Krízová P, Rysavá J, Vanícková M, Cieslar P, Dyr J E
Institute of Haematology and Blood Transfusion, First Medical Faculty of Charles University, Prague 2, Czech Republic.
Sb Lek. 2003;104(2):223-9.
Adhesion of blood platelets is one of the major events in haemostatic and thrombotic processes. We studied adhesion of blood platelets on fibrinogen and fibrin dimer sorbed on solid support material (glass, polystyrene). Adhesion was carried on under static and dynamic conditions and measured as percentage of the surface covered with platelets. Within a range of platelet counts in normal and in thrombocytopenic blood we observed a very significant decrease in platelet adhesion on fibrin dimer with bounded active thrombin with decreasing platelet count. Our results show the imperative use of platelet poor blood preparations as control samples in experiments with thrombocytopenic blood. Experiments carried on adhesive surfaces sorbed on polystyrene showed lower relative inaccuracy than on glass. Markedly different behaviour of platelets adhered on the same adhesive surface, which differed only in support material (glass or polystyrene) suggest that adhesion and mainly spreading of platelets depends on physical quality of the surface. While on polystyrene there were no significant differences between fibrin dimer and fibrinogen, adhesion measured on glass support material markedly differed between fibrin dimer and fibrinogen. We compared two methods of thresholding in image analysis of adhered platelets. Results obtained by image analysis of spreaded platelets showed higher relative inaccuracy than results obtained by image analysis of platelets centres and aggregates.
血小板黏附是止血和血栓形成过程中的主要事件之一。我们研究了血小板在吸附于固体支持材料(玻璃、聚苯乙烯)上的纤维蛋白原和纤维蛋白二聚体上的黏附情况。黏附在静态和动态条件下进行,并以覆盖有血小板的表面百分比来衡量。在正常血液和血小板减少血液的一系列血小板计数范围内,我们观察到随着血小板计数的减少,与结合有活性凝血酶的纤维蛋白二聚体上的血小板黏附显著下降。我们的结果表明,在血小板减少血液的实验中,必须使用血小板含量低的血液制剂作为对照样本。在吸附于聚苯乙烯上的黏附表面上进行的实验显示出比在玻璃上更低的相对误差。吸附在仅支持材料(玻璃或聚苯乙烯)不同的同一黏附表面上的血小板表现出明显不同的行为,这表明血小板的黏附以及主要是铺展取决于表面的物理性质。虽然在聚苯乙烯上纤维蛋白二聚体和纤维蛋白原之间没有显著差异,但在玻璃支持材料上测量的纤维蛋白二聚体和纤维蛋白原之间的黏附明显不同。我们比较了黏附血小板图像分析中的两种阈值处理方法。通过铺展血小板的图像分析获得的结果显示出比通过血小板中心和聚集体的图像分析获得的结果更高的相对误差。