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Thromb Haemost 2012; 108(01): 176-182
DOI: 10.1160/TH12-02-0059
New Technologies, Diagnostic Tools and Drugs
Schattauer GmbH

Lyophilised reconstituted human platelets increase thrombus formation in a clinical ex vivo model of deep arterial injury

Nikhil Vilas Joshi
1   Centre for Cardiovascular Sciences, University of Edinburgh, UK
,
Jennifer B. Raftis
2   Centre for Inflammation Research, University of Edinburgh, UK
,
Andrew J. Lucking
1   Centre for Cardiovascular Sciences, University of Edinburgh, UK
,
Amanda H. Hunter
1   Centre for Cardiovascular Sciences, University of Edinburgh, UK
,
Mike Millar
3   Centre for Reproductive Health, University of Edinburgh, UK
,
Mike Fitzpatrick
4   Cellphire INC., Rockville, Maryland, USA
,
Giora Z. Feuerstein
4   Cellphire INC., Rockville, Maryland, USA
,
David E. Newby
1   Centre for Cardiovascular Sciences, University of Edinburgh, UK
› Institutsangaben Financial support: The study was supported by an unrestricted research grant by Cellphire Inc. NVJ is supported by Chief Scientist Office (ETM/160) and BMA's Josephine Lansdell Award (2011).
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Publikationsverlauf

Received: 01. Februar 2012

Accepted after major revision: 01. April 2012

Publikationsdatum:
22. November 2017 (online)

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Summary

Platelets are the principal component of the innate haemostatic system that protect from traumatic bleeding. We investigated whether lyophilised human platelets (LHPs) could enhance clot formation within platelet-free and whole blood environments using an ex vivo model of deep arterial injury. Lyophilised human platelets were produced from stored human platelets and characterised using conventional, fluorescent and electron microscopic techniques. LHPs were resuspended in platelet-free plasma (PFP) obtained from citrated whole human blood to form final concentrations of 0,20 and 200 × 109 LHPs/L. LHPs with recalcified PFP or whole blood were perfused through the chamber at low (212 s-1) and high (1,690 s-1) shear rates with porcine aortic tunica media as thrombogenic substrate. LHPs shared morphological characteristics with native human platelets and were incorporated into clot generated from PFP or whole blood. Histomorphometrically measured mean thrombus area increased in a dose-dependent manner following the addition of LHPs to PFP under conditions of high shear [704 μm2 ± 186 μm2 (mean ± SEM), 1,511 μm2 ± 320 μm2 and 2,378 μm2 ± 315 μm2, for LHPs at 0, 20 and 200 × 109 /l, respectively (p= 0.012)]. Lyophil-ised human platelets retain haemostatic properties when reconstituted in both PFP and whole blood, and enhance thrombus formation in a model of deep arterial injury. These data suggest that LHPs have the potential to serve as a therapeutic intervention during haemorrhage under circumstances of trauma, and platelet depletion or dysfunction.

Keywords

Bleeding disorders - haemostasis - lyophilised human platelets - platelet substitutes
 

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