Adrenomedullin is a biologically active peptide released from the vascular
wall, which increases blood flow through its vasorelaxant effects and preve
nts platelet activation by stimulation of nitric oxide synthesis. The prese
nt study demonstrates that activated platelets suppress adrenomedullin secr
etion from vascular endothelial cells by releasing a factor that was identi
fied as transforming growth factor (TGF)-beta1. Adrenomedullin levels were
reduced by up to 40% and this effect was completely abrogated by the additi
on of latency-associated protein (LAP) or TGF-beta1-neutralizing antibody.
Inhibition of adrenomedullin secretion in response to platelet aggregation
may be an important mechanism in the induction of hemostasis. (C) 2001 Else
vier Science B.V. All rights reserved.