Evidence map›Paper›PMID 23083103›Full record

ArticleJournal of thrombosis and haemostasis : JTH2012

Modified diadenosine tetraphosphates with dual specificity for P2Y1 and P2Y12 are potent antagonists of ADP-induced platelet activation.

H Chang, I B Yanachkov, E J Dix, Y F Li, M R Barnard, G E Wright, A D Michelson, A L Frelinger

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

H ChangDepartment of Pediatrics, University of Massachusetts Medical School, Worcester, MA, USA.
I B Yanachkov
E J Dix
Y F Li
M R Barnard
G E Wright
A D Michelson
A L Frelinger
Boston Children's Hospital · USGlsynthesis · USUniversity of Massachusetts Chan Medical School · US

Funding

Novel Antithrombotic Diadenosine Tetraphosphate AnalogsR44HL088828 · NHLBI · GLSYNTHESIS, INC. · PI YANACHKOV, IVAN B · 2009 to 2010
$1.5M
Novel Antithrombotic Diadenosine Tetraphosphate AnalogsR43HL088828 · NHLBI · GLSYNTHESIS, INC. · PI YANACHKOV, IVAN B · 2007 to 2007
$333k
Diadenosine Boranotetraphosph(on)ates as Antithrombotic DrugsR43HL081992 · NHLBI · GLSYNTHESIS, INC. · PI YANACHKOV, IVAN B · 2007 to 2007
$300k
NHLBI NIH HHS HL081992NHLBI NIH HHS HL088828NHLBI NIH HHS R43 HL081992NHLBI NIH HHS R43 HL088828NHLBI NIH HHS R44 HL088828
6 · The paper itself

Abstract

backgroundDiadenosine 5',5'''-P(1),P(4)-tetraphosphate (Ap(4)A), a natural compound stored in platelet dense granules, inhibits ADP-induced platelet aggregation. Ap(4)A inhibits the platelet ADP receptors P2Y(1) and P2Y(12), is a partial agonist of P2Y(12), and is a full agonist of the platelet ATP-gated ion channel P2X1. Modification of the Ap(4)A tetraphosphate backbone enhances inhibition of ADP-induced platelet aggregation. However, the effects of these Ap(4)A analogs on human platelet P2Y(1), P2Y(12) and P2X1 are unclear.

objectiveTo determine the agonist and antagonist activities of diadenosine tetraphosphate analogs towards P2Y(1), P2Y(12), and P2X1.

methodsWe synthesized the following Ap(4)A analogs: P(1),P(4)-dithiotetraphosphate; P(2),P(3)-chloromethylenetetraphosphate; P(1)-thio-P(2),P(3)-chloromethylenetetraphosphate; and P(1),P(4)-dithio-P(2),P(3)-chloromethylenetetraphosphate. We then measured the effects of these analogs on: (i) ADP-induced platelet aggregation; (ii) P2Y(1)-mediated changes in cytosolic Ca(2+); (iii) P2Y(12)-mediated changes in vasodilator-stimulated phosphoprotein phosphorylation; and (iv) P2X1-mediated entry of extracellular Ca(2+).

resultsAp(4)A analogs with modifications in the phosphate backbone inhibited both P2Y(1) and P2Y(12), and showed no agonist activity towards these receptors. The dithio modification increased inhibition of P2Y(1), P2Y(12), and platelet aggregation, whereas the chloromethylene modification increased inhibition of P2Y(12) and platelet aggregation, but decreased P2Y(1) inhibition. Combining the dithio and chloromethylene modifications increased P2Y(1) and P2Y(12) inhibition. As compared with Ap(4)A, each modification decreased agonist activity towards P2X1, and the dual modification completely eliminated P2X1 agonist activity.

conclusionsAs compared with Ap(4)A, tetraphosphate backbone analogs of Ap(4)A have diminished activity towards P2X1 but inhibit both P2Y(1) and P2Y(12) and, with greater potency, inhibit ADP-induced platelet aggregation. Thus, diadenosine tetraphosphate analogs with dual receptor selectivity may have potential as antiplatelet drugs.

Indexed as

Adenosine DiphosphateDinucleoside PhosphatesHumansPhosphorylationPlatelet ActivationReceptors, Purinergic P2Y1Receptors, Purinergic P2Y12Adenosine Diphosphatediadenosine tetraphosphateDinucleoside PhosphatesP2RY12 protein, humanReceptors, Purinergic P2Y1Receptors, Purinergic P2Y12

Identifiers

PMID23083103
PMCPMC5704993
OpenAlexW1873668039

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.