Thromb Haemost 1973; 30(01): 215-220
DOI: 10.1055/s-0038-1649064
Original Article
Schattauer GmbH

The Effect of Apyrase on Platelet Retention in Normal Subjects and in Patients with Abnormal Cardiac Valves or with von Willebrand’s Disease

Paul L. Rifkin
1   Departments of Medicine and Pathology, New York University Medical Center, New York, N. Y. 10016
,
Neal M. Friedberg
1   Departments of Medicine and Pathology, New York University Medical Center, New York, N. Y. 10016
,
Marjorie B. Zucker
1   Departments of Medicine and Pathology, New York University Medical Center, New York, N. Y. 10016
› Author Affiliations
Further Information

Publication History

Received for publication 22 March 1973

Accepted for publication 30 March 1973

Publication Date:
30 June 2018 (online)

Summary

Earlier studies showed that platelet retention was low in disturbed blood and was restored by incubating the blood with apyrase. The low values appeared to be due to ADP-induced inhibition. Patients with von Willebrand’s disease and some patients with cardiac valve abnormalities or prostheses had reduced platelet retention in glass bead columns. Although retention was often increased by incubating the blood with apyrase, it never reached normal values. Retention in normal blood was low when short columns were used and was also increased by apyrase. Thus, ADP-induced inhibition is apparently present even in carefully drawn blood and is probably not responsible for the poor retention in von Willebrand’s disease and cardiac valve abnormalities.

 
  • References

  • 1 Bowie E. J. W, Owen Jr. C. A, Thompson Jr. J. H, and Didisheim P. 1969; Platelet adhesiveness in von Willebrand’s disease. American Journal of Clinical Pathology 52: 69.
  • 2 Coller B. S, and Zucker M. B. 1971; Reversible decrease in platelet retention by glass bead columns (adhesiveness) induced by disturbing the blood. Proceedings of the Society for Experimental Biology and Medicine 136: 769.
  • 3 Friedberg N. M, and Zucker M. B. 1972; ADP as the cause of reversible inhibition of platelet retention in glass bead columns. Journal of Laboratory and Clinical Medicine 80: 603.
  • 4 Hartmann R. C. 1968; Tests of platelet adhesiveness and their clinical significance. Seminars in Hematology 5: 60.
  • 5 Hellem A. J. 1960 The adhesiveness of human blood platelets in vitro. Scandinavian Journal of Clinical and Laboratory Investigation. Supplement 51.
  • 6 Hellem A. J. 1968; Platelet adhesiveness. Series Hematologica 1 (02) 99.
  • 7 Hellem A. J, Borchgrevink C. F, and Ames S. B. 1961; The role of red cells in haemostasis : The relation between haematocrit, bleeding time and platelet adhesiveness. British Journal of Haematology 7: 42.
  • 8 Myhre E, Hellem A. J, Stormorken H, and Rootwelt K. 1971; Intravascular haemolysis, platelet consumption, and platelet adhesiveness in patients with prosthetic heart valves. Scandinavian Journal of Thoracic and Cardiovascular Surgery 5: 13.
  • 9 Salzman E. W. 1963; Blood platelets and extracorporeal circulation. Transfusion 3: 274.
  • 10 Salzman E. W, and Neri L. L. 1966; Adhesiveness of blood platelets in uremia. Thrombosis et Diathesis Haemorrhagica 15: 84.
  • 11 Zucker M. B, Rifkin P. L, Friedberg N.M, and Coller B. S. 1972; Mechanisms of platelet function as revealed by the retention of platelets in glass bead columns. Annals of the New York Academy of Sciences 20: 138.