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稀释人血浆中凝块溶解的现象学描述:血小板结构与功能的相关性

A phenomenologic description of clot lysis in dilute human plasma correlating structure and function of platelets.

作者信息

Gilliam J M, Berkus V, Taylor F B

出版信息

Am J Pathol. 1979 Jul;96(1):35-50.

PMID:464023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2042348/
Abstract

Platelets in a dilute platelet-rich plasma clot formed by the addition of thrombin at 4 C do not lose their alpha-granules or develop platelet-fibrin interconnections. These clots do not retract or lyse. If after clot formation for 30 minutes the clots are transferred to 37 C, the alpha-granules then disappear from the platelet, extensive platelet-fibrin interconnections develop, and the clots retract and lyse. When the dilute plasma clots, however, are formed at 37 C, alpha-granules are quickly lost, few platelet-fibrin interconnections develop, and the clots do not retract or lyse. Deoxyglucose and antimycin, when added before thrombin at 4 C, prevent the loss of alpha-granules and development of platelet-fibrin interconnections after transfer of the clot to 37 C. These inhibited platelets did not retract or lyse. From the results reported here we conclude that the development of platelet-fibrin interconnections as well as the retraction and lysis of the clot occur in conjunction with the release of alpha-granules from the platelet. It may be necessary for this release to occur after the fibrin network is completed, since release of the alpha-granules in the 37 C clot before clot formation did not result in formation of many platelet-fibrin interconnections or in clot retraction or lysis.

摘要

在4℃下通过添加凝血酶形成的稀释富血小板血浆凝块中的血小板不会失去其α-颗粒,也不会形成血小板-纤维蛋白连接。这些凝块不会收缩或溶解。如果在凝块形成30分钟后将凝块转移到37℃,那么α-颗粒随后会从血小板中消失,广泛的血小板-纤维蛋白连接会形成,并且凝块会收缩和溶解。然而,当稀释血浆凝块在37℃形成时,α-颗粒会迅速丢失,很少形成血小板-纤维蛋白连接,并且凝块不会收缩或溶解。在4℃下,脱氧葡萄糖和抗霉素在凝血酶之前添加时,可防止凝块转移到37℃后α-颗粒的丢失和血小板-纤维蛋白连接的形成。这些受抑制的血小板不会收缩或溶解。根据此处报道的结果,我们得出结论,血小板-纤维蛋白连接的形成以及凝块的收缩和溶解与血小板中α-颗粒的释放同时发生。由于在凝块形成前在37℃凝块中α-颗粒的释放并未导致形成许多血小板-纤维蛋白连接或凝块收缩或溶解,因此这种释放在纤维蛋白网络完成后发生可能是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/228b66feedda/amjpathol00239-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/ef41dd42a80b/amjpathol00239-0057-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/4aa2610b243d/amjpathol00239-0058-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/4a60cbe14f55/amjpathol00239-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/228b66feedda/amjpathol00239-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/ef41dd42a80b/amjpathol00239-0057-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/4aa2610b243d/amjpathol00239-0058-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/4a60cbe14f55/amjpathol00239-0060-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e46/2042348/228b66feedda/amjpathol00239-0059-a.jpg

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本文引用的文献

1
Evidence of a diurnal fibrinolytic rhythm; with a simple method of measuring natural fibrinolysis.昼夜纤维蛋白溶解节律的证据;采用一种测量自然纤维蛋白溶解的简单方法。
Clin Sci. 1957 Nov;16(4):645-50.
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Factors influencing the initiation and the extrusion phase of the platelet release reaction.影响血小板释放反应起始阶段和释放阶段的因素。
Biochim Biophys Acta. 1971 Feb 28;261(2):435-43. doi: 10.1016/0304-4165(72)90068-2.
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Platelet coagulant activities and hemostasis: a hypothesis.血小板凝血活性与止血:一种假说。
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Ultrastructure of the platelet release reaction in response to various aggregating agents and their inhibitors.血小板对各种聚集剂及其抑制剂反应的释放反应超微结构
Lab Invest. 1973 Dec;29(6):595-606.
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Electron microscopic studies of platelet secretion.血小板分泌的电子显微镜研究。
Prog Hemost Thromb. 1974;2(0):49-98.
6
Effects of antimycin and 2-deoxyglucose on adenine nucleotides in human platelets. Role of metabolic adenosine triphosphate in primary aggregation, secondary aggregation and shape change of platetets.抗霉素和2-脱氧葡萄糖对人血小板中腺嘌呤核苷酸的影响。代谢性三磷酸腺苷在血小板初级聚集、次级聚集及形态变化中的作用。
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The selectivity of the thrombin-induced platelet release reaction: subcellular localization of released and retained constituents.凝血酶诱导的血小板释放反应的选择性:释放和保留成分的亚细胞定位。
J Lab Clin Med. 1970 May;75(5):840-55.
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Coagulolysis: mechanism of formation and lysis of dilute whole blood clots and application of this assay into study of certain hypercoagulable states.
Ser Haematol. 1973;6(4):528-48.
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Qualitative description of factors involved in the retraction and lysis of dilute whole blood clots and in the aggregation and retraction of platelets.对稀释全血凝块回缩和溶解以及血小板聚集和回缩过程中涉及的因素进行定性描述。
J Clin Invest. 1970 Nov;49(11):2068-85. doi: 10.1172/JCI106425.
10
Ultrastructural features of abnormal blood platelets. A review.异常血小板的超微结构特征。综述。
Am J Pathol. 1976 Jun;83(3):589-632.