Table 2.
Agonist | Time (hour) | Clopidogrel inhibition (% ± SE) | Prasugrel inhibition (% ± SE) | p-value |
---|---|---|---|---|
ADP | 1 | 38 ± 10 | 84 ± 9 | < 0.0001 |
20 μM | 2 | 53 ± 10 | 94 ± 5 | |
4 | 72 ± 8 | 98 ± 1 | ||
16 | 85 ± 3 | 98 ± 1 | ||
SFLLRN | 1 | 2 ± 8 | 62 ± 9 | < 0.0001 |
5 μM | 2 | 9 ± 8 | 64 ± 10 | |
4 | 17 ± 8 | 75 ± 6 | ||
16 | 15 ± 8 | 58 ± 7 | ||
AYPGKF | 1 | 7 ± 3 | 39 ± 9 | < 0.0001 |
160 μM | 2 | 9 ± 3 | 44 ± 11 | |
4 | 13 ± 4 | 53 ± 8 | ||
16 | 11 ± 4 | 41 ± 10 | ||
Collagena | 1 | 34 ± 11 | 56 ± 8 | 0.06 |
5 μg/mL | 2 | 39 ± 9 | 61 ± 6 | |
4 | 58 ± 8 | 67 ± 4 | ||
16 | 48 ± 8 | 61 ± 8 | ||
TAT | 0 | 258 ± 39 | 251 ± 27 | NS |
pmol/L | 1 | 274 ± 82 | 179 ± 23 | NS |
2 | 180 ± 23 | 226 ± 35 | NS | |
4 | 284 ± 34 | 224 ± 15 | NS | |
16 | 151 ± 10 | 301 ± 45 | 0.007 |
Platelets in PRP were isolated from PCI patients at baseline and after 1, 2, 4 and 16 h after bivalirudin infusion and clopidogrel and prasugrel loading dose administration, and were stimulated with 20 μM ADP, 5 μM SFLLRN, 160 μM \AYPGKF and 5 μg/L collagen. TAT levels in plasma were analyzed by ELISA as described in the methods. Data are reported as Mean ± SD and p values were determined by one-way ANOVA repeated measure test. TAT statistical analyses were performed using two-tailed student’s t-test.
Collagen-dependent aggregation was measured with 18 of the 24 PCI patients as shown in Fig. 4A for individual patients.