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Platelets play an important role in acute inflamma-
tion. They accumulate and respond to injury by releas-
ing important mediators such as 5-hydroxytryptamine
(5-HT), prostaglandins (PGs) and PAF which contribute
to the inflammatory process. Further Thromboxane A2
(TXA2) formed by platelets have been reported to be a
potent constrictor of blood vessels and an aggregator
of platelets. TXA2 is involved in the pathogenesis of
circulatory shock and cardiac ischaemia associated
with arrythmias (Montrucchio et al., 2000). Human
platelets show affinity binding sites for PAF.
The SAR studies showed that the anti-platelet effect
was due to the presence of a nitro substitution at the
meta position in the phenyl ring. It was concluded
that compounds possessing meta nitrophenyl and
dimethoxy groups in the phenyl ring at ortho and para
positions (e.g. PD5) showed potential for antiplatelet
effects (Table II). The underlying mechanism of their
antiplatelet action is due to their interaction with the
phospholipids of the platelet membrane, thus stabilizing
it against agonist-induced aggregation.
The analgesic and antiplatelet activity of two deri-
vatives of 4-(4-bromophenyl)-4-piperidinol, namely PD3
and PD5, might be due to their PAF receptor antag-
onistic effect which leads to inhibition of the second
messengers IP3, DAG and calcium signaling pathways.
It was observed that compound PD3, 4-(4'-bromo-
phenyl)-4-hydroxy-1-[2-(3''-nitro-phenyl)-2-oxo-ethyl]-
piperidinium bromide, with nitro group at the meta
position was the most active as an analgesic and PD5
,
with an IC50 = 0.06 mM, was the most active compound
against PAF-induced aggregation. Further studies are
required to determine their PAF receptor binding
affinity and effects in COX pathways so as to pursue
their downstream signaling mechanism.
ACKNOWLEDGEMENTS
We thank Higher Education Commission Islamabad
for the financial support of this study. The Institute of
Pharmaceutical Sciences, Riphah International Uni-
versity Islamabad, Pakistan, is highly appreciated for
providing facilities to conduct the antiplatelet studies.
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