Regular Article
Homocysteine decreases extracellular nucleotide hydrolysis in rat platelets
Rafael Fernandes Zanin
a
, Luís Felipe Ingrassia Campesato
a
, Elizandra Braganhol
a
,
Maria Rosa Chitolina Schetinger
b
, Angela Terezinha de Souza Wyse
a
, Ana Maria Oliveira Battastini
a,
⁎
a
Departamento de Bioquímica, Instituto de Ciências Básicas da Saúde, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
b
Departamento de Química, Centro de Ciências Naturais e Exatas, Universidade Federal de Santa Maria, RS, Brazil
abstract article info
Article history:
Received 6 May 2009
Received in revised from 11 August 2009
Accepted 23 September 2009
Available online 21 October 2009
Keywords:
Platelet
ADP
ATP
Homocysteine
NTPDase
Hyperhomocysteinemia is an independent risk factor for atherothrombotic disease. Platelets play an
important role in cardiovascular disease and release pro-aggregates mediators when activated, such as ADP,
a physiological agonist involved in normal hemostasis and thrombosis. NTPDases and 5'-nucleotidase are
ecto-enzymes that hydrolyze ATP, ADP and AMP to adenosine playing an important role on blood flow and
thrombogenesis by regulating ADP catabolism. The aim of the present study was evaluate extracellular
adenine nucleotide hydrolysis of rat platelets exposed to homocysteine in vitro and in vivo. In vitro
homocysteine (Hcy) in the concentration range of 20 to 500 μM caused a significant decrease on ATP (around
30%) and ADP (around 45%) hydrolysis, respectively, while AMP hydrolysis was not altered. Hcy was not able
to inhibit the hydrolysis of ATP and ADP catalyzed by purified apyrase at the same concentrations tested in
vitro on platelets, suggesting an indirect effect. The inhibitory effect of Hcy on platelets was prevented by
antioxidants agents in vitro and in vivo. Furthermore homocysteine treatment increased platelet aggregation
induced by ADP. Based on the results presented herein, we propose that inhibition of extracellular ATP and
ADP hydrolysis caused by homocysteine was probably due oxidative stress, since antioxidants prevented
such effects. These findings may contribute to an increase platelet response to ADP and consequence
development of thrombotic risk attributed to hyperhomocysteinemia.
© 2009 Elsevier Ltd. All rights reserved.
Intoduction
Homocysteine (Hcy) is a sulphur-containing amino acid that is
closely related to the essential amino acid methionine and to cysteine [1].
Hcy is a metabolic intermediary in the transmethylation dependent of
vitamin B12 and transsulfuration dependent of vitamin B6 [1,2]. In
normal conditions, the plasma levels of Hcy in humans are low (5–
15 μM); however, genetic defects in the enzymes that metabolize Hcy or
environmental factors markedly increase Hcy in the bloodstream [3].
Mild (15-25 μM) and intermediate (25-50 μM) hyperhomocysteinemia
are mainly related to acquired factors whereas the severe hyperhomo-
cysteinemia (> 100 μM) is associated to genetic defects in cystathionine
beta synthase and methylenetetrahydrofolate reductase enzymes [3].
Elevated levels of plasma Hcy are recognized to be an independent
risk factor for the development of atherosclerosis and thrombosis [4,5].
The possible mechanisms by which Hcy must be contributing to
atherogenesis and thrombosis include increased smooth muscle cell
proliferation, cytotoxicity, increased oxidative stress, stimulation of low-
density lipoprotein oxidation, induction of endothelial dysfunction,
enhanced coagulability and platelet activation [6,7]. In this context,
recent studies have demonstrated involvement of Hcy actions linked to
oxidative stress [8,9]. Besides that, some works have related Hcy effects
on platelets function in vitro and in vivo [10–12]. Leoncini et al. [13]
demonstrated that high plasmatic Hcy levels increased Ca
2+
levels and
reduced nitric oxide formation, a potent antiaggregating agent of
platelets. In addition, studies in vitro have shown that Hcy enhances
thromboxane A
2
(TXA
2
) levels [14] and TXA
2
biosynthesis in patients
with homocystinuria [15].
Platelets are fundamental elements to the thrombogenesis process.
Its activation leads to release of pro-aggregating mediators, such as ADP
[16]. Even at micromolar concentration, ADP is able to induce platelet
aggregation in vivo and its hydrolysis to adenosine, an inhibitor of
platelet aggregation, is required to balance the hemostatic system
[17,18]. Nucleotides exert their function through binding to purinergic
receptors (P2), which comprises ionotropic receptors (P2X
1-7
, perme-
able to Na
+
,K
+
and Ca
+2
) or G-protein coupled receptors (eight
subtypes, P2Y
1, 2, 4, 6, 11, 12, 13, 14
) [19]. Platelets express P2Y
12
, P2Y
1
and
P2X
1
, which are involved in the shape changes, aggregation, thrombox-
ane A
2
generation, procoagulant activity, calcium influx, adhesion and
thrombus formation [20].
The importance of adenine nucleotides in homeostasis and thrombosis
is greatly correlated with the essential role of an enzymatic system that
provides an adequate control of these signaling molecules in the extra-
cellular medium. Members of several families of enzymes, known as
ectonucleotidases, are able to hydrolyze extracellular nucleotides to their
Thrombosis Research 125 (2010) e87–e92
⁎ Corresponding author. Departamento de Bioquímica, Instituto de Ciências Básicas
da Saúde, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2600-anexo,
90035-003 Porto Alegre, RS, Brazil. Tel.: +55 51 33085554.
E-mail address: abattastini@gmail.com (A.M. Oliveira Battastini).
0049-3848/$ – see front matter © 2009 Elsevier Ltd. All rights reserved.
doi:10.1016/j.thromres.2009.09.020
Contents lists available at ScienceDirect
Thrombosis Research
journal homepage: www.elsevier.com/locate/thromres