Flow-induced detachment of adherent platelets from fibrinogen-coated surface.

A study of the shear forces under which adherent platelets of different morphologies can be detached from surfaces was carried out using a newly designed tapered flow chamber, which covered the entire shear range of physiological circulation. Platelets that naturally settled on a fibrinogen-coated surface were exposed to shear flow and were subsequently processed for scanning electron microscopic observation. We found that 1) the density of platelets remaining after flow exposure decreased with local shear stress, 2) adherent platelets of different morphologies withstood different levels of shear stress: most round cells and 40% of the cells that had a few short pseudopods were detached at < 10 dyn/cm2, whereas most spread cells could withstand 50 dyn/cm2, 3) pulsatile flow was more effective in removing adherent platelets than equivalent steady flow, 4) cytochalasin D and colchicine retarded platelet shape change and made them more easily detached by shear forces, and 5) metabolic energy-depleted platelets spread readily and formed shear-resistant clumps. Our observations indicated that adherent platelets of different morphologies on a fibrinogen-coated surface could withstand different levels of flow shear stress.