PLATELET ALTERATIONS IN RESPONSE TO REPETITIVE, SHORT-DURATION LAMINAR SHEAR STRESS
We examined platelet aggregation (PAG = loss of single platelets), platelet dense granule release, and platelet injury (LDH loss) in normal human citrated platelet-rich plasma subjected to biologically more relevant repetitive, laminar shear stress of 25 and 50 dyn/cm2 in a computer-controlled cone-plate viscometer. Shear pulse duration (1-3 sec), shear pulse ramp function (rate of shear stress increase and decrease per pulse, 0.6-4 sec), number of shear pulses (1-20) and pauses between shear pulses (0-5 sec) were varied in different combinations to assess the effects of each variable on platelet alterations. Maximum PAG (92±8%) was observed with three 1 sec shear pulses, 0.6 sec ramp function and 1 sec between shear pause. PAG decreased with increasing ramp function, increasing number of shear pulses (>10), and increasing pause duration. Rapid platelet deaggregation (starting at 5 sec) was observed after a single 1 sec shear exposure. The rate of deaggregation decreased with increasing shear pulse number, increasing shear pulse amplitude, and increasing shear pulse duration. In contrast to PAG, dense granule release increased progressively with increasing shear pulse number, duration, and amplitude. No appreciable platelet injury (LDH loss) was observed under the conditions used. The findings indicate that massive reversible PAG can be induced by a single 1 sec shear pulse and that the extent of PAG with more prolonged, repetitive shear exposure is largely a function of platelet deaggregation rather than PAG. Thus, data previously reported from our laboratory and other investigators using prolonged (>5 sec) exposure of platelets to shear stress may require reevaluation.