The Effect of Endotoxins on Generation of Thrombin in the Platelet Atmosphere
Human platelets, washed by repeated albumin density gradient centrifugation, aggregate strongly, occasionally in 2 waves, 3 to 5 minutes after addition of both calcium ions (2.10−3 M f.c.) and one tenth volume normal human serum, provided the serum contains at least 0.6% residual prothrombin. This aggregation is prevented by heparin or hirudin. Samples removed at the onset of aggregation rapidly clot purified fibrinogen, whereas the serum-CaCl2 mixture alone does not clot purified fibrinogen within 24 hours. It is therefore concluded that thrombin is rapidly generated in the platelet atmosphere.The in vitro effect of endotoxins on human, in contrast to rabbit, platelets is not well established. Using eight different bacterial lipopolysaccharides we failed to demonstrate aggregation in human platelet-rich plasma or of washed platelets or to find significant 14C-serotonin release. On the other hand, all these endotoxins in a final concentration of 100 μg/ml consistently shortened the latent period before aggregation in the washed platelets-serum-CaCl2 system. It is concluded that bacterial endotoxins enhance the generation of thrombin in the atmosphere of human platelets.