The Function of the Platelet Surface in Coagulation

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Abstract
Platelets washed by the albumen density gradient technique were used as the sole source of thromboplastin in a new test, and also as the sole source of factor X in a modification of the one-stage factor X assay test of Denson. These platelets were shown to be capable of generating considerable amounts of thrombin during periods of preincubation of up to 8 minutes. For at least 3 minutes of preincubation their size and shape remained invariant, as measured by counting and by sizing on a Coulter channelyser. It is suggested that this test measures a function of the platelet surface, rather than of the platelet after viscous metamorphosis. This function is tentatively named platelet catalytic activity (PCA). Support for this concept was given by the fact that aspirin and phenylbutazone did not affect the test. The factor X assay system confirmed the presence of a small amount of mostly inactive factor X on the surface of the platelet. This factor X could be activated by Russell viper venom.