ADP-Induced Refractory State of Platelets in Vitro
ADP-induced aggregation was determined at various times of pre-incubation with ADP in unstirred platelet rich plasma to which adenosine deaminase was added. In the early stages of incubation the shape change response was absent, the aggregation response was poor and not reversible. As incubation proceeded, these three parameters returned towards normal while there was still ADP in the system. Log dose response (rate of aggregation) curves for the platelets incubated with 1 μM of ADP had shifted to higher concentrations of ADP and there was a small decrease in the maximal height of the curves. Gelfiltered platelets in calcium-free Tyrode solution were incubated with 1 μM of ADP at 37° C. Log dose response curves obtained at different times of incubation showed a greater shift to higher ADP concentrations than those obtained with platelets in plasma. There was also a pronounced decrease in the maximal height of the curves. These two observations became more apparent as incubation proceeded. Addition of apyrase (0.1 mg/ml) at various times of incubation prevented the progessive impairment of the aggregation response and this even slowly increased towards that of the control. The time of incubation with ADP before addition of apyrase did not have any influence on the ability of the platelets to recover their aggregability towards ADP.