Time and Temperature Dependent Changes of Platelet Aggregation
ADP-, collagen and epinephrine-induced aggregation change markedly if citrate blood or PRP are kept at different incubation temperatures or/and if the time interval between blood sampling and testing varies. With a growing time interval the response of PRP to ADP, collagen or epinephrine increases. Desaggregation after ADP-aggregation decreases with time. If PRP is incubated at 4°C or 10°C aggregation is increased in comparison with room temperature. At 37°C aggregation is markedly inhibited. This inhibitory effect is almost fully reversible several hours after blood sampling. Corresponding results were obtained with PAT III, measuring spontaneous aggregation tendency. Morphologic platelet changes show some correlation with the time and temperature dependent changes of the aggregation pattern. In clinical studies the time interval between blood sampling and testing and the incubation temperature of PRP should be strictly controlled. If enhanced platelet aggregation is to be studied the time interval between venepuncture and performance of the test should be 30 - 60 min for ADP-or collagen-induced aggregation and between 90 and 360 min for PAT III. PRP should always be kept at 20 - 25°C.