Lipopolysaccharide (LPS) stimulation of human monocytes in heparinized whole bloodin vitroas expressed by induced activity of thromboplastin, has been studied. An essential role of arachidonic acid (20:4) release was found. 2,4lsquo;-dibromoacetophenone, a phospholipase A2inhibitor, totally blocked the induced synthesis of thromboplastin activity. Furthermore, nordihydroguaiaretic acid (NDGA), a lipoxygenase inhibitor, had an effect on the LPS-induced thromboplastin synthesis which varied from no inhibition in individuals insensitive to LPS (rsquo;low responderslsquo;), up to 80percnt; inhibition in the person with the highest response (rsquo;high responderlsquo;) to LPS. Platelets were found to be partially responsible for this difference. Thus, monocytes from high responders cross-combined with platelets from low responders wete much less prone to LPS stimulation than they were in the presence of high responder platelets. Intake of acetylsalicylic acid caused a 50percnt; increment of LPS-induced thromboplastin synthesis, and this effect was mediated by platelets.
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