Antiplatelet Drugs · Pharmacology

What is the primary mechanism of action of Aspirin in inhibiting platelet aggregation?

  1. Reversible inhibition of phosphodiesterase
  2. Irreversible acetylation of the cyclooxygenase-1 (COX-1) enzyme
  3. Antagonism of the P2Y12 receptor
  4. Blockade of Glycoprotein IIb/IIIa receptors
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Correct answer: Irreversible acetylation of the cyclooxygenase-1 (COX-1) enzyme

Aspirin irreversibly inhibits COX-1 by acetylating a serine residue near the active site. This prevents the synthesis of Thromboxane A2 (TXA2), a potent inducer of platelet aggregation, for the lifetime of the platelet.

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