Abstract

Microfluidic flow chambers (MFCs) allow the study of platelet adhesion and thrombus formation under flow, which may be influenced by several variables. We developed a new MFC, with which we tested the effects of different variables on the results of platelet deposition and thrombus formation on a collagen-coated surface. Methods: Whole blood was perfused in the MFC over collagen Type I for 4 min at different wall shear rates (WSR) and different concentrations of collagen-coating solutions, keeping blood samples at room temperature or 37 °C before starting the experiments. In addition, we tested the effects of the antiplatelet agent acetylsalicylic acid (ASA) (antagonist of cyclooxygenase-1, 100 µM) and cangrelor (antagonist of P2Y12, 1 µM). Results: Platelet deposition on collagen (I) was not affected by the storage temperature of the blood before perfusion (room temperature vs. 37 °C); (II) was dependent on a shear rate in the range between 300/s and 1700/s; and (III) was influenced by the collagen concentration used to coat the microchannels up to a value of 10 µg/mL. ASA and cangrelor did not cause statistically significant inhibition of platelet accumulation, except for ASA at low collagen concentrations. Conclusions: Platelet deposition on collagen-coated surfaces is a shear-dependent process, not influenced by the collagen concentration beyond a value of 10 µg/mL. However, the inhibitory effect of antiplatelet drugs is better observed using low concentrations of collagen.

Highlights

  • Platelets play a central pathogenic role in thrombosis; they aggregate at sites of atherosclerotic plaques, forming thrombi that can occlude the lumen of the artery [1,2,3]

  • The current study aims at investigating a number of critical aspects in the study of platelet adhesion and thrombus formation with Microfluidic flow chambers (MFCs): The effect of the storage temperature of the blood samples before testing; the influences of wall shear rate and of the concentration of the adhesive protein collagen in the surface coating solution; and the inhibitory effect of some antiplatelet drugs

  • We measured the effect of blood storage temperature at room temperature (RT) and 37 ◦C on platelet accumulation on collagen (200 μg/mL)-coated channels, at 300/s, 1100/s and 1700/s wall shear rates (Figure 1)

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Summary

Introduction

Platelets play a central pathogenic role in thrombosis; they aggregate at sites of atherosclerotic plaques, forming thrombi that can occlude the lumen of the artery [1,2,3]. Despite these studies and some attempts to define common protocols [18,23], no real standardization has been achieved and the effect of a number of assay-dependent variables still remains to be fully elucidated Given this background, the current study aims at investigating a number of critical aspects in the study of platelet adhesion and thrombus formation with MFCs: The effect of the storage temperature of the blood samples before testing; the influences of wall shear rate and of the concentration of the adhesive protein collagen in the surface coating solution; and the inhibitory effect of some antiplatelet drugs

Effect of Blood Storage Temperature
Effect of Wall Shear Rate
Effect of Collagen Concentration
Effect of ASA on Platelet Accumulation
Discussion
Enrollment of Healthy Control Subjects
Blood Sampling
Fabrication of Microfluidic Devices
Perfusion Experiments
Image Acquisition and Analysis
Statistical Analysis
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