Summary
ADP-induced platelet aggregation and shape change were monitored optically in citrated
rabbit platelet-rich plasma (PRP) diluted with isotonic salt solutions. Lithium (Li)
produced a concentration-dependent reduction in the rate of platelet aggregation but
had no discernible effect on the shape change which precedes aggregation. When PRP
was pre-incubated with Li, the inhibitory effect of the ion was independent of the
duration and temperature of the treatment. The inhibitory effect of Li also was observed
in heparinized PRP or when 5-HT was used as the aggregation-inducing agent. When Li
was combined with aggregation inhibitors which enhance platelet cyclic AMP content
either by activating adenylate cyclase or by inhibiting phosphodiesterase, only additive
effects were observed. The inhibitory effect of Li was opposed by added calcium. Kinetic
evaluation of the interaction between Li and Ca indicated that their antagonism was
competitive. Added calcium also displayed competitive antagonism toward the aggregation
inhibiting effect of increased hydrogen ion concentration in the pH range between
6 and 8.