Meyers K M, Holmsen H, Seachord C L, Hopkins G, Gorham J
Am J Hematol. 1979;7(2):137-46. doi: 10.1002/ajh.2830070206.
Bleeding times of mink with the Chediak-Higashi (CH) syndrome was markedly prolonged. Platelet counts were normal but there was an impaired platelet aggregation response to collagen. The metabolic adenine nucleotide pool of platelets from normal and CH mink was labeled with 14C-adenine and the platelets were gel-filtered. Gel-filtered platelets (GFP) from CH mink contained only 37.9% of the adenosine triphosphate (ATP) and 9.6% of the adenosine diphosphate (ADP) found in normal platelets and the ATP/ADP ratio was similar to the 14C-ATP/14C-ADP ratio. Platelet content of Ca2+, Mg2+, and in particular 5-hydroxytryptamine was decreased. When GFP were incubated with thrombin to induce maximal secretion, only negligible amounts of ATP and ADP were released. The specific activity of the extracellular nucleotides approximated that within the platelet. These findings suggest that the stored nucleotide pool in CH platelets is virtually absent and that the abnormalities in platelet function may be due, in part, to the essential absence of secretable ADP and serotonin. The release of Ca2+ and Mg2+ by CH platelets was 56% and 27.8% of normal, respectively.
患有切迪阿克-东综合征(CH综合征)的水貂出血时间显著延长。血小板计数正常,但血小板对胶原蛋白的聚集反应受损。用14C-腺嘌呤标记正常水貂和患有CH综合征水貂血小板的代谢腺嘌呤核苷酸池,然后对血小板进行凝胶过滤。患有CH综合征水貂的凝胶过滤血小板(GFP)中三磷酸腺苷(ATP)含量仅为正常血小板的37.9%,二磷酸腺苷(ADP)含量仅为正常血小板的9.6%,且ATP/ADP比值与14C-ATP/14C-ADP比值相似。血小板中钙、镁,尤其是5-羟色胺的含量降低。当GFP与凝血酶一起孵育以诱导最大分泌时,仅释放出可忽略不计的ATP和ADP。细胞外核苷酸的比活性与血小板内的比活性相近。这些发现表明,患有CH综合征的血小板中几乎不存在储存的核苷酸池,血小板功能异常可能部分归因于可分泌的ADP和5-羟色胺基本缺失。患有CH综合征的血小板释放的钙和镁分别为正常水平的56%和27.8%。