A simple, reproducible method for quantitating platelet adherence to collagen is described. Platelet rich plasma is stirred with a stable collagen suspension, non-adherent platelets counted by Coulter counter, and percent adherence calculated. Platelet aggregation is prevented by EDTA. Platelet adherence was found to reach a maximum value within 5 minutes and also reached a maximum value with increasing stirring speed and collagen concentration. It fell exponentially with increasing platelet count although the number of adherent platelets increased to an apparent maximum suggesting saturation of collagen binding sites. Percent platelet adherence fell linearly when pH was increased. At physiologic pH a non-adherent platelet population of approximately 25% was present. Platelets of different sizes adhered to a similar extent suggesting that platelet age may not influence adherence. A relatively narrow range for normal percent adherence was established and serial determinations in a single individual showed only limited variability with time. By changing either the platelet count or collagen concentration adherence can be varied from < 20% to 70%. The technique is sufficiently versatile that it should be useful for studying many aspects of the platelet/collagen adhesion reaction.
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