Howes E L, McKay D G, Margaretten W
Am J Pathol. 1973 Jan;70(1):25-44.
Platelet depletion by a specific goat antirabbit platelet antiserum profoundly affected the response of the ocular blood vessels to intravenous endotoxin. The altered permeability of the vessels of the iridial portion of the ciliary processes in the thrombocytopenic animals was reduced by 50% at 1(1/2) hours and by 30 to 58% at 4 hours after endotoxin administration. Intravascular fibrin at the 4-hour period could be eliminated by a properly timed platelet depletion. By preventing platelet aggregations and fibrin formation, the permeability alteration could be reduced by 66% and the usual stromal hemorrhages practically eliminated. Underlying these effects of the platelet was evidence of a vascular trauma unrelated to platelet activity and probably dependent to some extent on adrenergic stimulation. Platelet aggregation and/or fibrin formation had to be superimposed on the underlying vascular trauma to produce endothelial denudation.
用特异性山羊抗兔血小板抗血清使血小板耗竭,这对眼血管对内毒素静脉注射的反应产生了深远影响。在内毒素注射后1.5小时,血小板减少动物的睫状突虹膜部分血管通透性改变降低了50%,4小时时降低了30%至58%。在4小时时,通过适时的血小板耗竭可消除血管内纤维蛋白。通过防止血小板聚集和纤维蛋白形成,通透性改变可降低66%,并几乎消除了常见的基质出血。在血小板的这些作用背后,有证据表明存在与血小板活性无关的血管损伤,且可能在一定程度上依赖于肾上腺素能刺激。血小板聚集和/或纤维蛋白形成必须叠加在潜在的血管损伤上,才能导致内皮剥脱。