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July 1, 1973Journal of Clinical InvestigationOpen Access

Plasmin-Induced Platelet Aggregation and Platelet Release Reaction. EFFECTS ON HEMOSTASIS

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Authors

SNStefan NiewiarowskiThe Wistar InstituteASAndrew F. SenyiCanadian Red Cross SocietyPGPeter J. GilliesRutgers, The State University of New Jersey

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Implication

Experimental study demonstrates plasmin-induced platelet aggregation and release reaction in animal models, suggesting mechanisms for bleeding defects during thrombolytic therapy.

Key Points

  • To investigate the effects of activated plasmin on platelet aggregation, the platelet release reaction, and overall hemostatic function in vitro and in vivo.
  • Treated washed human, rabbit, and pig platelets in vitro with trypsin-activated pig plasmin or streptokinase-activated human plasmin in the presence or absence of inhibitors (soybean trypsin inhibitor, epsilon aminocaproic acid, Persantin, prostaglandin E1, phenylbutazone).
  • Injected streptokinase (10,000 U/kg) into rabbits with or without pretreatment using Persantin (dipyridamole) or epsilon aminocaproic acid to assess platelet count, serotonin release, fibrinogen depletion, and bleeding time.
  • Plasmin caused reversible platelet aggregation accompanied by the release of adenine nucleotides, serotonin, and eventual digestion of platelet fibrinogen, with short exposures transiently increasing ADP sensitivity but prolonged exposure impairing thrombin and collagen reactivity.
  • In vivo streptokinase administration caused a transient drop in platelet counts, depletion of platelet serotonin and fibrinogen, and prolonged primary bleeding time.
  • Pretreatment with Persantin or epsilon aminocaproic acid protected against serotonin loss and fibrinogen depletion, while Persantin prevented the prolongation of primary bleeding time and preserved collagen responsiveness.

Cite This Study

Niewiarowski et al. (1973) studied this question.

synapsesocial.com/papers/6a18ea8f985da83d5491ebd4https://doi.org/10.1172/jci107345
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1AN EVALUATION OF THE EUGLOBULIN METHOD FOR THE DETERMINATION OF FIBRINOLYSIS1959 · 169 citations
  2. 2The Estimation of Fibrinogen A Revision1965 · 69 citations
  3. 3Platelet Interaction with Polymerizing Fibrin1972 · 163 citations
  4. 4A Quantitative Evaluation of the Inhibition of Platelet Aggregation by Low Molecular Weight Degradation Products of Fibrinogen1973 · 31 citations
  5. 5High Molecular Weight Derivatives of Human Fibrinogen Produced by Plasmin1969 · 168 citations