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Erschienen in: Journal of Cardiovascular Translational Research 1/2014

01.02.2014

Antiplatelet Therapy: Targeting the TxA2 Pathway

verfasst von: P. Fontana, A. Zufferey, Y. Daali, J.-L. Reny

Erschienen in: Journal of Cardiovascular Translational Research | Ausgabe 1/2014

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Abstract

The thromboxane (Tx) A2 pathway is a major contributor to the amplification of the initial platelet activation process. TxA2 mediates its effect through the thromboxane prostanoid (TP) receptor that is expressed not only in platelets, but also in endothelial cells, macrophages, and monocytes, and thus contributes to the development of atherosclerotic lesions. The TxA2 pathway is therefore a major target in the treatment of cardiovascular disease. Aspirin—the most widely used antiplatelet drug—is very effective at inhibiting platelet-derived TxA2 synthesis. However, aspirin’s effects can be overcome by several other soluble agonists such as isoprostanes, which are aspirin-insensitive ligands of the TP receptor that are preferentially produced in diabetes mellitus. Other drugs, with either inhibitory effects on Tx synthase or antagonist effects on TP, have been developed with the hope of providing a better, more complete inhibition of the TxA2 pathway.
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Metadaten
Titel
Antiplatelet Therapy: Targeting the TxA2 Pathway
verfasst von
P. Fontana
A. Zufferey
Y. Daali
J.-L. Reny
Publikationsdatum
01.02.2014
Verlag
Springer US
Erschienen in
Journal of Cardiovascular Translational Research / Ausgabe 1/2014
Print ISSN: 1937-5387
Elektronische ISSN: 1937-5395
DOI
https://doi.org/10.1007/s12265-013-9529-1

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