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Prepublished online as a Blood First Edition Paper on November 27, 2002; DOI 10.1182/blood-2002-05-1550.

Submitted May 28, 2002
Accepted November 13, 2002
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*
Department of Chemical Engineering, State University of New York at Buffalo, Buffalo, NY, USA
* Corresponding author; email: neel{at}eng.buffalo.edu.
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 observed that: i) Annexin V binding to phosphatidyl serine expressed on activated cells was detectable within 10s of shear application. ii) Fluid shear stress rather than shear rate controls platelet activation, and a threshold shear stress of ~80dyn/cm2 is necessary to induce significant activation. Under these conditions, individual domains of both soluble vWF and platelet GpIb are subjected to similar magnitudes of fluid forces in the order of 0.1pN, while GpIb with bound vWF is subjected to 1pN. iii) Cell-cell collisions and time-varying stresses are not essential for platelet activation. iv) The mechanism of platelet activation can be resolved into two-steps based on the contribution of vWF and fluid forces. Fluid shear and vWF are required in the first step where 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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