Inhibition of long-chain fatty acid metabolism does not affect platelet aggregation responses

Autor: Scott R. Willoughby, Jennifer A. Kennedy, Geraldine A. Murphy, Yuliy Y. Chirkov, Larissa Chirkova, John D. Horowitz
Rok vydání: 1998
Předmět:
Zdroj: European Journal of Pharmacology. 356:207-213
ISSN: 0014-2999
DOI: 10.1016/s0014-2999(98)00527-5
Popis: A number of anti-anginal agents (perhexiline, amiodarone, trimetazidine) have been shown to inhibit myocardial carnitine palmitoyltransferase-1, which controls access of long-chain fatty acids to mitochondrial sites of β-oxidation. In view of clinical data suggesting that perhexiline improves symptomatic status in unstable angina pectoris, and the known role of mitochondrial β-oxidation in platelet metabolism, we compared the platelet carnitine palmitoyltransferase-1 inhibitory and putative anti-aggregatory effects of perhexiline, amiodarone and trimetazidine with those of specific carnitine palmitoyltransferase-1 inhibitors: etomoxir and hydroxyphenylglyoxylate in both normal subjects and patients with stable angina. All of the compounds examined inhibited platelet carnitine palmitoyltransferase-1 activity; rank order of potency etomoxir>malonyl-CoA>hydroxyphenylglyoxylate>amiodarone≥ perhexiline>trimetazidine. However, only perhexiline, amiodarone and trimetazidine inhibited platelet aggregation. We conclude that (a) the carnitine palmitoyltransferase-1 inhibitors perhexiline, amiodarone and trimetazidine exert significant anti-aggregatory effects which may be therapeutically relevant and, (b) these effects are independent of carnitine palmitoyltransferase-1 inhibition.
Databáze: OpenAIRE