Summary
Platelet aggregation in vitro by dextrans of various molecular weights has been examined
in platelet rich plasma and in suspensions of human platelets with a turbidi-metric
method and microscopy. Addition of dextran to platelet rich plasma and platelet suspensions
causes a biphasic effect on the optical density, consisting of an immediate decrease
which seems independent of the molecular weight of the dextran and a delayed, time-dependent
decrease influenced by it. Microscopically, platelet aggregation by dextran corresponds
more closely to the delayed decrease. Aggregation of human platelets by dextran, for
which stirring is necessary, is related to the final dextran concentration, is affected
by the platelet population and is not spontaneously reversible. Platelet clumping
by dextran is of particular interest since dextran has been shown to possess antithrombotic
properties.