Center for Platelet Research Studies, Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115-5737, USA.
Clin Lab Med. 2024 Sep;44(3):511-526. doi: 10.1016/j.cll.2024.04.011. Epub 2024 Jun 4.
Clinical assessment of platelet activation by flow cytometry is useful in the characterization and diagnosis of platelet-specific disorders and as a measure of risk for thrombosis or bleeding. Platelets circulate in a resting, "unactivated" state, but when activated they undergo alterations in surface glycoprotein function and/or expression level, exposure of granule membrane proteins, and exposure of procoagulant phospholipids. Flow cytometry provides the means to detect these changes and, unlike other platelet tests, is appropriate for measuring platelet function in samples from patients with low platelet counts. The present review will focus on flow cytometric tests for platelet activation markers.
流式细胞术对血小板活化的临床评估有助于血小板特异性疾病的特征和诊断,以及血栓形成或出血风险的评估。血小板在静止的“未激活”状态下循环,但在激活后,其表面糖蛋白功能和/或表达水平、颗粒膜蛋白的暴露以及促凝磷脂的暴露会发生改变。流式细胞术提供了检测这些变化的手段,与其他血小板检测不同,它适用于测量血小板计数低的患者样本中的血小板功能。本综述将重点介绍血小板活化标志物的流式细胞术检测。