Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Department of Clinical Chemistry and Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Sci Rep. 2018 Jan 23;8(1):1441. doi: 10.1038/s41598-017-19126-8.
It is recognised that platelets respond differently to activation, where a subpopulation of platelets adopt a procoagulant phenotype while others are aggregatory. However, it has not been thoroughly tested whether these subpopulations will remain in maximally activated samples, or if they are merely a result of different platelet sensitivities to agonist activation. Here platelets were activated with gradually increasing concentrations of thrombin and/or the GPVI agonist cross-linked collagen-related peptide (CRP-XL). Platelet activation was investigated using a novel six-colour flow cytometry protocol evaluating exposure of phosphatidylserine, active conformation of the fibrinogen receptor αβ, α-granule and lysosomal release (P-selectin and LAMP-1 exposure), mitochondrial membrane integrity and platelet fragmentation. Upon activation by CRP-XL or thrombin+CRP-XL, platelets formed three differently sized subpopulations. Normal-sized platelets showed high exposure of aggregatory active αβ and intact mitochondria, while the smaller platelets and platelet fragments showed high exposure of procoagulant phosphatidylserine. The distribution of platelets between the differently sized subpopulations remained stable despite high agonist concentrations. All three were still present after 30 and 60 min of activation, showing that all platelets will not have the same characteristics even after maximal stimulation. This suggests that platelet subpopulations with distinct activation patterns exist within the total platelet population.
人们认识到血小板对激活的反应不同,其中一部分血小板表现出促凝表型,而另一部分则聚集。然而,尚未彻底测试这些亚群是否会留在最大激活的样本中,或者它们是否仅仅是血小板对激动剂激活的敏感性不同的结果。在这里,血小板用逐渐增加浓度的凝血酶和/或 GPVI 激动剂交联胶原相关肽 (CRP-XL) 激活。使用新的六色流式细胞术方案评估血小板激活,该方案评估了血小板暴露的磷脂酰丝氨酸、纤维蛋白原受体 αβ 的活性构象、α-颗粒和溶酶体释放 (P-选择素和 LAMP-1 暴露)、线粒体膜完整性和血小板碎片。用 CRP-XL 或凝血酶+CRP-XL 激活后,血小板形成了三个大小不同的亚群。正常大小的血小板显示出高聚集性活性 αβ 和完整的线粒体,而较小的血小板和血小板碎片则显示出高促凝磷脂酰丝氨酸暴露。尽管激动剂浓度很高,但血小板在不同大小的亚群之间的分布仍然保持稳定。在 30 和 60 分钟的激活后,所有三种血小板仍存在,这表明即使在最大刺激下,所有血小板也不会具有相同的特征。这表明在总血小板群体中存在具有不同激活模式的血小板亚群。
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