Table 1.

Features of adherent and nonadherent procoagulant platelets

Adherent plateletsSuspended platelets
• PS exposing • PS exposing 
• FXa/ FVa binding • FXa/FVa binding 
• Thrombin generation • Thrombin generation 
• ↑ Membrane permeability • ↑ Membrane permeability 
• Loss of Δψm • Loss of Δψm 
• Mitochondrial depolarization • Mitochondrial depolarization 
• Cyclophilin D dependence • Cyclophilin D dependence 
• Microvesiculation • Microvesiculation 
• Ballooning • Ballooning 
• Procoagulant-spreading  
Adherent plateletsSuspended platelets
• PS exposing • PS exposing 
• FXa/ FVa binding • FXa/FVa binding 
• Thrombin generation • Thrombin generation 
• ↑ Membrane permeability • ↑ Membrane permeability 
• Loss of Δψm • Loss of Δψm 
• Mitochondrial depolarization • Mitochondrial depolarization 
• Cyclophilin D dependence • Cyclophilin D dependence 
• Microvesiculation • Microvesiculation 
• Ballooning • Ballooning 
• Procoagulant-spreading  

Procoagulant platelets show similar features, in the presence of physiological concentrations of extracellular calcium, whether studied adherent to a collagen matrix or stimulated with collagen in suspension. A distinguishing feature, unique to adherent platelets, is the formation of procoagulant-spread structures. There are currently no identified features that suspended procoagulant platelets show that are unique to this mode of activation.

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