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Prepublished online as a Blood First Edition Paper on November 27, 2002; DOI 10.1182/blood-2002-05-1550.
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Blood, 1 April 2003, Vol. 101, No. 7, pp. 2637-2645
HEMOSTASIS, THROMBOSIS, AND VASCULAR BIOLOGY
Aspects of hydrodynamic shear regulating shear-induced platelet
activation and self-association of von Willebrand factor in suspension
Harish Shankaran,
Paschalis Alexandridis, and
Sriram Neelamegham
From the Bioengineering Laboratory, Department of
Chemical Engineering, State University of New York at Buffalo, NY.
The binding of plasma von Willebrand factor (VWF) to platelet
receptor GpIb under high hydrodynamic shear leads to platelet activation and subsequent shear-induced platelet aggregation (SIPA). We
quantitatively examined the aspects of fluid flow that regulate platelet activation by subjecting human blood and isolated platelets to
well-defined shear conditions in a cone-plate viscometer. We made the
following observations. First, Annexin V binding to phosphatidyl serine
expressed on activated cells was detectable within 10 seconds of shear
application. Second, fluid shear stress rather than shear rate controls
platelet activation, and a threshold shear stress of approximately 80 dyn/cm2 is necessary to induce significant activation.
Under these conditions, individual domains of soluble VWF and platelet
GpIb are subjected to similar magnitudes of fluid forces on the order
of 0.1 pN, whereas GpIb with bound VWF is subjected to 1 pN. Third,
cell-cell collisions and time-varying stresses are not essential for
platelet activation. Fourth, the mechanism of platelet activation can
be resolved in 2 steps based on the contribution of VWF and fluid forces. Fluid shear and VWF are required during the first step, when
GpIb-VWF binding likely occurs. Subsequently, high shear forces alone
in the absence of VWF in suspension can induce platelet activation. In
other experiments, purified VWF was subjected to shear in the
viscometer, and VWF morphology was assessed using light scattering.
These studies demonstrate, for the first time, the ability of
hydrodynamic forces to induce VWF aggregation in suspension. This VWF
self-association may be an additional feature involved in controlling
cell adhesion rates in circulation.

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