ROLE OF RELEASED ADP IN THE STABILIZATION OF PLATELET AGGREGATES: STUDIES IN PATIENTS WITH DEFICIENCY IN AMINE STORAGE GRANULES CONTENTS
Human platelets aggregated by thrombin (T) under conditions in which the release reaction (RR) occurs to only a small extent can be deaggregated by agents that dissociate 125I-fibrinogen bound to platelets. In contrast, when platelets undergo the RR, they cannot be reading deaggregated even though combinations of inhibitors cause 125I-fibrinogen to dissociate. Therefore, material released from platelet granules seems to stabilize aggregates. T-induced aggregates of washed platelets deficient in fibrinogen or von Willebrand factor cannot be deaggregated readily by deaggregating agents, implying that released fibrinogen or von Willebrand factor do not have a major role in stabilizing aggregates. To examine the role of platelet (δ-granule contents in stabilizing platelet aggregates, aggregation and deaggregation were studied with platelets from patients with (δ- Storage Pool Deficiency (δ- SPD). Platelet aggregation and the release ofβ-TG in response to T (1 U/ml) were similar for platelets from patients and controls. Platelets from patients (but not from controls) could be deaggregated by PGE1 (10 uM) plus chymotrypsin (10 U/ml), with hirudin (5 U/ml) added to block further effects of T. Addition of ADP (20 uM) to the (5-SPD platelets 5 sec after T abolished the ability of this combination of inhibitors to deaggregate the platelets. The addition of serotonin (2 uM) 5 sec after T did not prevent inhibitors from deaggregating δ-SPD platelets. When apyrase was added to normal platelets immediately before they were aggregated by T, the combination of inhibitors readily deaggregated the platelets. Therefore, released ADP may stabilize platelet aggregates through a mechanism that could be independent of released fibrinogen and von Willebrand factor.