Carretero Marta, Díaz-Ricart Maribel, Fusté Berta, Estebanell Eva, Escolar Ginés, Ordinas Antonio
Servico Hemoterapia y Hemostasia, Hospital Clínic, IDIBAPS, Barcelona, Spain.
Platelets. 2002 Mar;13(2):77-83. doi: 10.1080/09537100120111568.
An experimental model was used to elucidate the basic mechanisms involved in the interaction of platelets with an artificial surface. The role of divalent cations and the involvement of specific platelet membrane receptors were evaluated. Isolated platelets were allowed to interact with a polystyrene surface for 20 min in the presence of divalent cations (Ca2+, Mg2+ or Zn2+), a chelating agent (ethylenediaminetetraacetic, EDTA), and specific antibodies to the main platelet receptors, glycoproteins (GP) Ib and IIb-IIIa. The degree of platelet interaction was evaluated using light and electron microscopy. Morphometric analysis was performed to follow up the progression of platelet shape changes after surface activation. Neither Ca2+ nor Mg2+ influenced the number of adherent platelets or the degree of spreading on the polymer. Only Zn2+ induced a statistically significant increase in the rate of platelet adhesion (P<0.01) with higher proportion of fully spread platelets (P<0.01). Chelation of internal pools of divalent cations did not modify the rates of platelet adhesion but prevented platelet spreading. Presence of monoclonal antibodies to GPIb and GP IIb-IIIa did not result in significant differences in the studied parameters. These results suggest that platelet adhesion onto artificial surfaces, in the absence of flow and plasma proteins, is more dependent on cellular motility, where Zn2+ could play an important role, and less dependent on major receptorial mechanisms.
采用实验模型来阐明血小板与人工表面相互作用的基本机制。评估了二价阳离子的作用以及特定血小板膜受体的参与情况。在二价阳离子(Ca2+、Mg2+或Zn2+)、螯合剂(乙二胺四乙酸,EDTA)以及针对主要血小板受体糖蛋白(GP)Ib和IIb-IIIa的特异性抗体存在的情况下,使分离的血小板与聚苯乙烯表面相互作用20分钟。使用光学显微镜和电子显微镜评估血小板相互作用的程度。进行形态计量分析以跟踪表面激活后血小板形状变化的进展。Ca2+和Mg2+均未影响粘附血小板的数量或在聚合物上的铺展程度。只有Zn2+导致血小板粘附率有统计学意义的增加(P<0.01),完全铺展的血小板比例更高(P<0.01)。二价阳离子内部池的螯合并未改变血小板粘附率,但阻止了血小板铺展。针对GPIb和GP IIb-IIIa的单克隆抗体的存在在所研究的参数中未导致显著差异。这些结果表明,在没有流动和血浆蛋白的情况下,血小板在人工表面上的粘附更多地依赖于细胞运动性,其中Zn2+可能起重要作用,而较少依赖于主要的受体机制。