不同抗凝剂对血小板聚集和血小板膜糖蛋白的影响

Effect of anticoagulants on aggregation and membrane glycoprotein of platelets

  • 摘要: 目的 探讨枸橼酸钠、肝素、乙二胺四乙酸(EDTA)对流式细胞术测血小板膜糖蛋白PAC-1和CD62P与二磷酸腺苷(ADP)和花生四烯酸(AA)血小板诱导聚集的影响。方法 在不同抗凝剂情况下,采用血浆比浊法和流式细胞术观测70例健康志愿者血小板AA和ADP诱导聚集率和两个糖蛋白活化百分率。结果 枸橼酸钠抗凝标本AA诱导血小板聚集率与肝素抗凝相当,ADP诱导聚集比肝素抗凝低(P<0.05),EDTA抗凝标本血小板几乎不聚;CTAD管抗凝标本所测的两个糖蛋白活化百分率最低,枸橼酸钠抗凝高,肝素抗凝活化百分率最高;EDTA抗凝CD62P活化百分率高(仅次于肝素),PAC-1值很低,即EDTA对PAC-1表达是抑制的。结论 枸橼酸钠为血小板聚集最佳抗凝剂;CTAD抗凝能最大限度防止血小板体外活化,是流式细胞术测血小板膜糖蛋白的抗凝最佳方案。

     

    Abstract: Objective To study the effect of different anticoagulants,including sodium citrate,heparin and ethylenediaminetetraacetic acid(EDTA) on platelets membrane glycoprotein(PAC-1 and CD62P) by flow cytometry and aggregation of platelets induced by adenosine diphosphate(ADP) and arachidonic acid(AA). Methods Percentages of AA-and ADP-induced aggregation and glycoprotein activation of platelets were detected in 70 healthy volunteers by plasma turbidimetry and flow cytometry,respectively. Results The aggregation rate of platelets with AA inducer anticoagulated by sodium citrate was similar to that anticoagulated by heparin.However,the aggregation rate of platelets with ADP inducer was lower than that anticoagulated by heparin(P<0.05).The platelets scarcely aggregated with both AA and ADP inducer in the sample anticoagulated by EDTA.The fluorescent intensity of PAC-1 and CD62P was lowest in the sample anticoagulated by CTAD.The percentage of membrane glycoprotein(PAC-1 and CD62P) of platelets anticoagulated by heparin was the highest followed by that anticoagulated by sodium citrate.The CD62P activation of platelets anticoagulated by EDTA was only second to than that anticoagulated by heparin.The PAC-1 activation of platelets anticoagulated by EDTA was very low,indicating that EDTA inhibits the expression of PAC-1. Conclusion Sodium citrate is the best anticoagulant of platelets aggregation.CTAD can prevent platelet activation and is the best specimen anticoagulating method for the detection of membrane glycoprotein of platelets by flow cytometry.

     

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