Dehydration of blood platelets by zeodration: in vitro characterization and hemostatic properties in vivo.
Author(s): Donnet T, Ravanat C, Eckly A, Maurer E, Alame G, Ziessel C, Mangin PH, Freund M, Cazenave JP, Gachet C, Rendu F
Publication: Transfusion, 2015, Vol. 55(9), Page 2207-18
PubMed ID: 25856501 PubMed Review Paper? No
Purpose of Paper
The purpose of this paper was to compare morphology, platelet (Plt) activation, aggregation and clotting properties of fresh and rehydrated zeodrated (z)Plts.
Conclusion of Paper
The rehydrated zPlts had similar distribution profiles to fresh Plts, but zPlts were not discoid and had blebs in the cellular membranes. Compared to fresh Plts, rehydrated zPlts had permeable membranes, lower expression of glycoprotein (GP) Ib, higher binding of annexin V and first procaspase activating compound (PAC1), higher expression of CD63, fibrinogen and von Willebrand factor (VWF) and increased CD40L and P-selectin in the supernatants. Although, in the presence of ristocetin, comparable agglutination was observed for fresh and zPlts, zPlts did not aggregate in response to ADP, and collagen and thrombin induced zPlt aggregation was slower than that observed for fresh Plts. Rehydrated zPlts were able to form a thrombus comparable to that obtained with fresh Plts and in the presence of calcium, with or without tissue factor, thrombin generation of zPlts occurred faster than for fresh Plts.
Studies
-
Study Purpose
The purpose of this study was to compare morphology, Plt activation, aggregation and clotting properties of fresh and rehydrated zPlts. Plts were isolated from whole blood from 4-10 donors and were dehydrated at room temperature by Zeodration and stored at room temperature for an unspecified duration. Specimens were rehydrated at RT by controlled humidity increases from 50% to 99% over 30 minutes and then resuspended in distilled water.
Summary of Findings:
After rehydration, 85% of plts in the fresh specimen were recovered from the zeodrated specimen. The rehydrated zPlts had similar distribution profile to fresh plts, but electron microscopy showed them to no longer be discoid and to have blebs in the cellular membranes. Importantly, while 1% of fresh Plts had permeable membranes, 96% of rehydrated zPlts had permeable membranes. Rehydrated zPlts had lower expression of GPIb, and higher binding of annexin V and PAC1, and higher expression of CD63, fibrinogen and VWF than fresh Plts (p<0.05, all), but comparable expression of GPIIbIIIa, GPX, and GPVI. While rehydrated zPlts had non-significantly less P-selectin and CD40L surface expression than fresh Plts, the supernatants of zPlts contained significantly more soluble CD40L and P-selectin. Rehydrated zPlts did not spontaneously agglutinate or aggregate, and in the presence of ristocetin, comparable agglutination was observed for fresh and zPlts. However, zPlts did not aggregate in response to ADP, and collagen and thrombin induced zPlt aggregation were slower than that observed for fresh Plts. zPlts did not attach as well as fresh Plts to a VWF coated chamber, but zPlts were still able to form a thrombus comparable to that obtained with fresh Plts, and in the presence of calcium, with or without tissue factor, thrombin generation of zPlts occurred faster.
Biospecimens
Preservative Types
- None (Fresh)
- Other Preservative
Diagnoses:
- Not specified
Platform:
Analyte Technology Platform Cell count/volume Flow cytometry Protein ELISA Morphology Flow cytometry Glycoprotein Flow cytometry Morphology Electron microscopy Protein Flow cytometry Pre-analytical Factors:
Classification Pre-analytical Factor Value(s) Biospecimen Preservation Type of fixation/preservation Zeodration
None (fresh)