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Identifying pathways involved in leptin-dependent aggregation of human platelets

Abstract

OBJECTIVE: To investigate the role of phospholipase C (PLC), phospholipase A2 (PLA2), calcium, and protein kinase C (PKC) in mediating leptin-enhanced aggregation of human platelets.

DESIGN: In vitro, ex vivo study.

SETTING: Outpatient's Service for Prevention and Treatment of Obesity at the University Hospital of Messina, Italy.

SUBJECTS: In total, 14 healthy normal-weight male (age 31.4±1.9 y; body mass index 22.7±0.6 kg/m2) subjects.

MEASUREMENTS: Adenosine diphosphate-(ADP-) induced platelet aggregation and platelet free calcium were measured after incubation of platelets with leptin alone (5–500 ng/ml), or leptin (50 and 100 ng/ml) in combination with anti-human leptin receptor long form antibody (anti-ObRb-Ab, 1:800–1:100 dilutions), PLC inhibitor U73122 (3.125–25 μM), PLA2 inhibitor AACOCF3 (1.25–10 μM), or PKC inhibitor Ro31-8220 (1.25–10 μM).

RESULTS: Platelet stimulation with leptin leads to a significant and dose-dependent increase in ADP-induced platelet aggregation and platelet free calcium concentrations. Leptin effects on both platelet aggregation and calcium mobilization were completely abated by the co-incubation with leptin and anti-ObRb-Ab. Leptin-induced platelet aggregation was dose-dependently inhibited by U73122, AACOCF3, or Ro31-8220. The effect of leptin on intracellular calcium was inhibited in a dose-dependent manner by incubation with U73122 and AACOCF3, but not with Ro31-8220.

CONCLUSIONS: Our study confirms that leptin is able to enhance ADP-induced aggregation of human platelets, and raise the possibility that PLC, PKC, PLA2, and calcium could play a relevant role in mediating the proaggregating action of leptin.

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Acknowledgements

This work is partially supported by grants from the Italian Ministry for Education, University and Scientific Research (MIUR).

This paper is dedicated to the memory of Francesco Corsonello, MD, who spent all of his time in research on Geriatric Medicine at the Italian National Research Center on Aging (INRCA).

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Corsonello, A., Malara, A., De Domenico, D. et al. Identifying pathways involved in leptin-dependent aggregation of human platelets. Int J Obes 28, 979–984 (2004). https://doi.org/10.1038/sj.ijo.0802722

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