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Cited by 454

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Clinical pharmacology of platelet cyclooxygenase inhibition.

Patrono, C, Ciabattoni, G, Patrignani, P, Pugliese, F, Filabozzi, P, Catella, F, Davì, G, Forni, L·1985·Circulation

Abstract

Nonsteroidal anti-inflammatory drugs and sulfinpyrazone compete dose-dependently with arachidonate for binding to platelet cyclooxygenase. Such a process closely follows systemic plasma drug concentrations and is reversible as a function of drug elimination. Peak inhibition and extent of its reversibility at 24 hr varies consistently with individual pharmacokinetic profile. Inhibition of platelet cyclooxygenase activity by these agents is associated with variable effects on prostaglandin (PG) synthesis in the gastric mucosa and the kidney. Aspirin acetylates platelet cyclooxygenase and permanently inhibits thromboxane (TX) A2 production in a dose-dependent fashion when single doses of 0.1 to 2.0 mg/kg are given. Acetylation of the enzyme by low-dose aspirin is cumulative on repeated dosing. The fractional dose of aspirin necessary to achieve a given level of acetylation by virtue of cumulative effects approximately equals the fractional daily platelet turnover. Serum TXB2 measurements obtained during long-term dosing with 0.11, 0.22, and 0.44 mg/kg aspirin in four healthy subjects could be fitted by a theoretical model assuming identical acetylation of platelet (irreversible) and megakaryocyte (reversible) cyclooxygenase. For a given dose within this range, both the rate at which cumulative acetylation occurs and its maximal extent largely depend upon the rate of platelet turnover. Continuous administration of low-dose aspirin (20 to 40 mg/day) has no statistically significant effect on urinary excretion of either 6-keto-PGF1 alpha or 2,3-dinor-6-keto-PGF1 alpha, i.e., indexes of renal and extrarenal PGI2 biosynthesis in vivo. Whether a selective sparing of extraplatelet cyclooxygenase activity by low-dose aspirin will result in increased antithrombotic efficacy, fewer toxic reactions, or both remains to be established in prospective clinical trials.

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Metadata

Authors
Patrono, C., Ciabattoni, G., Patrignani, P., Pugliese, F., Filabozzi, P., Catella, F., Davì, G., & Forni, L.
Venue
Circulation
Published
1985-12
Volume
72
Issue
6
Pages
1177-1184
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2011861566
Cited by
454
References
25
FWCI
5.35
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Clinical pharmacology of platelet cyclooxygenase inhibition. https://app.cochat.ai/papers/10.1161/01.cir.72.6.1177
The paper
Patrono, C., Ciabattoni, G., Patrignani, P., Pugliese, F., Filabozzi, P., Catella, F., Davì, G., & Forni, L. (1985). Clinical pharmacology of platelet cyclooxygenase inhibition. Circulation. https://doi.org/10.1161/01.cir.72.6.1177

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.