The prostaglandin endoperoxide Gz caused rapid aggregation and release of ADP and [14C]serotonin in human platelets. Since the presence of the ADP phosphorylating system creatine phosphate/ creatine phosphokinase markedly inhibited the aggregation caused by the endoperoxide, this effect seemed to be mediated mainly by ADP, which is instantaneously released by the endoperoxide.The prostaglandin G2 counteracted the increasing effect of prostaglandin El on the adenosine 3' : 5'-monophosphate (CAMP) levels in platelet-rich plasma. This effect of prostaglandin G2 was only observed when ADP was released by the endoperoxide. This finding indicates that the effect of prostaglandin G2 on the cAMP levels in platelet-rich plasma is principally mediated by ADP. The rapid release of ADP by prostaglandin GZ and the time courses for the effects of the endoperoxide and ADP on the level of cAMP give further evidence for this hypothesis. ADP also caused primary aggregation in the presence of indomethacin, and prostaglandin synthesis inhibitors did not influence the decreasing effect of ADP on the cAMP levels. NZ,OZ -Dibutyrylguanosine 3 ' : 5'-monophosphate did not influence the aggregation and release-reaction caused by ADP and no changes of the cGMP levels were observed after addition of prostaglandin Gz.The blood platelets play an important role for normal hemostasis in human beings. Platelet adhesion to exposed subendothelium and platelet aggregation will plug an injury to the vessel wall and initially stop the bleeding. There is also increasing evidence that the platelets are involved in pathological obstruction of vessels e.g. in myocardial infarction. The mechanism by which the platelets, which are normally separate from each other in the circulation, are transformed in such a way that they aggregate and secrete ADP and serotonin ('the release reaction') is in many parts unknown.It has been shown that cAMP [I] and its dibutyryl derivative [2,3] inhibit platelet aggregation and the release-reaction caused by agents such as ADP, collagen or epinephrine. It was also reported by several groups that prostaglandin El and to some extent high concentrations of prostaglandin E2 inhibit platelet aggregation [4 -71. However, prostaglandin EZ in low concentrations enhanced the aggregation induced by a submaximal dose of ADP [8]. Since prostaglandin El and high concentrations of prostaglandin E2 increased the level of cAMP in platelets Trivial Names and Abbreviations. Prostaglandin El, 1 la,l5(S)-dihydroxy-9-ketoprosta-l3(trans)-enoic acid; prostaglandin endoperoxide Gz, 15-hydroperoxy-9cx,l la-peroxidoprosta-5,13-dienoic acid; Bt2-CAMP: N6,,0z-dibutyryladenosine 3': 5'-rnonophosphoric acid; Bt2-cGMP: N*,O'-dibutyrylguanosine 3' : 5'-monophosphoric acid.while low concentrations of prostaglandin E2 as well as ADP, collagen and epinephrine decreased the content of cAMP in platelets, it was suggested that a decrease of the cAMP level is necessary in order for the aggregation and the release-reaction to occur [8].The unstable prostagland...