MCF-7 cells, a metastatic human
breast carcinoma line, caused dose-dependent platelet aggregation in heparinized human platelet-rich plasma (PRP). MCF-7
tumor cell-induced platelet aggregation (TCIPA) was almost blocked by
apyrase (0.5 U/ml) and completely inhibited by
hirudin (5 U/ml). This TCIPA was unaffected by
cysteine proteinase inhibition with
E-64 (10 microM), but was limited by cell pretreatment with
phospholipase A2. MCF-7 cell
suspension caused marked, dose-dependent decrease in plasma recalcification times using normal,
Factor VIII-deficient, and
Factor IX-deficient human plasma. This effect was potentiated in cell lysates but was inhibited in intact cells preincubated with
sphingosine. MCF-7 cell
suspension did not affect the recalcification time of
Factor VII-deficient plasma. Taken together, these data suggest that MCF-7 TCIPA arises from MCF-7
tissue factor activity expression. Trigramim and
rhodostomin, RGD-containing
snake venom peptides which antagonized the binding of
fibrinogen to
platelet membrane glycoprotein IIb/IIIa, prevented MCF-7 TCIPA. Likewise, synthetic
peptide GRGDS as well as
monoclonal antibodies against human
tissue factor,
platelet membrane glycoprotein IIb/IIIa and Ib prevented MCF-7 TCIPA, which was unaffected by control
peptide GRGES. On a molar basis,
trigramin (IC50, 0.1 microM) and
rhodostomin (IC50, 0.03 microM), were about 5,000 and 18,000 times, respectively, more potent than
GRGDS (IC50, 0.54 mM).