Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Platelet Aggregation

Enhancement by cyclosporine A and tacrolimus of serotonin-induced formation of small platelet aggregation

Abstract

Cyclosporine A (CsA) may increase the incidence of thrombotic events, but whether tacrolimus (Tc) has such effects is still unclear. The serotonergic system has been linked to the thrombotic effects of CsA, but a direct effect of CsA on serotonin-induced platelet aggregation has not been demonstrated because of methodological difficulties. We measured the effects of CsA and Tc on serotonin-induced platelet aggregate formation by particle counting using light scattering. CsA and Tc both enhanced serotonin-induced formation of small platelet aggregates, however, neither CsA nor Tc affected aggregation induced by high or low concentrations of ADP, with or without addition of a serotonin receptor antagonist. Both CsA and Tc enhance platelet aggregation induced via the serotonin pathway.

Bone Marrow Transplantation (2002) 29, 107–111. doi:10.1038/sj.bmt.1703335

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  1. Teshima T, Miyoshi T, Ono M . Cyclosporine-related encephalopathy following allogeneic bone marrow transplantation Int J Hematol 1996 63: 161 164

    Article  CAS  Google Scholar 

  2. Parra T, de Arriba G . Arribas I et al. Cyclosporine A nephrotoxicity: role of thromboxane and reactive oxygen species J Lab Clin Med 1998 131: 63 70

    Article  CAS  Google Scholar 

  3. Khanna AK, Cairns VR, Becker CG, Hosenpud JD . Transforming growth factor (TGF)-β mimics and anti-TGF-β antibody abrogates the in vivo effects of cyclosporine: demonstration of a direct role of TGF-β in immunosuppression and nephrotoxiciy of cyclosporine Transplantation 1999 27: 882 889

    Article  Google Scholar 

  4. Grace AA, Barradas MA, Mikhailidis DP et al. Cyclosporin A enhances platelet aggregation Kidney Int 1987 32: 889 895

    Article  CAS  Google Scholar 

  5. Fishman SJ, Wylonis LJ, Glickman JD et al. Cyclosporin A augments human platelet sensitivity to aggregating agents by increasing fibrinogen receptor availability J Surg Res 1991 51: 93 98

    Article  CAS  Google Scholar 

  6. Haller H, Spies K, Lindschau C et al. The effect of cyclosporine on calcium, protein kinase C, and sodium-proton exchange in platelets Transplantation 1994 57: 1516 1520

    Article  CAS  Google Scholar 

  7. Mysliwiec J, Azzadin A, Chabielska E et al. The effect of tacrolimus (FK506) and cyclosporin A (CyA) on peripheral serotonergic mechanisms in uremic rats Thromb Res 1996 83: 175 181

    Article  CAS  Google Scholar 

  8. Muraki T, Taka T, Noguch T et al. Effects of cyclosporine and FK506 on in vitro high shear-induced platelet reactivity in rat and human non-anticoagulated blood Transplantation 1998 65: 1132 1134

    Article  CAS  Google Scholar 

  9. Reis F, Tavares P, Rito LC et al. Platelet activation is increased in cyclosporin A-induced hypertensive rats J Cardiovasc Pharmacol 2000 36: 56 64

    Article  CAS  Google Scholar 

  10. Tezcan H, Zimmer W, Fenstermaker R et al. Severe cerebellar swelling and thrombotic thrombocytopenic purpura associated with FK506 Bone Marrow Transplant 1998 21: 105 109

    Article  CAS  Google Scholar 

  11. Born GVR . Aggregation of blood platelets by adenosine diphosphate and its reversal Nature 1962 194: 927 929

    Article  CAS  Google Scholar 

  12. Ozaki Y, Satoh K, Yatomi Y et al. Detection of platelet aggregates with a particle counting method using light scattering Anal Biochem 1994 218: 284 294

    Article  CAS  Google Scholar 

  13. Qi R, Ozaki Y, Satoh K et al. Intracellular levels of cyclic AMP and cyclic GMP differentially modify platelet aggregate size in human platelets activated with epinephrine or ADP J Cardiovasc Pharmacol 1996 28: 215 222

    Article  CAS  Google Scholar 

  14. Suehiro A, Yoshimoto H, Higasa S, Kakishita E . Platelet aggregating activity of plasma in patients with thrombotic thrombocytopenic purpura evaluated by a particle counting method using light scattering Int J Hematol 1999 70: 40 46

    CAS  PubMed  Google Scholar 

  15. Satoh K, Ozaki Y, Qi R et al. Factors that affect the size of platelet aggregates in epinephrine-induced activation: a study using the particle counting method based upon light scattering Thromb Res 1996 81: 515 523

    Article  CAS  Google Scholar 

  16. Tohgi H, Takahashi H, Watanabe K et al. Development of large platelet aggregates from small aggregates as determined by laser-light scattering: effects of aggregant concentration and antiplatelet medication Thromb Haemost 1996 75: 838 843

    Article  CAS  Google Scholar 

  17. Takada Y, Takada A, Urano T . MCI-9042, a new selective antagonist of serotonergic (5-HT2A) receptors Cardiovasc Drug Rev 1997 15: 102 121

    Article  Google Scholar 

  18. Zarifian A, Meleg-Smith S, O'Donovan R et al. Cyclosporine-associated thrombotic microangiopathy in renal allografts Kidney Int 1999 55: 2457 2466

    Article  CAS  Google Scholar 

  19. Yee GC . Pharmacokinetic and pharmacodynamic studies of cyclosporin in bone marrow transplantation Transplant Proc 1990 22: 1327 1330

    CAS  Google Scholar 

  20. Bekersky I, Dressler D, Alak A et al. Comparative tacrolimus pharmacokinetics: normal versus mildly hepatically impaired subjects J Clin Pharmacol 2001 41: 628 635

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Suehiro, A., Sawada, A., Hasegawa, Y. et al. Enhancement by cyclosporine A and tacrolimus of serotonin-induced formation of small platelet aggregation. Bone Marrow Transplant 29, 107–111 (2002). https://doi.org/10.1038/sj.bmt.1703335

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.bmt.1703335

Keywords

Search

Quick links