Summary
An attempt to clarify the ADP platelet reaction has been done by investigating the
effect of substances which inhibit the reaction in vitro. The inhibitors used may
be divided into two groups. Monoiodo acetic acid, molecular iodine, para-chloro mercuribenzoic
acid and potassium ferricyanid lead to noncompetitive inhibition. Substances containing
free -SH groups and adenine conjugates show competitive inhibition.
The primary bleeding time is prolonged when wounds are flushed with solutions of these
compounds.
It is shown that adenosine tetraphosphate aggregates platelets in the same manner
as ADP.
Based upon these observations an attempt is made to explain some of the steps involved
in the ADP platelet reaction.