“…This inhibitory action of each diastereoisomer could have been due either to the appearance at high concentrations of a separate inhibitory effect not specific for ADP, or to a low efficacy at the ADP receptor. No inhibitory action was found when platelets were aggregated in the presence of either diastereoisomer by 11,9-epoxymethano PGH2 ( Figure Id), which acts at a prostaglandin receptor (MacIntyre, Salzman & Gordon, 1978), and our evidence therefore suggests that (R)-ADP-a-S and (S)-ADPa-S are partial agonists, each with an intrinsic activity of 0.75, at the ADP receptor mediating aggregation of human platelets. This behaviour is similar to that of adenosine 5'-O-(2-thiodiphosphate) (ADP-,8-S), an ADP analogue in which a terminal (,3) phosphate oxygen is replaced by sulphur, which is also a partial agonist with an intrinsic activity of 0.75 as an aggregating agent (Cusack & Hourani, 1981).…”