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Effects of Clopidogrel and Aspirin on Platelet Aggregation, Thromboxane Production, and Serotonin Secretion in Horses

B M Brainard, K L Epstein, D LoBato, S Kwon, M G Papich, J N Moore

J Vet Intern Med. Jan-Feb 2011;25(1):116-22.

PMID: 21143302

Abstract:

Background:
Critically ill horses are susceptible to thrombotic disease, which might be related to increased platelet reactivity and activation.
Objectives:
To compare the effect of oral clopidogrel and aspirin (ASA) on equine platelet function.
Animals:
Six healthy adult horses.
Methods:
Horses received clopidogrel (2 mg/kg p.o. q24h) or ASA (5 mg/kg p.o. q24h) for 5 days in a prospective randomized cross-over design. Platelet aggregation responses to adenosine diphosphate (ADP) and collagen via optical aggregometry, and platelet secretion of serotonin (5HT) and production of thromboxane B(2) (TXB(2) ) by ELISA were evaluated. In horses receiving clopidogrel, high-performance liquid chromatography analysis for clopidogrel and its carboxylic-acid metabolite SR 26334 was performed.
Results:
SR 26334 was identified in all clopidogrel-treated horses, although the parent compound was not detected. Clopidogrel resulted in decreases in ADP-induced platelet aggregation persisting for 120 hours after the final dose. ADP-induced platelet aggregation decreased from a baseline of 70.2 ± 14.7% to a minimum of 15.9 ± 7.7% 24 hours after the final dose (P < .001). Collagen-induced aggregation decreased from a baseline of 93 ± 9.5% to a minimum of 70.8 ± 16.9% 48 hours after the final dose (P < .001). ASA did not decrease platelet aggregation with either agonist. ASA decreased serum TXB(2) from a baseline value of 1310 ± 1045 to 128 ± 64 pg/mL within 24 hours (P < .01).
Conclusions and clinical importance:
Clopidogrel effectively decreases ADP-induced platelet aggregation in horses, and could have therapeutic applications for equine diseases associated with platelet activation.

Chemicals Related in the Paper:

Catalog Number Product Name Structure CAS Number Price
AP144750425 Clopidogrel Related Compound A Clopidogrel Related Compound A 144750-42-5 Price
AP144750527 Clopidogrel Related Compound B Clopidogrel Related Compound B 144750-52-7 Price
AP68559557 Ticlopidine Related Compound B Ticlopidine Related Compound B 68559-55-7 Price
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