Electron opaque structures in human platelets: Which are or are not dense bodies?

The dense bodies, also referred to as delta (delta) granules, present in human platelets are the storage sites for adenine nucleotides and serotonin. Stored products released following activation are important for platelet aggregation during hemostasis. Dense bodies are easily detected in thin sections of properly fixed platelets and in unfixed, unstained whole mount preparations. It is important to determine their presence and frequency with accuracy because they are absent or markedly reduced in platelet storage pool deficiency disorders. The present study has demonstrated that identification of dense bodies as not a simple matter. There are electron dense structures, including dense rings, glycosomes, "fuzzy" balls, chains, clusters and other dense elements, that may confuse the determination of true dense bodies. Even some alpha granules are sufficiently electron dense to be confused with delta granules when using densitometric techniques. The present work may prevent investigators from making diagnostic errors.