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October 4, 2023Artificial Organs

Transient high shear stress effectively activates platelets and increases activity markers versus low shear stress.

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Why the study?

Platelet adhesion and aggregation behavior at nonphysiological post-stenosis, along with its affecting factors, are not fully understood.

Comparison

Different shear stresses and different hematocrits on collagen and fibrinogen

Design

In vitro microfluidic and flow cytometry experiment

Key result

Transient high shear stress (46 ms) effectively activated platelets and significantly increased platelet activity markers including P-selectin, glycoprotein IIb/IIIa, and monocyte-platelet aggregates.

Authors

XGXuemei GaoTZTiancong ZhangXHXiaojing Huang

Discussion

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Member takes

Overview

Alerts to thrombotic risk in high-shear devices; leaves open clinical translation of 46-ms platelet activation.

Structured PICO

P
Population
In vitro model evaluating platelets
E
Exposure
Transient high shear stress (46 ms) and varying hematocrits using microfluidic technology
C
Comparator
Low shear stress conditions
O
Outcome
Platelet aggregation on collagen and fibrinogen, platelet activation (P-selectin, glycoprotein IIb/IIIa), and monocyte-platelet aggregate (MPA) levelssurrogate

Transient high shear stress, such as that found post-stenosis, significantly activates platelets and promotes aggregation, highlighting biomechanical factors in thrombosis.

Cite This Study

Gao et al. (2023) studied Thrombosis risk. Transient high shear stress vs. Low shear stress was evaluated on Platelet activation, adhesion, and aggregation. Transient high shear stress (46 ms) effectively activated platelets and significantly increased platelet activity markers including P-selectin, glycoprotein IIb/IIIa, and monocyte-platelet aggregates.

synapsesocial.com/papers/6aa91e0a30dda29ea005e60bhttps://doi.org/10.1111/aor.14653
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Also Consider

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

  1. 1Platelet Aggregation and Activation under Complex Patterns of Shear Stress2002 · 82 citations
  2. 2Duration of exposure to high fluid shear stress is critical in shear-induced platelet activation-aggregation2003 · 63 citations
  3. 3Effect of pathological high shear exposure time on platelet activation and aggregation2023 · 13 citations
  4. 4Shear Stress-Induced Changes in Platelet Reactivity1978 · 36 citations
  5. 5Constricted microfluidic devices to study the effects of transient high shear exposure on platelets2017 · 13 citations