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血小板微管在凝块结构形成和收缩力产生中的作用:一项争议性研究

Platelet microtubules in clot structure formation and contractile force generation: investigation of a controversy.

作者信息

Jen C J, McIntire L V

出版信息

Thromb Haemost. 1986 Aug 20;56(1):23-7.

PMID:2877507
Abstract

Whether platelet microtubules are involved in clot retraction/contraction has been controversial. To address this question we have simultaneously measured two clotting parameters, clot structural rigidity and isometric contractile force, using a rheological technique. For recalcified PRP clots these two parameters began rising together at about 15 min after CaCl2 addition. In the concentration range affecting microtubule organization in platelets, colchicine, vinca alkaloids and taxol demonstrated insignificant effects on both clotting parameters of a recalcified PRP clot. For PRP clots induced by adding small amounts of exogenous thrombin, the kinetic curves of clot rigidity were biphasic and without a lag time. The first phase corresponded to a platelet-independent network forming process, while the second phase corresponded to a platelet-dependent process. These PRP clots began generating contractile force at the onset of the second phase. For both rigidity and force parameters, only the second phase of clotting kinetics was retarded by microtubule affecting reagents. When PRP samples were clotted by adding a mixture of CaCl2 and thrombin, the second phase clotting was accelerated and became superimposed on the first phase. The inhibitory effects of microtubule affecting reagents became less pronounced. Thrombin clotting of a two-component system (washed platelets/purified fibrinogen) was also biphasic, with the second phase being microtubule-dependent. In conclusion, platelet microtubules are important in PRP clotted with low concentrations of thrombin, during which fibrin network formation precedes platelet-fibrin interactions. On the other hand they are unimportant if a PRP clot is induced by recalcification, during which the fibrin network is constructed in the presence of platelet-fibrin interactions.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

血小板微管是否参与凝块回缩/收缩一直存在争议。为解决这个问题,我们使用流变学技术同时测量了两个凝血参数,即凝块结构刚度和等长收缩力。对于重新钙化的富血小板血浆(PRP)凝块,这两个参数在添加氯化钙后约15分钟开始同时上升。在影响血小板微管组织的浓度范围内,秋水仙碱、长春花生物碱和紫杉醇对重新钙化的PRP凝块的两个凝血参数均显示出微不足道的影响。对于添加少量外源性凝血酶诱导的PRP凝块,凝块刚度的动力学曲线是双相的,且没有延迟时间。第一阶段对应于不依赖血小板的网络形成过程,而第二阶段对应于依赖血小板的过程。这些PRP凝块在第二阶段开始时开始产生收缩力。对于刚度和力参数,只有凝血动力学的第二阶段受到微管影响试剂的延迟。当通过添加氯化钙和凝血酶的混合物使PRP样品凝固时,第二阶段的凝血加速并叠加在第一阶段上。微管影响试剂的抑制作用变得不那么明显。双组分系统(洗涤的血小板/纯化的纤维蛋白原)的凝血酶凝血也是双相的,第二阶段依赖于微管。总之,血小板微管在低浓度凝血酶凝结的PRP中很重要,在此过程中纤维蛋白网络形成先于血小板-纤维蛋白相互作用。另一方面,如果PRP凝块是通过重新钙化诱导的,它们则不重要,在此过程中纤维蛋白网络是在血小板-纤维蛋白相互作用存在的情况下构建的。(摘要截短至250字)

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