ADP acts as an agonist of platelet aggregation via specific receptors
which are still to be characterised, Amplification by PCR of a human p
latelet cDNA library confirmed the presence of mRNA of the P2Y1 recept
or in platelets, In order to determine if these P2Y1 receptors mere in
volved in ADP-induced platelet activation, me determined the effects o
f A3P5PS, an antagonist of the P2Y1 receptor, on the binding of [P-33]
2-MeS-ADP, a potent analogue of ADP, We found that A3P5PS displaced ab
out 27% of [P-33]2-MeS-ADP binding, a receptor population which has be
en shown to be resistant to treatment with clopidogrel, a selective an
ti-ADP agent, A3P5PS specifically inhibited 2-MeS-ADP-induced shape ch
ange and calcium increase but did not affect adenylyl cyclase down-reg
ulation, 2-MeS-ADP-induced platelet aggregation was also inhibited by
A3P5PS but was restored when platelets were further activated by serot
onin, a non-aggregating compound, therefore suggesting that P2Y1-media
ted stimulation is an absolute prerequisite for ADP to induce platelet
aggregation and a key event for platelet activation and aggregation t
o occur, These results therefore show that ADP-induced aggregation can
not be attributed to activation of P2Y1 alone, but must be attributed
to the simultaneous activation of the high affinity receptor (P2Y1) an
d a low affinity receptor of ADP (still to be discovered), each of the
m essential, but neither able to trigger aggregation alone. (C) 1998 F
ederation of European Biochemical Societies.