Variability in platelet responses to collagen — comparison between whole blood perfusions, traditional platelet function tests and PFA-100

Autor: Martti Syrjälä, Pia Siljander, Aino Lepäntalo, Riitta Lassila, Jürg H. Beer
Rok vydání: 2001
Předmět:
Zdroj: University of Helsinki
ISSN: 0049-3848
DOI: 10.1016/s0049-3848(01)00283-3
Popis: The purpose of this study was to determine if the results obtained in platelet function tests and whole blood perfusions are associated with those in platelet function analyser (PFA)-100. We used collagen type I monomers and fibrils to analyse the distinct roles of glycoprotein (GP) Ia/IIa and other collagen receptors in flowing blood under a high shear rate (1600/s) and in aggregation studies. Also, anticoagulation [citrate vs. d-phenylalanyl-1-prolyl-1 arginine chloromethyl ketone (PPACK)] was varied to enhance the functions of GP Ia/IIa, since it has been shown that the cation-poor environment of citrated blood impairs GP Ia/IIa-dependent platelet recruitment. Large interindividual variability (45-fold) was detected in deposition of platelets in whole blood perfusions over collagen monomers, whereas this variation was only fourfold in fibrils. In PFA, this variation was reduced to 2.5-fold. However, platelet deposition on monomers is associated with epinephrine-enhanced PFA (r=−.49, P
Databáze: OpenAIRE