Platelet adhesiveness

Cell Adhesion. The membranes of leukocytes and platelets contain a variety of components that promote ceU-surface contact. Although numerous ceU-surface molecules are likely to play a role in ceU-surface adhesion, the group of selectins are of particular interest to research on this subject. Selectins are molecules that are known to promote leukocyte—platelet adhesion. However, selectin-based models have not been able to account for the fact that platelets are allowed to pass through the filter and leukocytes are not. 

Collagen is a major component of connective tissue that becomes exposed at the subendothelium of injured blood vessels. It contributes to platelet adhesion and also plays a role in platelet activation by binding to several receptors on platelets such as integrin a 2(3 1 or glycoprotein VI (GP VI). 

The von Willebrand factor (vWf) is a heterogeneous multimeric plasma glycoprotein produced by megakaryocytes and endothelial cells which is found in platelets, plasma and the subendothelium. Subendothelial vWf facilitates platelet adhesion, especially under high shear stress, by binding to glycoprotein GPIb-V-IX, a complex of four leucine-rich repeat proteins on platelets. 

Chitosan is the main structural component of crab and shrimp shells. Chitosan contains both reactive amino and hydroxyl groups, which can be used to chemically alter its properties under mild reaction conditions. Al-acyl chitosans were already reported as blood-compatible materials. UV irradiation grafting technique was utilized to introduce obutyrylchitosan (OBCS) onto the grafted SR film in the presence of the photosensitive heterobifunctional cross-linking agent. The platelet adhesion test revealed that films grafted on OBCS show excellent antiplatelet adhesion. 

Ishihara K, Hanyuda H, and Nakabayashi N. Synthesis of phospholipids polymers having a urethane bond in the side chain as coating material on segmented polyurethane and their platelet adhesion resistant properties. Biomaterials, 1995, 16(11), 873-879. 

Degrades ADP (an aggregating agent of platelets) to AMP -t P Inhibits platelet adhesion and aggregation by elevating levels of cGMP... 

Bennett JS Mechanisms of platelet adhesion and aggregation an update. Hosp Pract (Off Ed) 1992 27 124. 

Glycoprotein llb/llla Platelets allbps ICAM-2 Fibrinogen, fibronectin, von Willebrand factor Platelet adhesion and aggregation... 

Hematologic von Willebrand disease Idiopathic thrombocytopenic purpura Factor VII defect causing impaired platelet adhesion and increased bleeding time Decrease in circulating platelets—can be acute or chronic... 

Von Willebrand factor (VWF) is a large multimeric glycoprotein with two main functions in hemostasis to aid the platelet adhesion to injured blood vessel walls and to carry and stabilize factor VIII in plasma. Table 64—4 represents three main vWD phenotypes, their frequency, and genetic transmission.17... 

Thus, while glycoprotein Ia/IIa (a2Pj) binds to collagen, glycoprotein Ic/IIa (a ) binds to fibronectin (5). The other integrin belonging to the beta 1 family that is involved in platelet adhesion is ct6P, which binds laminin. 

In the intact blood vessel, ligands involved in adhesion to platelets, such as collagen, fibronectin, and von Willebrand factor, are sequestered in the subendothelium, thus preventing access to platelet adhesive receptors. Table 1 summarizes the functions of platelet membrane integrin receptors. 

Many kinds of nonbiodegradable vinyl-type hydrophilic polymers were also used in combination with aliphatic polyesters to prepare amphiphilic block copolymers. Two typical examples of the vinyl-polymers used are poly(/V-isopropylacrylamide) (PNIPAAm) [149-152] and poly(2-methacryloyloxyethyl phosphorylcholine) (PMPC) [153]. PNIPAAm is well known as a temperature-responsive polymer and has been used in biomedicine to provide smart materials. Temperature-responsive nanoparticles or polymer micelles could be prepared using PNIPAAm-6-PLA block copolymers [149-152]. PMPC is also a well-known biocompatible polymer that suppresses protein adsorption and platelet adhesion, and has been used as the hydrophilic outer shell of polymer micelles consisting of a block copolymer of PMPC -co-PLA [153]. Many other vinyl-type polymers used for PLA-based amphiphilic block copolymers were also introduced in a recent review [16]. 

For pH sensors used in in-vivo applications, especially those in continuous pH monitor or implantable applications, hemocompatibility is a key area of importance [150], The interaction of plasma proteins with sensor surface will affect sensor functions. Thrombus formation on the device surface due to accelerated coagulation, promoted by protein adsorption, provided platelet adhesion and activation. In addition, variation in the blood flow rate due to vasoconstriction (constriction of a blood vessel) and sensor attachment to vessel walls, known as wall effect , can cause significant errors during blood pH monitoring [50, 126],... 

In practice, some anticoagulation agents such as heparin or antiplatelet agents, e.g. nitric oxide (NO) are delivered to sensor sites in order to reduce the risk of thrombus formation. Nitric oxide (NO), which is a potent inhibitor of platelet adhesion and activation as well as a promoter of wound healing in tissue, has been incorporated in various polymer metrics including PVC (poly(vinyl-chloride)), PDMS (poly-dimethyl-siloxane) and PU (poly-urethanes). Those NO release polymers have been tested in animals as outer protection coatings and have shown promising effects for the analytical response characteristics of the sensor devices [137],... 

Friedman, L. I., Liem, H., Grabowski, E. F., Leonard, E. F., and McCord, C. W., Inconsequentiality of surface properties for initial platelet adhesion. Transactions— American Society for Artificial Internal Organs 16, 63-73 (1970). 

Decorsin 4 400 Macrobdella decora Inhibits platelet adhesion... 

A partially or completely occlusive clot forms on top of the raptured plaque. Exposure of collagen and tissue factor induce platelet adhesion and activation, which promote release of adenosine diphosphate and thromboxane A2 from platelets. These produce vasoconstriction and potentiate platelet activation. A change in the conformation of the glycoprotein (GP) Ilb/IIIa surface receptors of platelets occurs that cross-links platelets to each... 

Endotoxin activates complement, which then augments the inflammatory response through stimulation of leukocyte chemotaxis, phagocytosis and lysosomal enzyme release, increased platelet adhesion and aggregation, and production of toxic superoxide radicals. 

D. W., Farndale, R. W., Enzymatically catalyzed disulfide exchange is required for platelet adhesion to collagen via integrin alpha 2 beta l, Blood 102 (2003), p. 2085-2092... 

The important in vivo role of platelet cGMP-PK I for the inhibition of platelet adhesion to vascular endothelium has been further demonstrated by recent studies... 

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