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Platelet adhesion to collagen type IV under flow conditions
G Henrita van Zanten, EU Saelman, KM Schut-Hese, YP Wu, PJ Slootweg, HK Nieuwenhuis, PG de Groot and JJ Sixma
Department of Haematology, University Hospital Utrecht, The Netherlands.
Collagen type IV is a sheet-forming collagen and a major constituent of the
vessel wall. To find out which conditions are important for platelet
adhesion to collagen type IV, we performed perfusion studies with
anticoagulated blood in parallel plate perfusion chambers. The role of
divalent cations was investigated by using plasmas with variable
concentrations of Mg2+ and Ca2+ ions. When Mg2+ concentration was decreased
from 2.00 mmol/L to 0.25 mmol/L at a fixed Ca2+ concentration of 1.25
mmol/L, platelet coverage on the collagen type IV surface decreased from
22.8% +/- 1.8% (n = 4) to 4.6% +/- 0.6% (n = 4) at a shear rate of 1,600
s-1. Also, platelet aggregate formation on collagen type IV was strongly
impaired. A monoclonal antibody against the glycoprotein (Gp) Ib receptor
and von Willebrand factor (vWF)- depleted plasma reduced the platelet
coverage to collagen type IV to, respectively, 10% and 45% of the control
value. Electron microscopy showed that vWF was only present between
platelets and between the platelet and the collagen type IV surface, but
did not bind elsewhere to collagen type IV. These data indicate that
collagen type IV is a reactive collagen for platelets. Differences in
physiologic plasma magnesium concentrations may in part explain the
differences in platelet reactivity to collagen type IV between individuals,
and perhaps contribute to differences in the risk for thrombosis.
Volume 88,
Issue 10,
pp. 3862-3871,
11/15/1996
Copyright © 1996 by The American Society of Hematology

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