Cicala C, Santacroce C, Itoh H, Douglas G J, Page C P
Life Sci. 1997;60(2):PL31-8. doi: 10.1016/s0024-3205(96)00607-8.
The aim of the present study was to evaluate platelet responsiveness in rats following E.coli endotoxin administration. Injection of E.coli to rats caused a reduction in ADP-induced pulmonary 111In labelled platelet accumulation four hours later. Similarly, when platelet aggregation was evaluated on PRP obtained from rats four hours after endotoxin administration, we found that platelet response to both ADP and collagen was significantly reduced. When platelets obtained from endotoxemic rats were suspended in normal plasma, the aggregating response to ADP and collagen was not different from that obtained with control platelets. Similarly, platelets from control rats suspended in plasma from endotoxemic rats showed hyporesponsiveness to ADP and collagen. There was no difference in the aggregatory response to collagen or to thrombin of washed platelet suspension (WPS) obtained from endotoxemic and normal rats. In conclusion, by using an in vivo minimally invasive technique and an ex vivo platelet aggregation test we demonstrate that during endotoxemia platelet are functionally unaltered and the platelet hyporesponsiveness is only observed in presence of plasma.
本研究的目的是评估大肠杆菌内毒素给药后大鼠的血小板反应性。给大鼠注射大肠杆菌4小时后,ADP诱导的肺内111In标记血小板聚集减少。同样,在内毒素给药4小时后从大鼠获得的富血小板血浆(PRP)上评估血小板聚集时,我们发现血小板对ADP和胶原的反应均显著降低。当将内毒素血症大鼠的血小板悬浮于正常血浆中时,其对ADP和胶原的聚集反应与对照血小板无异。同样,将对照大鼠的血小板悬浮于内毒素血症大鼠的血浆中时,其对ADP和胶原的反应性降低。内毒素血症大鼠和正常大鼠的洗涤血小板悬液(WPS)对胶原或凝血酶的聚集反应无差异。总之,通过使用体内微创技术和体外血小板聚集试验,我们证明在内毒素血症期间血小板功能未改变,血小板反应性降低仅在有血浆存在时才观察到。