggregation and [14C]-serotonin release reaction induced by the addition of ADP, thrombin, collagen and epinephrine to human platelet rich plasma (PRP). It was found that coenzyme A Li3·2H2O at a concentration of 0.12 mM strongly inhibited ADP-induced platelet aggregation of PRP but did not show similar effect on the aggregation of platelets induced by other aggregating agents. The 3′5′ADP which is a part of coenzyme A structure, on the other hand, inhibited both ADP and thrombin induced platelet aggregation. The extent of inhibition of platelet aggregation by coenzyme A and 3′5′ADP was found to depend upon the concentration of the inhibitor and the incubation time. Whereas 3′5′ADP Li2·3H2O at a concentration of 10 μM produced about 70% inhibition of ADP-induced platelet aggregation of human PRP, total inhibition of thrombin induced platelet aggregation was observed when platelets were incubated with 60 μM of 3′5′ADP. The 3′5′ADP also inhibited the [14C]-adeonsine uptake by platelets in a concentration dependent manner. The inhibitory potency of 3′5′ADP on platelet aggregation was found to be 10-fold higher than that of N6-2′-0-dibutyryl-cyclic 3′5′-adenosine monophosphate. The inhibition of platelet aggregation by coenzyme A and 3′5′ADP was always accompanied by the inhibition of [14C]-serotonin release reaction. If coenzyme A and 3′5′ADP are indeed physiological inhibitors of platelet aggregation, then aggregation of platelets should depend on metabolic events that regulate the concentration of these agents in blood.

3’5’-Adenosine Diphosphate (3′5′ADP):A Physiological Inhibitor of Platelet Aggregation and Platelet Release Reaction