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The isolated low density lipoprotein (LDL) has been shown to cause shape change, granule centralization and incomplete degranulation of human blood platelets at concentrations of 50 to 300 μg protein/ml in vitro. About half the number of platelets were discoid at the LDL concentration of 50 μg/ml. If the platelets were pretreated with LDL at a concentration of 100 μg/ml, aggregation could be induced by thrombin (0.015 U/ml) lightly. These results suggested that the LDL-incubated platelets showed a primary activation. These LDL-pretreated platelets showed enhanced sensitivity to thrombin by aggregating at a very low dosage (0.015 U/ml). The primary activation of platelets induced by LDL seemed independent of extracellular calcium when LDL concentrations were higher than 200 μg/ml.
Zhao et al. (1993) studied this question.